Phimosis balanitis refers to inflammation of the inner plate of the foreskin and the glans penis. A lipid substance secreted by the normal prepuce cavity. When the prepuce is too long or phimosis is present, this substance can accumulate into smegma to stimulate the prepuce and penis head, causing balanitis. This disease can also be caused by bacterial, fungal infections, or drug allergies.
1. How to diagnose
The foreskin opening is narrow and pinhole like, which can cause varying degrees of difficulty urinating. Urinary flow is slow and small, and the foreskin is swollen during urination.
Smegma accumulates in the prepuce sac, and smegma can be discharged from the prepuce mouth, or it can be stored in the crown groove of the penis head in small pieces.
When inflammation of the foreskin and glans penis occurs, the foreskin opening is red and swollen, with purulent secretions, intense pain, and swelling of the foreskin. A narrow ring can be seen at the upper edge, and the glans penis is dark purple in color.
2. How to handle it
If the above symptoms occur, seek medical attention as soon as possible.
For infants with congenital phimosis, try to turn the foreskin up repeatedly and gently. When the penis head is exposed, clean the smegma, apply antibiotic ointment or liquid paraffin to lubricate it, and then restore the foreskin.
For patients with phimosis of the glans penis, antibiotics should be used to control the inflammation during the acute phase. The local area should be soaked in warm water or 4% boric acid water several times a day. After the inflammation subsides, manual separation of the foreskin should be attempted and local cleaning treatment should be performed. If ineffective, circumcision should be performed. If the inflammation is difficult to control, a dorsal circumcision should be performed.
Patients with acquired phimosis and fibrous narrowing of the skin opening require circumcision.
Early embedded cases of phimosis and edema are treated with local disinfection. After local disinfection, a thick needle is used to puncture multiple areas of the foreskin, squeeze out the edema fluid, apply liquid paraffin in the coronal sulcus, clamp the foreskin of the penis with the middle and index fingers of both hands, and squeeze the head of the penis with both thumbs. The head of the penis is pushed into the foreskin sac to reposition it. If manual repositioning fails, a narrow circumcision should be performed.
3. Commonly used drugs
Western medicine
over-the-counter drugs:
Clotrimazole Cream, Chlorphenamine Maleate Tablets
prescription:
Levofloxacin hydrochloride capsules, compound sulfadiazine zinc gel
4. Causes of the disease
Congenital phimosis is caused by physiological natural adhesion between the foreskin and the glans penis in newborns.
Acquired phimosis often secondary to inflammation of the foreskin of the glans penis, resulting in scar contracture of the foreskin opening.
5. Post illness and post recovery tips
When surgery is not performed, pay attention to the cleanliness and hygiene of the local area of the penis, and wash regularly.
Wash the penis with warm water 3 days before surgery. If the foreskin cannot be turned over, do not forcefully turn it over.
Within one week after surgery, attention should be paid to consuming nutritious foods such as meat, fish, eggs, etc. to help the incision grow.