Does a little boy need surgery for phimosis?

Phimosis is a common genital problem, which is mainly the developmental deformity of the male penis, which has a great negative impact on the male reproductive functions. Therefore, it is very important to pay attention to problems such as phimosis in life. Phimosis is generally congenital and a symptom that occurs since birth. To solve this problem, surgery must be performed. Let’s take a look at whether little boys with phimosis need surgery?

Phimosis refers to a condition in which the foreskin opening is too small, so that the foreskin cannot be turned up to reveal the glans penis; excessive foreskin refers to a condition in which the foreskin covers the entire glans penis, but the foreskin opening is not small and can be turned up to reveal the glans penis. The foreskin of infants and young children is often physiological. It is only when the glans penis still fails to show after puberty that it is called phimosis or foreskin is too long.

What to do if a child has phimosis

1. Daily care

After a child suffers from phimosis, parents must pay attention to maintaining the hygiene of the penis and regularly clean the dirt accumulated in the foreskin of the glans. If there is inflammation (redness, swelling) at the foreskin opening, you can first use anti-inflammatory drugs or hot compresses. After the inflammation subsides, if urination improves, surgical treatment can be temporarily avoided. If urination is still difficult or foreskin incarceration occurs, you should go to the hospital for treatment as soon as possible.

2. Surgical treatment

Generally speaking, children with phimosis can undergo surgical treatment after the age of three or four. If the inflammatory infection ascends to the urinary system, the harm will be greater.

When there is no adhesion, surgical treatment after local anesthesia can be used to expand the foreskin opening artificially or with inflation.

The use of tracheal dilatation treatment can save the vast majority of children with phimosis from the pain of surgical treatment. Before the dilation operation, anesthetic is dripped into the outer opening of the foreskin. After 2-3 minutes, a disposable balloon catheter is used to separate the adhesion between the foreskin and the glans penis. The foreskin is then turned up, the smegma is removed, a small amount of ointment is applied, and finally the foreskin is restored to its original position to cover the glans penis.

The whole operation only takes a dozen minutes. There is only a slight feeling of distension when the balloon is inflated and slight discomfort when separating adhesions. A check-up and medication application will be done once two days after the operation. After that, as long as the local area is kept clean and regular cleaning is done, re-adhesion can be prevented. Balloon catheter dilatation is a non-invasive treatment that does not cause bleeding and is minimally painful. Children generally cooperate and accept it.