“What is the difference between occult penis and circumcision?” “Must circumcision be operated?” …… On the morning of November 3, 2013, Professor Peng Qiang, M.D., deputy director of pediatric surgery at LMC, came to Luzhou Evening News to answer questions about the issue for the public.
Citizen: May I ask Professor Peng how to distinguish between prepuce and occult penis?
Peng Qiang: Occult penis is an abnormal development of the penis, which is relatively short and F-shaped (pagoda-shaped) from the outside. In contrast, the length and thickness of prepuce are the same as normal children, with a longer foreskin and a small foreskin opening. In case of occult penis, circumcision cannot be done, otherwise the penis will look even shorter. Occult penis requires an inpatient pediatric surgery for phalloplasty. If parents find abnormalities in their children’s penis, it is best to see a specialist in pediatric surgery to avoid misdiagnosis.
Citizen: May I ask Professor Peng if circumcision must be operated?
Peng Qiang: Usually, children are circumcised at the age of 3 to 4 years old, but don’t worry, as they grow older, some children will relieve. Children’s foreskin mouth more than one centimeter penis head, foreskin mouth narrow affect urination, repeated inflammation, infection, before considering surgery. A slightly longer foreskin is normal and does not require special treatment. Circumcision should not be overly expanded.
Citizen: My child’s whole body is itchy in winter, could it be a serious disease?
Peng Qiang: This may be related to the season, causing an allergic reaction. Do not take anti-allergy medication easily if your child does not have a fever or rash. If the symptoms are obvious, it is recommended to go to the hospital for specialist consultation.
Citizen: My child is more than 6 years old, walking is outward eight, the outer side of the shoe wear obvious, what should I do?
Peng Qiang: According to your situation, the child may suffer from congenital knee valgus, commonly known as X-shaped leg, and a congenital knee valgus, commonly known as O-shaped leg. This is a developmental deformity of the lower extremities, affecting walking, growth and development, should be given great attention. In general, surgery is not necessarily necessary, conservative correction treatment, dynamic observation.
Citizen: My child’s chest is more prominent, some doctors will be chicken chest, some say it is caused by calcium deficiency, what should I do?
Peng Qiang: according to your case, may be congenital thoracic development deformity, commonly known as chicken chest. If it does not exceed two centimeters, it can be observed dynamically and does not require surgery. Some children’s sternum sinks inward and becomes funnel chest, which is also one of the congenital malformations. Clinically, 80% of such patients are congenital, and a few are caused by rickets due to calcium deficiency. It is recommended to go to the hospital for clear diagnosis and symptomatic treatment.
Citizen: My child has a hernia, will it be affected by anesthesia for surgery?
Peng Qiang: Pediatric hernia is one of the common diseases in pediatric surgery. Generally speaking, for children under six months old, the hernia sac is large and the contents of the hernia can freely enter and exit the hernia sac without causing serious consequences in the short term, so parents can suspend the surgery without excessive tension. However, if the hernia is frequently ingrown, it is important to pay attention and operate as soon as possible. We use laparoscopy for hernia surgery, which is less traumatic and almost scarless after surgery, and allows us to detect the presence of hernia on the opposite side and perform bilateral surgery at the same time, with shorter operation time and faster recovery than traditional surgery. The surgery time is shorter than traditional surgery and the recovery is faster. The hernia surgery time is very short, the medication is minimal and the impact on intelligence is “zero”.
Citizen: My child had two episodes of stomach pain and sweating some time ago, could it be appendicitis?
The incidence of acute appendicitis is the most common acute abdominal disease in children. 6 to 12 years old is the peak incidence, less common in children under 5 years old, and even less common in children under 1 year old. Children with appendicitis abdominal pain especially typical right lower abdominal pain, vomiting, diarrhea, fever, temperature up to 39-40 ℃, and even serious systemic symptoms such as seizure, high fever, convulsions. Children with abdominal pain, especially pain lasting more than 3 hours without relief or even gradually aggravated, accompanied by vomiting, fever and other symptoms, need to be highly alert to the possibility of appendicitis, and should promptly go to a hospital in a condition, preferably to a pediatric surgeon for diagnosis. To prevent appendicitis, pay attention to hygiene, do not overeat; do not let children jump, run and other strenuous exercises immediately after meals; deworm your child regularly, etc.