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Phimosis treatment

Paraphimosis is a complication that occurs when insufficient treatment for phimosis.

With this disease, the narrowing of the foreskin leads to serious consequences, so the treatment of paraphimosis in men should be complex.

Paraphimosis: home treatment

Treatment of paraphimosis at home can not be complete. The patient can use cold compresses to reduce puffiness, but this will not help to relieve the inflammatory process.

The fact is that it is impossible to completely cure paraphimosis with folk remedies only, therefore such methods can be used to alleviate the condition of the patient. But go to the doctor anyway necessary. About lech

What procedures can you do yourself?

How to treat paraphimosis at home?

As a first aid, you can use a compress with ice. If there is no ice, then cold water will do.

But such compresses can not be held for too long, otherwise there will be a backlash in the form of severe pain. Well help salt compresses. They prepare very simply - 3 tbsp. l dissolved in 1 l. water. But if there are wounds or erosion on the surface of the genital organ, this compress cannot be used.

Corticosteroid ointments can be used to alleviate the condition. They are especially effective if the disease is caused by a fungus or infection.

Among these drugs most often used Lorinden, Advintan or Lokoid.

At home, a man can only use preventive methods so that the disease does not develop again. To do this, follow these rules:

  1. To observe intimate hygiene. You can use for these purposes a variety of antibacterial agents.
  2. Do not have unprotected sex. Doctors recommend to refrain from frequent changes of partners, as sexually transmitted diseases often cause the development of paraphimosis.
  3. Lead a healthy lifestyle. The stronger the immune system, the easier it will cope with serious diseases, including paraphimosis.

It is also very important to undergo an annual routine inspection, which allows you to identify the disease in its early stages.

The danger of paraphimosis for men

Since paraphimosis is a severe stage of phimosis, it is not expected that late treatment can help.

The longer a man delays with a visit to the doctor, the greater the likelihood that serious complications will arise.

Most often on the background of paraphimosis occurs:

  1. Severe infection. In this case, the infection may spread further, as a result of which the patient dies and the blood becomes infected.
  2. The need for amputation.

If paraphimosis is at the stage where even surgery does not help, the sexual organ is simply amputated.

Important: These effects are extremely rare, as patients try to see a doctor earlier. But sometimes it is too late.

Paraphimosis treatment

Treatment must begin as soon as the first symptoms appear. This will slow down the process of swelling of the sexual organ.

Paraphimosis medications are used quite rarely, since this is not necessary. But doctors still prescribe some medications.

First of all, it is antiseptics and analgesics used for external use. As for the treatment methods, there are two of them - a conservative method and surgical treatment.

Conservative methods

The doctor first tries to adjust the head member manually.

The reduction of paraphimosis is the so-called bloodless method.

He applies anesthetic cream on the genital organ, and then carries out the procedure.

If this was not possible, you should contact the surgeon. The fact is that with this disease tissue death becomes very fast.

If non-surgical methods did not help

Normal reposition of the head of the penis is effective enough only in the initial stages of paraphimosis. Most often, the doctor after the examination immediately prescribes surgery.

Operation with paraphimosis implies dissection of the foreskin. If the disease originated for the first time, a longitudinal dissection is performed. In other cases, the doctor may apply circumcision.

For circumcision for religious reasons, as well as for what nationalities this is accepted and what the Bible interprets, read this publication.

During surgery, local anesthesia is used, that is, the anesthetic drug is applied directly to the organ. In particularly advanced cases, general anesthesia is used.

Surgery lasts 15–20 minutes, after which stitches and an antibacterial dressing are applied. The recovery period takes about a month, during which it is forbidden to have sex.

The patient must observe personal hygiene and use external antibacterial agents. If the stage of phimosis was extremely neglected, then antibiotics are prescribed in tablets.

Symptoms of paraphimosis are usually pronounced, so they are difficult not to notice. This discomfort, the inability to hide the glans penis, swelling and discoloration of the organ.

All these signs should force the man to begin timely treatment, allowing to forget about the illness forever.

Treatment of phimosis calendula

There are three main approaches to the treatment of phimosis: therapy with the use of corticosteroids, stretching the foreskin and surgery to circumcise the foreskin (circumcision). But traditional medicine knows recipes that can help prevent inflammation. Best help antibacterial and antibacterial baths. Such procedures should be carried out two or three times a day, because with phimosis, it is necessary to carefully monitor the hygiene of the head of the penis. Anti-inflammatory infusions are poured into a cup or jar and the penis is lowered there for 10–20 minutes.

A good bactericidal agent is calendula. Her flowers must be dried. For a glass of boiling water you will need one teaspoon of raw materials. It is necessary to insist the medicine for about an hour, then strain and make baths. Infusion should not be hot, so as not to burn the head of the penis.

If a surgical operation was used to treat phimosis, wound healing can be accelerated with the help of strawberries. Her leaves are steamed and used for compresses and lotions.

Phimosis treatment with chamomile

Any washings and baths must be combined with stretching the foreskin. Carefully and slowly a couple of times a day should try to release the head of the penis from the foreskin, so that small adhesions do not have time to form. But these manipulations should not be carried out if they bring pain or severe discomfort, because this can injure the delicate tissue of the foreskin. Breaks and bleeding only exacerbate the course of the disease.

To soften the skin and avoid inflammation, make lotions and baths from decoctions and chamomile tinctures. In addition, chamomile can help reduce pain and itching, often annoying men with phimosis. It is very simple to prepare chamomile tea at home: 10 g of dried flowers are poured with boiling water (250 ml), infused for five hours or boiled over low heat for 15 minutes and cooled. Before the procedure, the medication should be drained.

Similar effect has the grass clover medicinal. For the preparation of decoctions and infusions using the ground part of the plant. One tablespoon of raw materials can be brewed in a glass of boiling water (300 ml) or boiled over low heat for 5–10 minutes.

Phimosis treatment with string and barley

An anti-inflammatory effect, soothe the itching, relieve pain and contribute to the healing of microcracks can be a series. From this herb, decoctions and infusions are prepared, using them later for baths and washes. To prepare the medicine, brew 10 grams of a string in a glass of boiling water and leave for a few hours. When the infusion has cooled, filter it with gauze and do the bath, lowering the penis in a jar for 15 minutes.

A great folk remedy that can help with phimosis to remove irritation and pain from the mucous membrane, soften the skin and soothe the itching, is barley decoction. In half a liter of boiled water at night leave 50 grams of barley grain. In the morning, the infusion is boiled for about ten minutes, and then insist for another hour and squeeze. This medicine should be used for flushing.

Blackberry decoction has a good bactericidal and antiseptic effect. Blackberry leaves must be dried and crushed. Three tablespoons of raw materials are brewed in half a liter of boiled water, then boiled for about ten minutes over low heat. After removing the broth from the heat, put it to insist for half an hour. Before use, the broth must be filtered and cooled. But in no case should the medicine be cold.

Phimosis classification

Phimosis can be divided into two main classes:

  • associated with the developmental features of the glans penis and foreskin physiological phimosis in children
  • pathological phimosis.
This classification is essential because it determines the medical tactics: in physiological phimosis in children, hygiene measures and medical observation are recommended, and in pathological phimosis, conservative treatment or prompt elimination of the defect is recommended.

According to the mechanism of development, hypertrophic and atrophic phimosis are distinguished.

Hypertrophic Phimosis characterized by a significant lengthening of the foreskin (because of the very characteristic appearance of it is also called the proboscis phimosis).

Statistically hypertrophic phimosis is more common in obese boys, which is associated with both metabolic disorders and accumulation of fatty tissue in the pubic area.

About atrophic form of phimosis they say in those cases when the foreskin, on the contrary, is reduced in volume and tightly fits the glans penis. At the same time, the preputial hole is narrowed and does not pass the head.

Causes of phimosis

Most common congenital phimosiswhen the physiological phimosis is not eliminated and the opening of the head of the penis does not occur - neither in childhood nor during puberty.

The reasons for this anomaly have not yet been studied. The fact that phimosis occurs more frequently in some nations than in others suggests the existence of a genetic predisposition to congenital phimosis.

Clinical studies have shown that congenital phimosis is often combined with other anomalies of the structure of the connective tissue and the musculoskeletal system, such as flatfoot, scoliosis, heart defects.

In children, a common cause of the development of pathological phimosis is injuries, including those received during rough violent attempts by parents to “correct” the physiological phimosis in young boys.

In such cases, adhesions form between the mucous membranes of the glans penis and the foreskin, leading to a narrowing of the preputial cavity and the development of secondary pathological phimosis.

And, finally, infectious-inflammatory processes in the preputial sac become a fairly common cause of phimosis in children and adults, leading to the formation of a characteristic cicatricial phimosis.

Degree of pathological phimosis

Anatomically distinguish four degrees of constriction of the preputial ring.

With phimosis first degree perhaps free removal of the head of the penis in a calm state, while at the same time an erection head exposure is difficult or painful.

ABOUT second degree Phimosis is said to be a problem when head baking occurs at rest. During an erection, the head is either completely hidden under the foreskin, or only a small part of it, often inflating in the form of a ball, is exposed.

With third degree phimosis of the glans penis is no longer possible to move beyond the prepucial ring.

Fourth degree phimosis is characterized by such a sharp narrowing of the foreskin, which causes difficulty urinating.

It should be noted that it is common to talk about the first to third degrees of pathological phimosis when patients are adults or adolescents. As for the fourth degree, in normal with children's physiological phimosis, the preputial cavity has an opening sufficient for free passage of urine.

Therefore, signs such as filling a preputial sac during urination and / or narrowing of a trickle of urine, even if they occur in early infancy, clearly indicate pathology and require urgent medical intervention.

Symptoms of pathological phimosis in adults

In cases where phimosis does not cause problems with urination, the most frequent complaints of patients are more or less discomfort during sexual relations, such as:

  • pain during intercourse (with first and second degree phimosis),
  • premature ejaculation,
  • a decrease in the intensity of sexual sensations during intercourse,
  • decrease in potency.
In addition, many men suffering from phimosis, complain of a purely psychological problems associated with the "wrong" appearance of the penis. Often they develop various kinds of complexes, so it is necessary to conduct a combined treatment with a urologist and a psychotherapist.

At the same time, cases when men with pronounced phimosis have absolutely no sexual problems are not uncommon.

What is the danger of asymptomatic phimosis in adults?

Today, one can meet opposing points of view regarding medical tactics in cases of phimosis that are not accompanied by the appearance of any unpleasant symptoms. Indeed, is it worth to correct the “defect”, which in many nations was considered a sign of beauty?

Unfortunately, phimosis is a significant danger to the health of an adult male. The fact is that the cells of the mucous membrane of the inner leaflet of the prepucium secrete a special secret that has a rather complex composition (fats, bactericidal substances, pheromones (stimulating substances), etc.). This secret is the main part of the smegma (in translation from the Greek “sebum”), which also includes dead epithelial cells and microorganisms.

The activity of the glandular epithelium cells of the foreskin increases by the period of puberty (the maximum smear formation occurs at the age of 17-25 years) and decreases progressively in older men.
Normally, smegma protects the mucous membranes of the glans penis and the inner surface of the foreskin from drying out, and also acts as a natural lubricant during sexual intercourse.

However, the secret glands of the mucous membrane of the inner leaf of the foreskin is an excellent living environment for many pathogens. Therefore, congestion of the smegma in the preputial sac may cause the development of infectious-inflammatory diseases, such as balanitis (inflammation of the mucous membrane of the glans penis) and balanoposthitis (combined inflammation of the mucous membranes of the glans penis and the innermost foreskin).

In addition, according to many studies, during long-term stagnation of smegma, carcinogenic substances are formed and accumulated in it, which contributes to the development of oncological diseases in men (penile papillomas, penile cancer) and their sexual partners (cervical cancer).

In childhood, preputial sac cleansing occurs independently, since the amount of released smegma is small. Adult men, in order to prevent the development of complications, it is necessary to follow the rules of hygiene, that is, to do the toilet every day, which consists of washing the foreskin and glans with warm water and soap.

With phimosis, this procedure is usually difficult. Thus, the narrowing of the foreskin in adults contributes to the accumulation of smegma in the preputial sac.

Even in cases where phimosis does not show any unpleasant symptoms, doctors advise you to take care of eliminating the pathology, because, apart from the risk of developing infectious-inflammatory and oncological diseases, you should also consider the possibility of developing such a serious complication as paraphimosis.

Paraphimosis as a severe complication of phimosis in adults

Under paraphimosis imply such a complication of phimosis, when the extracted head of the penis is strangulated in the shifted foreskin.

The head in the tight ring of the constricted foreskin swells and the pressure of the ring increases. Thus, a vicious circle is created: a violation of blood circulation caused by strong contraction increases the swelling of the head, and swelling increases the pressure on the head of the ring of the foreskin.

In adult men and adolescents, paraphimosis most often occurs during sexual intercourse or masturbation. It should be noted that such a complication is characteristic only for phimosis of the first or second degree, since the more severe forms of phimosis simply do not allow the exposure of the head of the penis.

Клинически парафимоз проявляется острой болью, головка полового члена отекает и приобретает синюшный оттенок. Со временем интенсивность болевого синдрома снижается вследствие грубого нарушения кровообращения. In far advanced cases, the strangulated head becomes purple or black.

Severe and prolonged impairment of blood circulation can lead to deep necrosis (necrosis) of the tissues of the foreskin and glans penis. Therefore, paraphimosis is an extremely dangerous complication that requires immediate assistance.

First aid for paraphimosis in men is to immediately seek specialized medical care. At the early stages of development of paraphimosis, doctors can perform manual reposition of the glans penis (this manipulation is very painful, therefore, is performed after the introduction of narcotic analgesics). In more severe cases, resort to dissecting the ring of the foreskin.

Physiological phimosis in children

First of all, a significant feature of physiological phimosis in infants should be noted: the lack of mobility of the foreskin is not connected with the narrowness of its opening.

At such a tender age, for most boys, the inner leaf of the foreskin is welded to the head of the penis. It is for this reason that in no case should one attempt to forcibly expose the head - this will lead to erosion of the inner surface of the prepucial cavity, the development of the inflammatory process and the occurrence of secondary pathological phimosis.

The well-known pediatrician Komarovsky rightly argues that in 99 cases out of 100, the complications of physiological phimosis in children are associated with rude and illiterate intervention carried out by the parents themselves on the advice of relatives, neighbors and even, sadly, doctors.

If the boy is not disturbed by anything (there are no problems with urination, pain, itching, etc.), no additional measures should be taken to correct phimosis. It is only necessary to make a regular toilet every day, washing the perineum and genitals with water. Soap is best used no more than once every three to four days, not allowing it to fall into the preputial bag.

The separation of the mucous membranes of the glans penis and the inner leaflet of the foreskin occurs due to the gradual desquamation of epithelial cells. This is a rather slow process that should not be artificially stimulated.

Listening epithelial cells form the basis of the so-called pedigree smegma, which accumulates, slowly moves to the exit and is excreted in the form of grains along with urine. Unlike adult smegma, child smegma is not dangerous in relation to the development of infections and oncological diseases.

Physiological phimosis in itself serves an important protective function, it protects the tender yet unformed epithelium of the glans penis and the inner leaf of the foreskin against external aggressive agents.

Up to what age the boy's phimosis can be considered a physiological phenomenon.

To date, doctors have not agreed on the age at which the boy’s phimosis should be considered a pathology, and when special measures need to be taken to eliminate it. Therefore, in the articles of specialists one can see various figures - 2-3 years, 5-7 years, 7-10 years and even 14-17 years.

If we focus on clinical data, then the probability of self-estrangement of physiological phimosis in a five-year-old boy is 90%, at the age of 10 years - 83%, and by the age of thirteen years it drops to 33%.

Many pediatricians advise parents to wait until they reach puberty: if there are no alarming symptoms, it is best to wait, since phimosis can be treated at an older age.

It should be noted that the preservation of phimosis by 11-13 years of age may be associated with low levels of male sex hormones in the blood, which have a beneficial effect on the process of softening and stretching the foreskin.

In addition, it is necessary to distinguish congenital physiological phimosis from secondary phimosis, resulting from any infectious and inflammatory diseases.

Of course, such a diagnosis can only be made by a specialist. But in cases where the child has already seen the opening of the head of the penis, and then there was a narrowing of the foreskin, we are most likely talking about pathological phimosis.

Can physiological phimosis cause problems in boys and what to do in such cases

Physiological phimosis in children rarely causes complications. Problems most often arise in violation of the elementary rules of hygiene, as well as overheating and increased tendency to allergic reactions.

In cases where the severity of unpleasant symptoms is mild (itching, slight redness, anxiety of the child), you can try to fix the problem yourself. Many pediatricians recommend washing the preputial cavity with a warm furatsilina solution using a conventional ten-millimeter syringe.

The procedure is as follows:

  • Type in a syringe warm solution furatsilina or ekteritsida,
  • Pull the skin up, not exposing the head,
  • Insert a syringe without a needle into the gap that has formed (it is more convenient to carry out this manipulation together, so that one person delays the foreskin and the other performs actions with a syringe),
  • Release the solution from the syringe under pressure, washing away accumulated secretions.
If necessary, repeat the washing several times and complete the procedure by instillation of oily solutions into the gap (2-3 drops of vaseline oil, olive oil or oil solution of vitamin A).

With an increased inclination of the child to allergic reactions (exudative diathesis, atopic dermatitis, etc.), unpleasant symptoms can be associated with the effects of allergens excreted in urine or with their contact effect on the skin.

Therefore, in such cases, it is additionally recommended:

  • if possible, eliminate the alleged agent (review the menu, medications taken, antibiotics, vitamins, used diapers, household chemicals, etc.),
  • eliminate the effects on the skin of chemicals
  • increase the amount of fluid consumed for the rapid "flushing" of allergens from the body.
However, it is not possible to abuse treatment at home. If, despite all efforts, unpleasant symptoms persist, you should seek specialized medical care (attending pediatrician or pediatric urologist).

Even in cases where the boy's phimosis was unconditionally recognized as physiological, one should immediately consult a doctor if the following alarming symptoms appear:

  • there are problems with urination (difficulty urinating, pain, etc.),
  • there are pronounced signs of inflammation (swelling and redness in the region of the foreskin, pain syndrome).

Balanitis, fasting and balanoposthitis in children

Balanitis called inflammation of the glans penis, postit - inflammation of the foreskin.

Balanoposthitis - A combined infectious-inflammatory lesion of the glans penis and the foreskin.

These diseases are found in boys several times more often than in adult men. The latter circumstance is connected precisely with the physiological features of the structure of the male male sexual organ.

In addition to physiological phimosis, important predisposing factors for the development of inflammatory processes in the region of the glans penis in children are:

  • diabetes mellitus (high content of sugar in the urine contributes to the development of infection in the preputial cavity),
  • obesity (metabolic disorders, deterioration of conditions for personal hygiene activities),
  • avitaminosis (decrease in the general body resistance).
As a rule, acute balanitis, fasting, or balanoposthitis begins unexpectedly against the background of complete health. In most cases, it is possible to determine the impact that triggered the development of the disease. It may be:
  • injury caused by a rough attempt to expose the head of the penis,
  • acute allergic reaction (excretion of food or drug allergens in the urine or direct contact with the allergen (diapers, cosmetics, soap, washing powder, etc.)),
  • overheating,
  • severe hypothermia, which can cause a sharp decline in immunity,
  • external trauma, including uncomfortable clothing (too narrow panties with a seam in the middle, injury to a snake, etc.).
In children, the most common combined inflammatory lesion of the glans penis and the foreskin.

The symptoms of the disease are quite characteristic:

  • redness and swelling in the region of the foreskin (post),
  • through the hole you can see the hyperemic head area (balanitis),
  • pain worse when urinating (irritating effect of urine on the inflamed tissue of the head and foreskin),
  • itching and discomfort,
  • serous or serous-purulent discharge.
The severity of these symptoms, as well as an increase in lymph nodes, an increase in body temperature, the appearance of symptoms of intoxication (weakness, lethargy, headache, loss of appetite) are indicative of the severity of the disease.

If you suspect infectious inflammation of the glans penis and / or foreskin, you should immediately consult a doctor who will prescribe the necessary treatment.

As a rule, in such cases, it is recommended to take antibacterial and anti-inflammatory drugs, as well as local therapy (baths, washing).

With the recurrence of the disease, as well as in the case of the formation of secondary phimosis, the question of surgical treatment may arise.

Paraphimosis in children

In young boys, this pathology most often occurs as a result of a violent attempt to expose the head of the penis, undertaken by incompetent parents in the course of “correcting” the physiological phimosis.

The clinic and the complications of phimosis in boys are the same as in adult men. It is characterized by a very strong pain syndrome, redness and rapidly progressive edema of the glans penis. Late or inadequate medical care can lead to irreparable consequences in the form of necrosis of the areas of the foreskin and penis.

First aid for paraphimosis in children. The network has a lot of tips on repositioning the head on its own (applying cold to reduce swelling, using oil, etc.). Of course, much depends on the severity of paraphimosis (severity of edema and pain) and the state of mind of the child.

But it is more prudent not to follow such advice. Reduction of the head of the penis during paraphimosis is a very painful procedure that is carried out in medical institutions under anesthesia (in pediatric practice, intravenous anesthesia is used, implying short-term, but complete deactivation of consciousness).

So it is best not to waste precious time and not to mock the child, but as soon as possible to seek medical help. Transportation of patients in such cases is carried out in the supine position with legs apart.

Difficulty urinating

Difficulties when urinating occur with a very narrow orifice of the foreskin. In such cases, there is a very characteristic symptom: swelling of the preputial sac with urine during urination. The trickle of urine becomes thin and intermittent, and sometimes the urine is expelled in drops.

In addition, in such cases, children often complain of pain and discomfort during urinary discharge. They begin to avoid visiting the toilet, which leads to the development of secondary enuresis (day and night).
Difficulties of urination in infants are manifested by anxiety, cry and strong straining when urinating.

This pathology leads to an increase in pressure in the urinary tract, which is fraught with serious complications. Therefore, difficulty urinating is an indication for the emergency elimination of phimosis.

Medical tactics in the treatment of pathological phimosis

Today, along with surgical methods for the treatment of pathological phimosis, conservative methods are widely used, such as:

  • gradual daily manual stretching of the foreskin,
  • the use of special devices that stretch the foreskin,
  • medical treatment of phimosis (the use of steroid ointments that help soften and stretch the tissue of the foreskin).
The attitude of medical specialists to the phimosis treatment methods listed above is far from unambiguous. Some professionals consider conservative treatment a dubious way to “postpone for tomorrow” as an inevitable operation.

This neglect has contributed a lot to the fact that many patients on their own, without consulting with professionals, self-medicate and often make blunders that lead to serious complications (paraphimosis, infectious and inflammatory diseases of the foreskin).

In addition, it is often not taken into account that cicatricial forms of phimosis are an absolute contraindication to the use of conservative methods. The fact is that the scar tissue is not stretched, so all attempts to eliminate phimosis are doomed to failure.

Meanwhile, there is evidence of the effectiveness of conservative methods in many patients, even with the second or third degree of congenital phimosis.

An important positive aspect of all non-surgical treatment of phimosis is the "naturalness" of their effects, since they actually repeat the mechanism of physiological self-elimination of age-related phimosis.

In addition, conservative methods of phimosis treatment make it possible to fully preserve unconditionally important functions of the foreskin and avoid unpleasant side effects and complications.

Thus, in the absence of contraindications, conservative methods may well be used as a useful alternative. Of course, treatment should be carried out after consulting a specialist and under the supervision of a physician.

However, in cases where it is necessary to achieve a quick and radical elimination of phimosis medically (for example, with fourth-degree phimosis) or according to personal testimony, it is better to give preference to surgical intervention.

Characteristic disease

Phimosis is a pathology that is predominantly diagnosed in young children and is accompanied by a narrowing of the foreskin. At the same time, the development of such a disease in adult men is not excluded, and this happens for various reasons. Medical practice shows that in preschool and school age, the illness in boys disappears on their own without any special treatment.

The constriction of the flesh can appear in men under the influence of the following factors:

  • infectious and inflammatory diseases, progressing in the foreskin,
  • injuries of the foreskin, which end with scarring of the skin and a decrease in its elasticity,
  • genetic factors, that is, problems with the development of connective tissue in men can be inherited.

The severity of symptoms depends on the stage of phimosis, and most often the man complains about the following manifestations:

  • problems with bare penis,
  • pain and discomfort during sexual intercourse,
  • problems with the process of urination.

If any symptoms of phimosis occur, it is important to visit a doctor as soon as possible, otherwise the risk of various complications is too high. When a man attempts to forcibly expose the head or during an erection, microtraumas of varying degrees are possible, which further aggravate the pain syndrome. The result of such injury to the foreskin can be scarring of the tissue, which causes an even narrowing of the lumen. When phimosis treatment without surgery at home is allowed only if the ailment proceeds in an unrolled form.

Why do I need to treat the disease?

In boys of preschool and school age, phimosis can disappear without special therapy, but adult patients will need to make some efforts to eliminate the disease. Patients with this disease are at risk for infections of the urogenital system and this is due to the fact that without exposing the head of the penis there are problems with intimate hygiene. This results in a cluster of smegma under the foreskin, which becomes an ideal breeding ground for pathogenic microorganisms. With poor hygiene of the genital organs over time, lumps of dense consistency are formed from smegma, which are called smegmoliths.

How to treat phimosis in men at home, and in what cases such a method is completely excluded? The elimination of pathology helps to prevent the permanent accumulation of smegma under extreme flesh, which is considered one of the effective preventive measures against bacterial infection. The narrowing of the extreme flesh can become a serious obstacle to full sexual life, because its retardation is accompanied by increased stress and its ruptures are possible. A man complains of pain during sexual intercourse, and permanent injuries further aggravate the course of the disease.

Some patients complain of pronounced discomfort during the delaying of the foreskin, and upon the occurrence of an erection. Constant pain can cause impotence, and full compression of the head of the penis with the skin causes difficulties with the removal of urine from the body. Следствием такого патологического состояния может стать застой урины в мочевом пузыре. Выбор метода борьбы с недугом определяется степенью фимоза и причиной, которая спровоцировала его прогрессирование. With фимозе уmen take a photo of the body and learn about treatment at home need an experienced specialist.

How to treat phimosis at home?

For many men, the question becomes relevant, how to curephimosis at home and is it necessary to conduct the operation? One of the most effective methods to eliminate the pathology of the foreskin is massage for stretching the penis.

Treatment of phimosis without surgery in adults This method involves stretching the foreskin by successive hand movements in certain directions. It is recommended to do such movements until the first painful sensations appear. In fact, this method of dealing with the disease is not so simple as it may seem at first. When carrying out manipulations, a man should be careful and begin to perform it only after a certain preparation.

One of the main conditions for stretching the foreskin is to comply with hygienic rules. Realize home phimosis treatment in adults allowed with clean hands and after treatment with an antiseptic solution. Before you begin to stretch the constricted ring of the foreskin, you should take a warm bath that will allow the skin to steam up and make them more elastic. To enhance the therapeutic effect, it is allowed to add a small amount of potassium permanganate to water, which it considers to be an ideal antiseptic.

Preparation for the procedure

Before starting the procedure, it is recommended to lubricate the foreskin with a nourishing cream that will soften the skin even more and facilitate treatment. Stretching can be done with the hands and with the use of such a special device as the device Glanshi. Such a procedure is considered to be the most effective at eliminating phimosis in men only in the initial stages.

It is necessary to understand that the procedure of stretching does not give an instant result, therefore, the appearance of a positive effect may take a long time. It is not allowed to use force and try to stretch the foreskin in one procedure. It is necessary to carry out the procedure gradually, gradually tightening the skin down the head of the penis. In the event that discomfort, pain or microcracks appear, it is necessary to immediately stop the treatment. Otherwise, instead of the expected effect, it is possible to further aggravate the patient's condition.

How to treat phimosis in men at home, and which method is considered the most effective? With a slight narrowing, it is allowed to use another way of performing such a procedure, in which 2 fingers are inserted into the preputial sac and are separated in different directions. Conduct such home treatment for phimosis It should be with increased caution, slowly increasing the distance with each subsequent procedure. The duration of such stretching is approximately 20 minutes and must be done every day. In that case, if time permits, treat phimosis at homeconditions this way is allowed several times a day, but after taking a bath and following all hygiene procedures.

How to treat phimosis without surgery with medication?

Often, synthetic drugs containing corticosteroids are used to eliminate the disease in men. It must be remembered that such medicines are not suitable for every patient, therefore, they are allowed to be used only after consulting a specialist. The drugs in this group have some contraindications and possible side effects. It is not allowed to apply such drugs to the genital organ in the event that the man has infectious pathologies of the urogenital system.

What kind of ointment is suitable for home treatment of phimosis in men?? The fight against the disease at home can be carried out with the use of:

  • Prednisolone,
  • Hydrocortisone,
  • Diprosalica,
  • Betamethasone,
  • Clobetasol.

Good effect when treatment of phimosis without surgery gives the use of ointments in combination with the procedure for stretching the extreme weeds. In this case, the tissues of the head of the penis and the foreskin are treated with a drug. Home treatmentphimosis in men ointments allows to achieve the following results:

  • inflammatory processes occurring in the genitals are slowed down,
  • increases the elasticity of the skin,
  • irritation and itching are eliminated
  • accelerates the healing of microcracks in the area of ​​damage,
  • relieved pain syndrome.

What else to treat phimosis at home

The use of such ointments at home contributes to the effectiveness of other therapies that are used in the fight against phimosis. Cicatricial phimosis treatment without surgery It is not amenable to only one ointment, but with other forms of pathology it is possible to achieve progress in 2-3 months.

Discover, what treats phimosis in adults at homefollows from a specialist. Various ointments for phimosis have a cooling effect, cause vasoconstriction and soften the skin. Good effect when treatment of cicatricial phimosis without surgery in adults give the following drugs:

  • Contractubex helps to soften the dermis and thereby facilitates the process of massage,
  • Bepanten is used in situations where it is necessary to eliminate a small swelling,
  • Tithe helps to arrest the pain that occurs during phimosis.

Traditional therapy phimosis without surgery It gives positive results in the identification of pathology in children and adolescents, therefore, it is mainly carried out at that age. At the same time, the body of the child is hypersensitive to drugs and the risk of side effects is high. It is for this reason that in case of phimosis in boys, it is necessary to begin treatment after a thorough examination and consultation with a specialist.

Folk recipes - Phimosis treatment at home

How to treat phimosis at home and is it possible to achieve a positive effect without the use of medications? Many patients try to get rid of the pathology with the help of folk recipes, the effectiveness of which has been tested by many generations. Such herbal therapy helps to arrest the inflammatory process, accelerate the healing of microcracks and increases the elasticity of the skin. In the same time, home treatmentrelative phimosis folk remedies can only be effective with a slight narrowing of the foreskin.

howcure phimosis at home healing herbs, and which of them are considered the most effective? Get rid of phimosis without surgery succeeds thanks to the following plants:

  1. Chamomile. The plant helps to soften and moisturize the skin, and also has a pronounced anti-inflammatory effect. To prepare the broth, you need 10 grams of flowers of the plant to fill with a glass of boiling water. The resulting mass should be left to infuse for several hours and boil on the fire for no more than 15 minutes. On the basis of this chamomile broth, you can make trays in the treatment of phimosis inadults at homeby pre-filtering it.
  2. Calendula. The plant has anti-inflammatory and antimicrobial action and is widely used in the treatment of disease. At home, you can prepare a healing infusion of calendula flowers, pouring a teaspoon of dry mixture with 200 ml of boiling water. This mass should be infused for about 1 hour, then strain in a jar. Calendula decoction can be added to the bath when treatment of phimosis in adults at home without surgery.
  3. Barley decoction. Such a folk remedy helps to eliminate itching and irritation, relieve pain and soften the skin. To prepare the remedy, you need 50 grams of grain, pour 2-3 cups of boiling water and leave overnight. In the morning barley broth should be boiled on low heat for 10-15 minutes and leave to infuse for 1 hour. This non-native remedy is recommended for use with treating phimosis 1degree at home.

Conclusion

Unfortunately, treatment of phimosis 3 degrees at home unlikely to bring a positive effect. In the transition of pathology in the running form, the only effective method of dealing with the disease becomes only surgical intervention. It is for this reason, when men ask, can phimosis be cured without surgery 3 and 4 degrees, the answer is definitely negative. Discover, how to treat phimosis at home, you can ask the urologist. Reviews of those who cured phimosis without surgeryrather contradictory. Many men say that a positive effect is possible only with an uncomplicated form of pathology.

You can figure out how to get rid of the pathology, you can after watching the video "Phimosis in men. Home treatment ».

Non-drug conservative treatment of phimosis. Tension methods.

Tensioning methods were introduced in practice in the last years of the last century, when original statistical studies were conducted, showing that the risk of developing congenital phimosis depends on the method of masturbation.

As a result, a hypothesis was put forward about the possibility of the elimination of congenital phimosis by the method of gradual stretching the foreskin and developed special techniques for the conservative elimination of pathology.

The general rules of these methods are:

  • compulsory pre-counseling by a professional and subsequent medical supervision,
  • gradual stretching (in no case should not allow pain)
  • regularity of manipulations.
Method head stripping masturbation was one of the first conservative treatments for congenital phimosis developed. This method consists in daily exercises for exposing the head of the penis, which should be carried out at least 10-15 minutes a day.

There is evidence that it is possible to achieve the elimination of the first-second degree phimosis with the help of exercises to expose the head in three or four weeks.

Method stretching the foreskin consists in daily tension of the foreskin on the head of the penis during the morning shower, as well as after urination before the appearance of pain.

This method is often used to delay the withdrawal of phimosis in childhood. In such cases, it is quite effective, but the duration of the course of treatment depends largely on the type of phimosis and can reach 3–4 months with hypertrophic (trunk) phimosis.

Method finger stretching consists in careful introduction into the prepucial cavity of the fingers and their gradual dilution.

According to some data, the effectiveness of the methods described above with congenital phimosis reaches 75%.

Treatment of phimosis with ointments (drug treatment of phimosis)

Drug treatment of phimosis is a combination of the above methods of tension with the use of ointments containing corticosteroids.

Recommended for the treatment of phimosis ointment is applied directly to the glans penis and the foreskin, and have the following actions:

  • softening and increasing the elasticity of the foreskin,
  • reducing the severity of inflammatory reactions (drugs in this group are called steroidal anti-inflammatory drugs).
It is proved that the combination of the use of corticosteroid ointments with the methods of tension allows you to achieve a more rapid effect, promotes the fastest healing of microcracks and protects against unpleasant pain.

Drug therapy for children and adolescents (recommended by the American Association of Pediatricians) is particularly indicated, since it is at this age that the chances of congenital phimosis are most likely to be achieved by conservative methods.

However, it should be borne in mind that these ointments are not shown to everyone. So, for example, a contraindication to the topical use of corticosteroid drugs is the presence of a bacterial, viral, or fungal infection, both acute and chronic.

Prolonged use of drugs can cause unpleasant side effects (thinning of the skin, hyperpigmentation, a violation of the structure of the superficial vessels), and with uncontrolled use, the systemic action of corticosteroids is possible, which is fraught with dangerous complications.

Therefore, it is possible to use ointments with corticosteroids only after a thorough examination and consultation with a specialist who has sufficient experience in treating congenital phimosis with this method.

Of course, an individual selection of the drug and a dose of a medicinal substance is necessary, as well as constant medical monitoring of the results of therapy.

Traditional treatments for phimosis

Immediately it should be noted that traditional medicine, like homeopathy, is absolutely powerless in the fight against the narrowing of the foreskin.

However, some of the favorite means of folk healers are widely used as an aid. We are talking about decoctions of herbs with anti-inflammatory, bactericidal and softening effects, such as:

  • chamomile,
  • calendula,
  • a succession.
Broths are prepared according to the standard recipe, which can be read on the packaging of medical raw materials purchased at the pharmacy, and used for trays, carried out before the manipulation of the stretching of the foreskin.

Steaming the skin of the foreskin in the bath with a decoction of collecting medicinal herbs for 15-20 minutes contributes to effective, painless and safe stretching.

Especially recommended to conduct such preliminary procedures for children and adolescents.
During the treatment of phimosis, you can alternate decoctions of various medicinal herbs or you can use the collection of medicinal plants for decoction.

The only contraindication to the use of traditional medicine as an adjunct in the treatment of phimosis may be individual intolerance or allergy (it is extremely rare).

Phimosis elimination by bloodless method

This surgical manipulation is most often used in children, its indisputable advantage is minimal intervention and preservation of the functions of the foreskin.

First, a special probe is inserted into the preputial cavity, which separates the synechia (adhesions) formed between the head of the penis and the inner leaf of the foreskin. To do this, the probe is gently pushed inward to the coronary sulcus and make slow clockwise movements.

Then expand the hole of the foreskin with the Pean clamp: the ends of the clamp are inserted into the hole and make branches.

Often two or three such manipulations are enough to completely eliminate phimosis. In cases where positive dynamics are not observed, a more invasive surgical intervention is indicated.
After sessions of bloodless elimination of phimosis, it is necessary to follow all the recommendations of the surgeon in order to prevent the fusion of the mucous membranes of the foreskin and the head of the penis.

Anti-relapse measures are shown during the month: daily manual opening of the foreskin and washing of the prepucerative cavity with a weak solution of potassium permanganate. If this manipulation is too painful or unpleasant for a child, it can be done once every two or three days, but not less.

Surgical interventions for phimosis

To date, a sufficiently large number of methods for the surgical correction of pathological phimosis has been developed. The choice of method of operation depends on the patient's age, type of phimosis (atrophic or hypertrophic, congenital or cicatricial), the severity of the pathology, as well as the qualifications of the operating surgeon and the capabilities of the clinic to which they turned for help.

Surgical intervention for phimosis is most often carried out under local anesthesia, the indication for the use of general anesthesia may be:

  • patient is too young
  • increased emotional lability,
  • idiosyncrasy of drugs used for local anesthesia,
  • patient's personal desire.
All surgical manipulations performed during phimosis are single-day operations and do not require a patient to stay in the hospital for a long time. Complications are extremely rare.

After the operation, discomfort in the area of ​​the surgical wound is possible for several days, however, as a rule, it is possible to do without the additional intake of painkillers.

In cases where there is a need to remove the sutures, this manipulation is performed 7-10 days after surgery. Before removing the sutures, it is necessary to make dressings every other day and ensure that no urine gets on the postoperative wound.

As a rule, within two weeks after surgery, the patient can have sex. Before this date, it is advisable to wear tight underwear, providing additional support for the penis.

Circular excision of the foreskin

Circular excision of the foreskin, which is often called circumcision in medicine, and “in the world” - circumcision, is the most common operation to eliminate pathological phimosis.

Important positive aspects of this surgery are the speed of elimination of all unpleasant symptoms and the absence of relapses (this is the only surgical intervention for phimosis, which provides 100% effectiveness).

Единственный, но существенный недостаток метода – полное устранение крайней плоти, а, следовательно, и безвозвратная потеря всех исполняемых ею функций. However, it should be noted that millions of men in the world annually perform circumcision for religious reasons and do not suffer at all.

Circumcision is the only alternative method for cicatricial phimosis, as well as with fourth-degree phimosis, paraphimosis, and recurrent balanoposthitis (the operation is performed after the elimination of the acute process).

Surgery on the plastic of the foreskin in pathological phimosis

An alternative to circumcision is plastic surgery aimed at eliminating phimosis in combination with partial preservation of the foreskin.

So with prepucioplasty, in contrast to the circular excision of the foreskin, the foreskin is not completely removed, since they make a much smaller incision.

Another common plastic method of the foreskin is called the Schlofer method. During the operation, the surgeon makes not a straight, but a zigzag incision, and then stitches the edges in such a way as to significantly expand the hole, keeping the foreskin.

In addition, the Roser plastics, spiral plastics of the foreskin, etc. are quite widely used.

The general disadvantages of this type of operation include a longer recovery period, the possibility of a relapse, and a relatively short list of indications. So, for example, operations with partial preservation of the foreskin cannot be performed in patients with severe cicatricial forms of phimosis.

Phimosis treatment with laser

Treatment of phimosis with a laser is such an operation, when the energy of a laser beam is used instead of a surgeon’s scalpel.

With the help of a laser, it is possible to perform both operations on circular excision of the foreskin (laser cutting) and plastic surgery that preserve the foreskin.

Laser surgery is highly accurate for cuts, so damage to surrounding tissues is minimal.

In addition, laser beams cut through the tissue, simultaneously burning the vessels, and have a bactericidal effect.
Thus, laser surgery has the following advantages:

  • safety (there is no risk of bleeding and infection of the wound),
  • less pronounced pain syndrome
  • short recovery period.
Laser correction of pathological phimosis is usually performed under local anesthesia.

Compared with the usual surgical intervention, the postoperative period with laser correction of phimosis is more comfortable (there is practically no tissue swelling, no need for dressings, removal of sutures, etc.) and lasts only three to four days. However, doctors do not advise starting a sex life earlier than two weeks after the operation.

Review of methods for the treatment of phimosis without surgery

Previously, there was a belief that phimosis can only be eliminated through surgical intervention, which leaves men without a foreskin. However, these days there are many other methods.

  • Method of treatment with the help of exposure, which is systematically exposing the glans penis. The duration of this process should be about 10-15 minutes per procedure.
  • Restore the foreskin can be resorted to its stretching. Therapy should be carried out daily and carefully, but at the same time at an accelerated pace. Carry out the procedure should be after emptying the urethra. Phimosis in men will disappear over several months.
  • Stretching fingers. Two fingers should be inserted into the cavity of the foreskin and slowly stretch it by separating the fingers.
  • Get rid of phimosis possible due to drugs. There are a number of ointments that have a beneficial effect in combating the disease. They contain anti-inflammatory drugs that eliminate the cause of inflammation and pain. Ointments are applied to the head of the penis and have a more effective result in combination with the above methods.

How to stretch the foreskin at home?

This method is one of the most popular ways to treat phimosis at home. It is feasible with the help of additional devices, if the man is in adulthood, or manually, if the disease is detected in boys. Requirements that must be met when stretching:

  1. Lack of sex life
  2. Well-groomed hands, treated with alcohol, before the procedure,

Rules of treatment of the disease by the method of stretching. 20-25 minutes before the upcoming procedure, carry out the reception of warm baths. To eliminate unpleasant sensations, use oily ointments that moisturize the skin well. In order to stretch the flesh properly, finger therapy is carried out with the help of versatile movements. Use traditional methods to help reduce the risk of inflammation to a minimum.

Phimosis treatment with Glanshi tool

The Glansha instrument is a medical device made of steel material that is designed to cure phimosis without surgery. This device was commissioned by the Japanese inventor Glanshi.

But how to treat phimosis with this tool? Both ends of the tool should be inserted into the annular region of the foreskin, and then squeezed together. Then there will be the necessary voltage for the expansion of the flesh. The device Glanshi need to be systematically used to dispense with surgery during treatment.

The positive aspects of the tool are:

  • The device is able to stretch the foreskin ring in a short time, without causing any painful sensations,
  • In the case of an extremely constricted ring part, only the Glansha instrument can help in the treatment of phimosis without surgery in adult men.
  • Quite easy to use

The negative aspects of Glanshi’s forceps include: the possibility of scarring in the region of the foreskin, as well as the deterioration of the elasticity of its tissues.

Folk remedies for phimosis

Treatment of phimosis at home can be implemented by folk methods. These include herbal remedies that have anti-inflammatory and antimicrobial effects, and help to both cure phimosis and relieve irritability. Chamomile is a fairly effective plant for the treatment of phimosis. It has a sedative and antiviral effect, as well as chamomile tincture can be used for adults and children. Calendula, which is similar in action to chamomile, is non-toxic and has a beneficial effect on locomotor activity, also helps in home treatment. The decoction of the series, which has the richest vitamin composition, contributes to the rapid recovery of the body. Sea buckthorn oil, which improves the condition of the digestive system, containing a whole range of nutrients, is also applicable to the control of phimosis.

Please note that folk remedies are effective if used in combination with other methods of treatment. Broths are publicly available at the pharmacy stalls. Herbal packaging is accompanied by a recipe for use. Herbal decoction is done before the stretching procedure in the form of warm baths. Herbs help to steam out the skin, so that the stretching will pass easily and without pain. Herbal infusions can be mixed with each other if your doctor has approved it. Some men may experience allergic reactions to components of the decoctions. In this case, folk remedies are not applicable.

Phimosis ointment

Using the ointment in combination with other types of treatment for phimosis, you can do without surgery. They have a softening effect and help to increase the elasticity of the foreskin. Also, ointment eliminates the manifestation of inflammation.

Ointments are divided into:

  • corticosteroid (do not have an analgesic effect, but remove inflammation)
  • steroid anti-inflammatory ointments (eliminate pain, relieve swelling and inflammation).

Is it possible to be treated with ointments for everyone? If a man has an infection in acute or chronic form, then phimosis cannot be overcome with ointments. There are also a number of side effects: increased and uneven deposition of pigments on the skin, damage to blood vessels.

To eliminate phimosis without surgery, it is necessary not to postpone the visit to the doctor and to diagnose your body in detail. A qualified specialist will select an individual treatment therapy, the correct dosage, the most effective combination of a whole range of methods, control the treatment process, and also help restore health after treatment. Treatment of phimosis without surgery is possible!

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