The doctor. Juan Carlos Salarich Pedemonte is a pediatric surgeon and belongs to Top Doctors, the select circle of top-level doctors in Spain. As an expert in phimosis will explain the details of this surgery.
What is phimosis?
Phimosis is the inability of retraction of the foreskin and the appearance of the glans. There is a strangulation ring that prevents the glans from being discovered when the foreskin is retracted. The foreskin and the glans are formed in the child in the tenth or eleventh week of gestation and when the child is born has a physiological phimosis, that is, only 4% of newborns could retract the foreskin. Until the year of life is considered that not being able to retract the foreskin is physiological, it is not a pathology, from the year if you can not remove the foreskin you would have to practice a circumcision.
Can adult phimosis appear?
Yes, phimosis can appear in the adult as soon as the foreskin of the adult may have suffered an injury, some wound, some abrasion, which when repaired produces a fibrosis and produces a strangulation ring and consequently the glans will not be able to appear when there is foreskin retraction. This causes a lot of discomfort, both balanoprepucial infections, as well as lack of hygiene, and being able to be prone to suffering from penile calcinoma due to a lack of being able to discover and correctly clean the limb.
What symptoms advise treatment in phimosis?
The main symptom would be balanitis. Balano-preputial sulcus infections produce pain, redness, purulent secretions, and even urine infections that can affect the kidneys themselves. Another symptom would be paraphimosis: when the foreskin is retracted, it can be detached from the glans, but once past the glans there is a strangulation ring so powerful that the glans can not be covered with the foreskin and a stenosis remains. causes a lack of irrigation to the glans. It is an urgent intervention, since the glans is suffering and the tissue cells of the glans tissue are going to be without oxygen and these can degrade. Not being able to retract the foreskin is sufficient symptomatology for the intervention of circumcision.
Let's think that if this lengthens later the man will have difficulties and the sexual relations that he may have will be painful and will not be pleasant. Therefore I recommend all children who have phimosis to practice circumcision.
Sometimes this circumcision is not done for medical reasons but for religious reasons and cultural reasons. There are religions and cultures that practice circumcision at birth or a few days after birth.
What is circumcision or postectomy?
Circumcision involves resection of the foreskin below the throttle ring so that the glans is uncovered. For this you can use several techniques. Today there are gadgets designed to practice circumcision in the newborn. The most common is to make the resection under the ring with scissors or with a scalpel, then control the hemostasis by placing resorbable points that will fall after a few days, make a few cures with creams and dressings for a week already a week is practically cured and the post-operative process of the intervention has finished.