Congenital prepuce and foreskin is a normal phenomenon in newborns and young children, penile foreskin is a normal and important part of male external genitalia, the development of external genitalia is a planned and proportional development process, from birth to 18 years old are constantly developing, before puberty is normal for the development of penile corpus cavernosum and foreskin imbalance, puberty (14-18 years old) for male Rapid development period, at this time the head of the penis and penis spongy body growth is faster, while the foreskin is slow growth, to the termination of adult development, the external genital components will be coordinated and fully completed, the foreskin should retreat to reveal the urethral opening, and can be turned up to reveal all the head of the penis. Due to genetic factors and acquired development and other reasons, individual penis development varies greatly, so it is wrong to remove the superficially long-looking foreskin when the male is diagnosed with excessive foreskin before maturity.
What really affects the development of the penis in children is the prepuce and the narrowing of the outer foreskin, not the foreskin. The foreskin covers the urethral opening and cannot be turned up to reveal the entire head of the penis is called prepuce. The other category is a small foreskin mouth, the penis head and foreskin without adhesion, urination, the foreskin is filled with urine sac-like, urine from the tiny foreskin mouth drip overflow, because the foreskin and the penis head between the long-term can not be fully cleaned, the accumulation of foreskin scale and keratinized epithelial debris easy to form subcircumcision stones, secretions can not be discharged and urine retention of the decomposition of ammonia easy to cause foreskin inflammation, acute attacks with crying and restlessness or crying when urinating. The mucous membrane of the local penis head and foreskin is moist and red and swollen when the genitals are grasped by hand.
Treatment of prepuce and foreskin mouth narrowing, should be local separation and foreskin hydraulic expansion method, not circumcision, should begin in infancy, early childhood, and the sooner the better, in order to early release the continued pressure on the head of the penis and local infection of the prepuce. When the prepuce and the narrowing of the outer foreskin are cured, parents and children who are capable of taking care of themselves should develop the habit of frequently turning the foreskin for cleaning, so that the head of the penis can reach natural exposure by the time of puberty.
In conclusion, pediatric circumcision needs to be done carefully, the development of pediatric foreskin is a dynamic process, if the physiological anatomical characteristics of children are not taken into account, mechanically according to the methods of adults to deal with, will inevitably cause irreversible consequences.