Early management of pediatric prepuce should be emphasized

In the opinion of many parents, pediatric prepuce is not a problem, and will be fine when he grows up. This is not the case. In urology or male outpatient clinics, you can often see boys from a few months to 10 years old, usually because they love to scratch their penis with their hands, urinate frequently, have a bulge when urinating, and feel a small lump in their penis. During the examination, it was found that most of the children had only a small hole when the foreskin was turned up, and a small percentage could be turned up less than halfway, and very few could have most of the glans exposed after being turned up.

The children who are able to partially flip their foreskin can see that the glans is red and there are more lumps or granules of white solid called prepuce in the foreskin cavity, sometimes in the form of pus; when the foreskin is turned up, because the foreskin opening is very narrow and the adhesion between the inner plate of the foreskin and the glans is very tight, it is almost always necessary to use tools (small curved forceps for surgery, etc.) to open the foreskin opening and separate the adhesion completely, and this process is almost unbearable due to pain. This process is unbearable for all children because of the pain, although it takes only 10 seconds or so. After going home from the clinic, the majority of parents are not able to turn their children up and clean the foreskin cavity regularly, all because of the painful child’s lack of cooperation when turning up.

In a short time, the foreskin that was separated by the doctor sticks together again, and of course the original symptoms recur. This is the reason why many children now have to be circumcised early. In fact, there are many children who can be uncircumcised, so how can you do it without circumcision? The method is very simple, that is, after the birth of the child as early as possible to start and turn up the foreskin, generally after birth in January when the child does not feel the pain, it is best at this time every bath parents can use both hands to turn up the foreskin, all the way to the coronal groove, must be thorough, rarely just born on the adhesion is very tight, at this time often not too much effort to turn up, but after turning up must immediately turn back, water can not flush, if not immediately turn Back, due to the presence of narrow ring (all have), soon appear edema is not good to turn.

The key to this process is to be bold, it looks like the foreskin mouth is very narrow to turn up, in fact, as long as you dare to force absolutely can turn up, turn down the process is also the same, with two hands to operate more easily, back to turn back when it is difficult to use the thumb to hold the glans. After a few months of insistence, the narrow ring will be propped open, and it will become easy to turn up and down each time. Although the child is more sensitive to pain after one month, because the process of turning up and down is less painful, the child basically does not cry, and the parents will not be soft, so the surgery can be done at a very young age or not at all. Of course, it rarely happens that a child is circumcised and several generations are distressed. Remember, you can’t be soft when you’re in pain, and it’s important to insist on it, otherwise you’ll lose all your work.