Relative phimosis may resultrecurring infectious diseases. With insufficient attention to personal hygiene, the pathogenic bacteria begin to develop under the foreskin, which covers the head of the penis. This can lead to the growth of rough scar tissue. Relative phimosis is characterized by tightening such tissues around the head of the penis and infecting healthy tissues around it.
The main symptom of the disease is the inability to release
heads. Complaints in patients may be absent, however, over time
there are problems with urination. Phimosis in adults can be expressed in
painful sensations in the area of the prepuce, purulent discharge, increase
temperature and enlarged lymph nodes. There is also a decrease in potency in
the result of psychological reactions to painful sensations.
Relative phimosis can form as a result of genetic
predisposition of the body to insufficiency of connective tissue, in
particular of its elastic components. The disease is expressed in the narrowing of the covers of the foreskin, which becomes noticeable only with the onset of an erection.
A pronounced relative phimosis canlead to the accumulation of smegma. This fatty secret, which is secreted by the glands of the foreskin, is a suitable nutrient medium for pathogenic bacteria. In the extreme stages of the disease, this area is inflated, the urine is excreted by drop. There is development of infectious complications in the bladder and urethra.
Inflammatory complications develop asrule, after injuries to the foreskin and the impossibility of subsequent hygienic care. As a result, there is itching in the head of the penis, redness and pain.
Phimosis - treatment without surgery
Non-drug therapy isgradual stretching by hand of the foreskin. The results of her delaying and exposing the head of the penis may appear after a month of regular procedures. Stretching is recommended to be carried out daily for 9-10 minutes until the patient feels pain when stretched. The procedure is best done after taking a bath, when the skin becomes the most elastic.
In some cases, surgeons perform prepuce plastic to increase the circumference of the preputial ring without cutting it. Medicamentous
therapy consists in the regular and continuous use of ointments based on
corticosteroids (Advantan, Garazon, Lokoid). Drugs are applied to the head of the penis, while they increase the elasticity of the tissues of the foreskin. Corticosteroids contribute not only to stretching this area - they relieve inflammation and swelling, accelerate the healing of microcracks.
The operation is performed in the form of three longitudinalincisions followed by cross-linking of the affected tissue. In the presence of gross scars, partial or complete circumcision of the foreskin is performed. Partial excision is performed along the borders of fibrous changes. In some cases, instead of complete circumcision, an operation is performed according to Schloffer, when under local anesthesia the foreskin is excised in a zigzag manner. As a result of the operation, it remains completely, but at the same time its opening widens considerably. The effectiveness of surgical intervention, in contrast to other methods, is 100%.
The disease is not life threatening, butcan adversely affect the reproductive function and sexual life of men. Timely treatment helps to avoid such dangerous complications as urethritis, balanoplasty, swelling of the penis and even gangrene. During the rehabilitation period, patients are advised to strictly observe the rules of personal hygiene.