Phimosis in children
Phimosis is a condition in which the opening at the tip of the penis (foreskin) cannot be retracted backwards to reveal the glans penis. In boys, phimosis is a relatively common condition and often occurs at birth. In newborns and infants, phimosis is usual and typically resolves on its own during the first few years of life. However, in rare cases, phimosis can cause problems such as difficulty urinating, infections, or inflammation. In these situations, treatment may be necessary. In some cases, a doctor may recommend gradual stretching of the foreskin through gentle massage or the application of corticosteroid creams to allow normal urine flow and prevent infections. If phimosis continues to cause serious problems or does not improve over time, the doctor may recommend surgery, circumcision. Circumcision is usually performed under general anesthesia and is generally a safe procedure with relatively low risks.
HOW IS THE SURGERY PERFORMED?
Circumcision is a surgical procedure to remove the foreskin of the penis. It is performed as follows:
- The patient lies on their back, and the surgeon cleans the area of the penis with an antiseptic.
- The surgeon carefully separates the foreskin from the glans of the penis and removes it.
- After removing the foreskin, the surgeon sutures the wound to ensure it is closed and to prevent infection.
- After the surgery is completed, the patient will receive postoperative care, including pain relievers and recommendations for temporary changes in habits, such as avoiding activities that may cause irritation or infection of the wound.
HOW TO PREPARE?
- Talking to the doctor: The patient should discuss all the details of the procedure with the doctor, including benefits, risks, and possible complications.
- Examination: After the discussion, the doctor should thoroughly examine the patient to determine that there are no conditions affecting the procedure.
- Hygiene maintenance: Although good hygiene is always recommended, proper hygiene of the penis before the procedure reduces the risk of infection.
- Notification about medication: It is important for parents to inform the doctor about any medications and dietary supplements the child is currently taking.
