Treatment Options for Phimosis Child
The phimosis is the inability to retract the skin of the penis to expose the glans, which creates the feeling that there is a ring at the tip of the penis that prevents the skin to slide normally. After the birth, it is common for babies to have this kind of problem, but up to 3 years of age the skin of the penis usually dropping spontaneously, started to function in the normal way.
There are several forms of treatment, which should be evaluated and guided by the urologist or pediatrician, in accordance with the degree of phimosis. Thus, for the milder cases, can only be used for small exercises or ointments, while for the more serious, can be need surgery, for example.
The main symptoms
The main symptoms of phimosis are:
- Difficulty while urinating, pain or burning;
- Pain during erection;
- Secretions in the penis, with bad smell;
- Difficulty controlling the urge to urinate during the night;
- Bleeding, especially when you force the skin.
It is important to remember that the phimosis does not prevent the normal growth and development of the penis, but it should be treated to avoid complications such as serious infections on-site, due to the difficulty in washing the region.
Treatment options for phimosis
Treatment for phimosis is done according to the severity of the symptoms, and may include:
1. Application of ointment
To treat phimosis infant you can apply an ointment with steroids, such as Postec and Betnovate, which acts to soften up the fabric of the foreskin and refining the skin, facilitating the movement and cleaning of the penis.
Typically, this ointment is applied 2 times a day for about 6 weeks months, according to the guidance of the urologist or pediatrician.
2. Exercises on the foreskin
The use of exercises on the foreskin should always be indicated by the pediatrician or by the urologist and consists of trying to move the skin of the penis slowly, stretching and shrinking the foreskin without forcing or causing pain. These exercises should be done for about 1 minute, 4 times per day, for a period of at least 1 month to get improvements.
Surgery for phimosis, also known as circumcision or postectomia, consists in the removal of excess skin to facilitate hygiene of the penis, to decrease the risk of infections and improve sexual performance.
The surgery is done by a urologist, lasts about 1 hour, includes the use of general anesthesia and in children it is recommended between 7 and 10 years of age. The hospitalisation lasts for about 2 days, but the patient can return to normal routine 3 or 4 days after surgery, being careful to avoid sports or games that make an impact in the region by about 2 to 3 weeks.
4. Placement of the plastic ring
The placement of the plastic ring is done through a speed surgery, which lasts about 10 to 30 minutes and does not need anesthesia. The ring is inserted around the glans and under the foreskin, but without the squeeze the tip of the penis. With the passing of time, the ring will cutting the skin and releasing its movement, falling after about 10 days.
During the period of the use of the ring, it is normal for the penis to get red and swollen, but it will not hurt to pee. In addition, this treatment does not require bandages, and is used only in an ointment anesthetic and lubricant to facilitate recovery.
Possible complications of phimosis
When left untreated, phimosis can cause complications such as frequent urine infections, infections on the penis, increase the chances of infection with sexually transmitted diseases, pain and bleeding during intimate contact and increased risk of cancer of the penis.
How to prevent phimosis
When phimosis arises at birth, it is not possible to prevent, but throughout life is very important to make the free right of the penis every day with mild soap and water, cleaning the entire region under the skin so that it does not accumulate dirt and secretions, turning a phimosis.
To avoid aggravate the problem is still important to increase the frequency of cleaning the place up and go to the doctor to start the treatment.