Phimosis in men: causes, symptoms and treatment regimen
Phimosis is a fairly serious pathology characterized by a violation of the normal physiological structure of the male sexual organ.
Male phimosis is a pathological condition in which it is not possible to fully expose the head of the penis. The illness, as a rule, proceeds extremely painfully.
This pathology necessarily requires treatment. Otherwise, the likelihood of the development of the inflammatory process in the preputial sac and urine retention in it increases. Phimosis in men adds a lot of problems in everyday and even intimate life. The inability to fully expose the head of the penis leads to loss of sexual desire, erectile dysfunction and the development of various kinds of infections.
What happens if you do not treat phimosis?
Such a pathology can provoke many negative consequences. First of all, patients begin to develop inflammatory processes under the foreskin, provoked by the stagnation of the secret.In addition, due to improper removal of urine and its return to the urinary canal, the urethra is infected.
The most dangerous complication of this condition is the so-called paraphimosis. This is a sharp pinching of the organ head. This pathology usually occurs as a result of repeated attempts to expose the head in the process of direct sexual intercourse. In this case, the foreskin itself blocks the blood flow of the penis, which leads to its edema and blue in the face. Independent attempts to return it to a normal state, as a rule, end in failure. In such a situation without emergency surgery can not do.
Why does phimosis develop in men?
The causes of this pathological condition are diverse. These include the following:
- Genetic predisposition. In the body of a man, there is a failure of the elastic element of the connective tissue.
- Mechanical damage to the penis.
- Inflammatory processes (balanoposthitis, syphilis).
Despite the fact that the causes of phimosis are very commonplace and with their timely elimination it is possible to avoid the development of the disease, experts still have to diagnose it.The fact is that men do not have a tendency to closely monitor their health, to consult with doctors as necessary.
- Difficulties in the implementation of hygiene procedures. It becomes impossible to completely remove the prepuce, which leads to the gradual accumulation of smegma. It is known to be an excellent environment for the activity of pathogenic bacteria.
- Swelling of the penis, impaired blood circulation, soreness when touched.
- Phimosis in men can manifest urinary problems.
Depending on the degree of opening of the head, the following stages of the disease are distinguished:
- The first stage is characterized by slight difficulties in releasing the head of the penis during erection, in a calm state such problems are not observed.
- The second stage is the inability to open the head in an excited state even with an effort.
- Third stage. With each attempt to delay the foreskin, bleeding and severe pain appear.
- The fourth stage is characterized by painful urination, since the head of the penis is completely covered by the skin.
There are also several subspecies of this pathology:
- Physiological. Occurs in children up to three years. In fact, the disease implies the inconclusive development of the foreskin. After some time (by 5-6 years), the head opens. If this does not happen, you should consult with a specialist.
- Hypertrophic. In this case, there is a thickening of the epithelium of the foreskin and its protrusion beyond the head.
- Atrophic. The foreskin initially thins and then completely atrophies.
- Scar. Scars of various sizes form on the edges of the foreskin.
First of all, the doctor collects a complete history of the patient at the reception, listens to complaints. In addition, a specialist can ask a number of clarifying questions (when there were problems with urination, whether symptoms preceded mechanical damage, etc.).
Diagnosis of this pathology, as a rule, does not cause difficulties and is based on an external examination of the sexual organ. The doctor also assesses the degree of exposure of the head, the presence of pus under the foreskin. In some cases, you may additionally need to consult a surgeon.
How to treat phimosis in men?
In most cases, this pathology can be eliminated only through surgical intervention. However, there are conservative methods. One of these treatment options is the phased stretching of the flesh.
Sequential stretching is recommended before the onset of moderate pain and repeated several times a day for 10 minutes. In the process of direct expansion of the passage, you can gradually increase the amplitude of translational movements until the head is completely exposed. For greater effectiveness, it is recommended to take a hot bath before the procedure.
Phimosis in men is sometimes treatable through drug therapy. It implies applying ointments with corticosteroids to the head of the organ. Such drugs are aimed at improving the elasticity of the epithelium, reducing the inflammatory process and swelling. Among these products, the drugs Betamethasone and Clobetasol have proven themselves well. They should be daily rubbed for two months in the head of the body.
How else can you overcome phimosis in men? Treatment by surgery is considered the most effective option for getting rid of such a pathology.The operation usually involves the formation of three zigzag cuts in the foreskin with their subsequent stitching. According to experts, such treatment in almost 100 percent of cases allows to achieve the desired results.
In case of a scar variant of the disease, excision of the foreskin in a circle is recommended, that is, circumcision.
Despite the relatively high efficiency of surgical treatment, many doctors have noted in some patients the occurrence of various kinds of complications. Most often there are minor bleeding caused by inaccurate suturing, as well as meatitis (inflammatory processes in the outer part of the urethra).
How to prevent the development of such complications in patients diagnosed with phimosis? In men, after surgery, such problems can be avoided if you strictly follow all the recommendations from the doctor. It is necessary to take baths with potassium permanganate, use special antibacterial creams. In some cases, additional surgery may be required to correct the appearance of the foreskin and restore the correct contours of the urethra.
In this article, we talked about what constitutes a pathology such as phimosis in men. The operation, the price of which can vary from 15 to 25 thousand rubles, is the most effective treatment method. At emergence of primary symptoms it is not necessary to postpone visit to the doctor in a distant box. It is better to cure this disease at an early stage and not to think about its consequences. Be healthy!