Do men have to be circumcised if their foreskin is too long? What is the difference between phimosis and phimosis? Will cutting it affect the function?
During the summer vacation, many parents took their boys to the hospital for circumcision. Some boys actually sang a solitary hero in order to drive away their fears. This news is regarded as an anecdote, but why do parents take their children to circumcision? Are phimosis and foreskin the same thing? How to distinguish? Does the foreskin have a big impact on male function, and will it hurt women? Will excision make people not lift it? We will answer these questions one by one. The article is a bit long. I hope that friends who understand the impact of foreskin on men will save it first and read it at any time.
What is the difference between foreskin and phimosis?
What is phimosis? Is the foreskin too long a phimosis? Many parents are at a loss when they encounter phimosis in their children, and they don’t know what to do. Should children with phimosis undergo foreskin surgery? Is it too early for children in elementary school to have surgery? Will it affect male function if left untreated? These are probably the most frequently asked questions to doctors in clinical practice. Let’s first look at what is foreskin and phimosis.
What is a foreskin? What is phimosis?
Excessive foreskin refers to the situation in which the glans of the male genitalia is completely covered by the foreskin, but the foreskin can still be pushed down to the coronal sulcus to fully expose the head. When the foreskin that is too long completely covers the head and cannot be exposed when pushed down, it is called phimosis.
In fact, most of the newborn boys have phimosis. It is very normal for the foreskin of the children in this period to be unable to push the back of the glans, but after entering puberty, the foreskin of nearly 95% of males can be easily pushed away to expose the head. Department. Adult males may become infected and inflamed the foreskin and glans due to lack of hygiene, and the excessively long foreskin may adhere to form phimosis.
Therefore, in principle, it is not necessary for infancy boys to undergo circumcision. You can wait until the child enters primary school or after puberty to assess whether there is a need for surgery. At this time, local anesthesia can be used. However, if it is infancy, there may be unstable situations, and general anesthesia needs to be used, which will increase the risk!
Some parents hear that the neighbor’s child is circumcised, so they go to the hospital to ask the doctor if their child needs to be circumcised. In fact, it is normal to worry about the child, but they should be careful not to stretch the child’s foreskin and forcibly expose the glans. In this way, the foreskin may be injured and the situation will worsen. At this time, the urethra may be swollen, swollen, wound, and urination is not smooth, so you need to take the child to see a doctor as soon as possible!
Have you heard of incarcerated phimosis?
In addition to ordinary phimosis, there is a special form of phimosis called incarcerated phimosis. Clinically, there are adult males whose foreskin is only too long, but because of excessive force when lingering with his girlfriend, the foreskin is stuck in the position of the coronal sulcus, and there is redness and swelling. This is incarcerated phimosis.
This is actually an emergency situation. After the foreskin is turned up strongly, because the opening of the foreskin is too small or too tight and stuck in the coronal sulcus, the blood flow of the glans is blocked and red, swollen, and painful. In severe cases, it may Cause glans ulceration, or even avascular necrosis.
Incarcerated foreskin is easy to appear in addition to our situation above, and it is also easy to appear in adolescence. It is mostly caused by male masturbation. At this time, the emergency doctor may need to perform local anesthesia, reset the foreskin or cut it open.
Through the above 2 points, we know that it is not possible to directly judge that the foreskin is too long as phimosis, but if one of the following two conditions is met, it is even a phimosis!
There is no way to push the foreskin down to expose the glans
After the foreskin is pushed down, it will get stuck and cannot go back
Can phimosis have sex? Will there be too fast problems?
I often see it on the Internet, or in outpatient clinics, male patients will ask: What should I do if my head cannot be exposed during masturbation, and it even hurts sometimes? Phimosis will affect sex life, will it be too fast?
The head is a relatively sensitive part of the male organs. As the age increases, the head that was originally wrapped in childhood will gradually be exposed, and with the friction and stimulation of the clothes, the sensitivity of the head will gradually decrease.
This is why some men are troubled by too fast phimosis, because when men have phimosis or the foreskin is too long, the head will be relatively sensitive, leading to early disarming.
In addition, in this case, there will also be problems of pain, insufficient hardness, and even pulled wounds. You should seek medical treatment as soon as possible to avoid leaving regrets.
What methods can be selected to solve the foreskin too long, does it have to be surgery?
At present, it is generally preferred to choose surgical treatment for excessive foreskin. However, there are currently many options for surgical methods, which can be selected according to the actual situation:
Traditional circumcision: manual removal of the overly long foreskin, usually 30-40 minutes, there will be swelling and pain within 1 week after the operation.
Laser surgery: It is performed with a laser knife. The operation time is short, about a quarter of an hour, and the pain is relatively mild, but the cost is relatively high.
Circumcision gun (disposable foreskin cutter) surgery: a relatively new surgical method, the pain and operation time are lower and milder than the previous two surgical methods. After the operation, you can quickly return to work and life, but the cost is also high.
Precautions after circumcision
It is normal to feel red, swollen and painful after the operation. You should cooperate with the doctor’s medication. Generally, the symptoms will be relieved after 3 days, and will return to normal within 10 days.
The wound should be kept clean and dry, and the gauze should be replaced immediately if urine gets on it when urinating.
Absorbable sutures are often used in surgery, and there is no need to ask a doctor to remove the stitches.
There is no need to clean the wound and scab. Deliberate cleaning can easily cause the wound to bleed, and it can be left to fall off on its own.
Another important point is to resume sexual life 1 month after surgery.
Even if the foreskin is too long, there are cases where the foreskin cannot be circumcised. For example, in children with hypospadias, surgery is not recommended even if there is phimosis. In the future, the foreskin can be used to reconstruct the urethra, which is related to the future of the child.
Is there any medication for overlying foreskin?
Some people may ask, in addition to surgery, can medication be used to improve the problem of excessive prepuce? For example, when the child is still too young, general anesthesia is at risk, and the postoperative wound may be infected with urine. If it is not found in time, it may cause life-long damage. What should be done at this time?
It is suggested that parents of children can consider using ointment for topical application first, and the current drug treatment method has no obvious adverse side effects, and then can wait until the child’s puberty development is complete before considering whether there is a need for surgery.
Treatment method of phimosis ointment: After cleaning with water, apply ointment to the narrow part of the foreskin, or the edge of the foreskin and the glans, 1-2 times a day, for about 1 month, the foreskin will gradually separate from the glans, making cleaning easier and less expensive. prone to infection and inflammation.
How can the foreskin be cleaned better?
Many patients worry that a long foreskin will affect future fertility. When they arrive at the clinic, they will ask: Will too long foreskin affect male fertility?
Of course the answer is no.
However, what needs to be understood is that although the foreskin that is too long will not affect male sexual function and one’s own fertility, if it is not cleaned properly, it may be more likely to be infected, and even diseases such as penile cancer may occur, and it may cause lovers and girlfriends to suffer from children. The risk of cervical cancer, I am afraid this will affect fertility, this is all with exact statistics.
Therefore, this shows that it is very important for men to properly clean the foreskin! So, what are the principles of foreskin cleaning?
Turn the foreskin down and rinse it every day when taking a bath, and remember to turn it over when urinating, so as not to allow too much urine to remain and cause infection.
Use clean water to wash, and it should not be too much. Too much detergent may cause excessive stimulation and cause swelling and pain. If there is inflammation or infection, certain anti-inflammatory treatment is required, please consult your doctor
Keep it dry. If there is a man whose foreskin is too long or his head is not exposed at ordinary times, after taking a bath, dry the inner coronal groove before wearing pants. In addition to maintaining dryness, it can also avoid the breeding of odors.