Foreskin adhesion

Introduction Foreskin adhesion means that when the foreskin is too long or the foreskin is tight, it cannot be reset in time after forcibly turning up. The tightly wrapped foreskin is like a narrow ring tightly attached to the coronal groove behind the glans. In the area below the incarceration, blood circulation and lymphatic drainage are significantly blocked, causing local edema and more difficult to reset. If incarcerated for a long time, the penis head will be bruised, eroded or necrotic due to ischemia.

Cause

When the foreskin balanitis is severe, it is easy to produce foreskin adhesion. Foreskin adhesion generally refers to the fact that the foreskin and the glans stick together and are difficult to flip. Most of the foreskin adhesion is the inner plate of the foreskin skin and the coronal sulcus and the glans adhesion. Adhesion often causes recurrent episodes of foreskin balanitis, because inflammation causes a large amount of fluid to ooze out, which causes adhesion after absorption. Although most adhesions do not affect sexual life, no lesions will occur, but if the adhesion causes penile erection pain, it will affect sexual life. Therefore, it is better to carry out surgical treatment as soon as possible, so as to avoid further treatment.

an examination

Related inspection

Penile ultrasound examination foreskin phimosis

The foreskin is a layer of skin that is wrapped around the outside of the penis head. Turning over the foreskin, it can be seen that the ring-shaped narrowing part behind the glans is called the coronary groove. There are many sebaceous glands in the skin near the coronary sulcus, which secrete a odorous secretion, which is yellowish white mud, called "skin smeg".

In the first year of life, the foreskin of a baby boy is often difficult to return from above the glans. Most boys can return when they are 2 years old. However, some boys have to wait until they are 4 years old, and the foreskin will return to the glans. After the age of 4, if the foreskin is still difficult to return to the glans, it is abnormal.

The over-tightening of the foreskin may be due to the persistence of the tissue bundle connecting the foreskin and the glans at birth. It may also be caused by phimosis caused by a small opening in the foreskin. Phimosis may be congenital, but sometimes it may be due to recurrent balanitis or crusting caused by a strong pull back of the foreskin. Boys with phimosis are more likely to develop urinary tract infections.

If phimosis occurs, a narrow foreskin opening will result in:

1. When the child urinates, the foreskin will swell.

2, fine urine flow.

After the doctor checks, if the child has a phimosis, the doctor may recommend cutting the foreskin. If the foreskin is attached to the glans and the opening size of the foreskin is normal, it is possible to perform surgery to connect the tissues separately. Both procedures are performed under general anesthesia.

Differential diagnosis

The foreskin adhesion needs to be differentiated from the foreskin:

Too long foreskin refers to the man's adult, the skin of the penis wraps the glans, so that the glans can not be completely exposed.

Pediatric phimosis and prepuce are too long to exist. When the child is born, normal metabolism and secretion are excreted, and the phimosis or foreskin is too long to have an effect on urination. Especially when there is phimosis, the foreskin will bulge like a balloon when urinating, and there is often a little inside the foreskin after urination. The remaining urine, together with the accumulated lipidoids and epithelial desquamation, will gradually form massive smegma, which is a good medium for bacterial reproduction. Long-term chronic irritation can cause inflammation of the foreskin and form foreskin balanitis. Repeated episodes can cause adhesions in the foreskin cavity. Due to the presence of smegma, the urine is often in the form of a whirlpool, which is slowly discharged as a hairline, and tends to cause poor urination with age.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.