Pediatric prepuce is a prepuce deformity caused by abnormal development of the reproductive system is a common and frequent disease in pediatric surgery, prepuce has certain hazards for children: narrow prepuce can delay penile development and cause inflammation of the prepuce and penis head due to the accumulation of prepuce. It can often make the external urethral opening narrow. It causes difficulty in urination and painful sensation when urinating. Dare not to urinate, causing acute urinary retention, serious cases can cause urinary tract infection, resulting in kidney function damage, local stimulation can induce masturbation bad habits, because of the difficulty of urination, often increase abdominal pressure. Complications such as hernia and prolapse may occur. The accumulation of foreskin scale in the inner plate of the foreskin, chronic stimulation can induce penile or foreskin leukoplakia, papilloma, penile cancer. Later on, marriage affects sexual life. Even the occurrence of foreskin inlay. Long-term stimulation of foreskin scale may also induce uterine cancer in the female partner.
Non-surgical treatment: 1. Non-surgical treatment is the main way to treat pediatric circumcision. The main methods are manipulation of the flap and balloon dilation. It is a non-invasive surgery, which has a shorter time, less painful effect and is safer and easier than circumcision surgery compared to manual peeling and vascular clamp separation of foreskin adhesions to expand the external opening.
2, circumcision surgery also has many kinds of ways. However, it is limited by factors such as safety, economy, parents’ wishes and long-term results, and is prone to bleeding and infection after surgery. The external urinary opening is narrow, the foreskin is too short, and the appearance is unsatisfactory. Therefore, simple prepuce in infants is not an indication for surgery. For the timing of surgery, fellow experts and scholars do not agree that surgery should be performed before the age of 7. Circumcision is not the first choice in treatment because the foreskin is very rich in blood vessels and nerves, and the sensitive area is the same as the cornea of the human eye. If the foreskin is circumcised, the sensitivity is poor and it affects the development. Detection of the mother’s hormone levels are often reduced, timely hormone supplementation is given, and the incidence of pediatric prepuce is reduced after birth. For pediatric prepuce onset, diagnosis and treatment.