Charlie Foreskin in boys can be treated through daily cleaning and care, manual dilation, drug treatment, circumcision, and ligation. Prepuce may be related to genetic factors, local inflammatory stimulation, developmental abnormalities and other factors. It usually presents with symptoms such as difficulty in urination, accumulation of smegma, and repeated infections.
1. Daily cleaning and care
Gently clean the foreskin and glans with warm water every day to remove smegma. When cleaning, be sure to turn the foreskin completely to avoid tearing it due to excessive force. After cleaning, keep the area dry and choose cotton underwear with good breathability. For physiological foreskin without symptoms of infection, insisting on cleaning and care can reduce the probability of inflammation.
2. Technique expansion
Carry out progressive foreskin orifice expansion training under the guidance of a doctor. Parents can use the thumbs of both hands to gently separate the adhesions between the foreskin and glans, lasting several minutes each time, and repeat every day. Before operation, you need to clean your hands and apply medical Vaseline to lubricate them. If any redness, swelling or pain occurs during the operation, stop immediately. This method is suitable for cases with mild stenosis of the foreskin orifice and no fibrosis.
3. Drug treatment
When combined with balanitis, antibiotic ointments such as erythromycin ointment and mupirocin ointment can be used as directed by the doctor to control the infection. For foreskin edema caused by allergic dermatitis, hydrocortisone butyrate cream can be applied topically. Skin reactions need to be monitored during medication, and glucocorticoid drugs should be discontinued promptly after symptoms are relieved.
4. Circumcision
Suitable for cases of recurrent infection or severe stenosis of the foreskin orifice. Surgical removal of excessively long foreskin can completely solve the problem of difficult cleaning. Commonly used surgical methods include traditional scissor method, laser circumcision, etc. Postoperative wound disinfection and care are required. Use iodophor solution to wipe the incision daily, and avoid strenuous exercise for 2 weeks. This surgery carries risks of complications such as bleeding and infection.
5. Foreskin ligation
The silicone ring is tied to the distal end of the foreskin with a special instrument to allow it to fall off naturally. Compared with traditional surgery, it has the advantages of easy operation and less bleeding, but the postoperative pain lasts longer. It is necessary to choose a ligation ring of appropriate size, soak the affected area with normal saline every day after surgery, and observe the shedding of necrotic tissue. This method is not suitable for patients with thick foreskin or acute infection.
It is recommended that parents regularly observe the boy's urination and local hygiene status of the foreskin, and avoid using irritating lotions. Choose loose and breathable clothing to reduce friction during exercise. If symptoms such as painful urination, redness, swelling and pus discharge occur on the foreskin, you should seek medical attention promptly. During the postoperative recovery period, you should avoid activities such as swimming and cycling that may cause wound tearing, and pay attention to supplementing your diet with high-quality protein to promote tissue repair.
