Disease manifestations: 1, prepuce is too long: the penis is not erect, the foreskin covers the entire head of the penis and urethra, but the foreskin can still be turned up to expose the head of the penis; in addition, when the penis is erect, you need to push the foreskin by hand to fully expose the head of the penis, is also considered prepuce is too long.
2, prepuce: narrow foreskin mouth or foreskin and penis head adhesion, so that the foreskin can not be turned up to expose the head of the penis.
Circumcision is divided into congenital and acquired. Congenital, also known as physiological prepuce, is seen in almost every normal male newborn. The head of the penis can be naturally exposed in most cases by the time they reach puberty. Those with narrow foreskin opening may have difficulty in urination, thinning of the urine line, and bulging of the foreskin sac during urination. A large amount of prepuce can accumulate in the foreskin sac, and small white lumps can be seen through the foreskin. Acquired prepuce mostly secondary to inflammation or injury of glans prepuce, foreskin mouth has scar contracture, no elasticity and expansion ability, foreskin can not retreat upward, can be accompanied by urethral stenosis, this type of prepuce will not heal itself.
3, prepiton: a complication of prepuce or prepuce, when the foreskin is turned up to the back of the head of the penis, if not reset in time, the foreskin ring will block the venous and lymphatic return, resulting in edema of the foreskin and head of the penis, so that the foreskin cannot be reset. After the foreskin ring is edematous, the foreskin narrow ring becomes tighter and tighter, aggravating the foreskin and penile head edema, forming a vicious circle. The head of the penis is painful and the foreskin is edematous, and with the extension of time, the glans is edematous and the glans is swollen and dark purple. It is necessary to carry out manual reset as soon as possible, and if the manual reset fails, emergency surgery should be performed.
Theoretically, it is believed that because sexually sensitive areas such as the glans, coronal sulcus and foreskin ties cannot be exposed and are less stimulated, they are more sensitive to sexual stimulation and can easily lead to premature ejaculation. But there is no clinical evidence that patients with long foreskin or circumcision are more prone to premature ejaculation. Some people in China think that circumcision can prolong sex life, but similar studies abroad show that there is no statistical difference between libido, erection, ejaculation and satisfaction of sexual intercourse after circumcision and before surgery.
Relationship with penile cancer: 1. Most of the patients with penile cancer have a history of circumcision or prepuce. 2.
Early circumcision can significantly reduce the incidence of penile cancer.
3. Circumcision has been found to have carcinogenic effect in animal experiments.
3. Relationship with sexually transmitted diseases: Studies have shown that after circumcision, the incidence of sexually transmitted diseases such as condyloma acuminata, acquired immunodeficiency syndrome, syphilis, soft chancre and genital herpes is reduced, suggesting that circumcision is a risk factor for the above sexually transmitted diseases.
Surgical treatment: There is no unified standard for the indications of circumcision, but the following cases are generally considered suitable for circumcision.
1. recurrent urinary tract infections caused by excessive foreskin.
2. adult circumcision.
3. circumcision with congenital anatomical abnormalities that predispose to urinary tract infections, such as hydronephrosis and vesicoureteral reflux.
4. giant circumcision.
5. repeated episodes of glans vulgaris.
6. Circumcision with other infectious diseases such as acromegaly.
7. Narrow foreskin opening with pain during erection or sexual intercourse.