Circumcision: the head of the penis is completely wrapped by the foreskin, but it can be turned up to reveal the urethral opening and the head of the penis.
Circumcision: the opening of the foreskin is narrow or the foreskin and the head of the penis are attached, so that the foreskin cannot be turned up to reveal the urethral opening and head of the penis. Congenital and acquired prepuce, congenital prepuce is divided into atrophic and hypertrophic, acquired prepuce is caused by inflammation, trauma, etc., so that the foreskin mouth adhesion narrow. Congenital prepuce with the growth of the penis, erection, foreskin can recede upward on its own to reveal the head of the penis.
In children with prepuce, due to the accumulation of foreskin scale in the foreskin cavity, can induce the head of the penis prepuce inflammation. This is manifested by a significant increase in the frequency of urination. In acute inflammation, the foreskin can become red and swollen, and in severe cases, purulent discharge can be produced, accompanied by fever and other symptoms of systemic toxicity. The accumulation of foreskin scale in the coronal groove across the foreskin shows a small slightly white lump. Sometimes the foreskin mouth is as small as a needle’s eye, and urine accumulates in the foreskin cavity first when urinating, making the foreskin expand like a cyst, making the urine line slender and making urination difficult. Long-term difficulty in urination can lead to the formation of bladder and urethral stones, vesicoureteral reflux and damage to the kidneys.
Indications for circumcision: (1) fibrous narrow ring at the foreskin opening; (2) recurrent episodes of penile head circumcision; (3) narrow foreskin opening after the age of 5 years, the foreskin cannot retract and reveal the head of the penis. For children with penile prepuce, antibiotics are applied to control inflammation during the acute phase, and the area is soaked several times a day with warm water or 4% boric acid water. After the inflammation subsides, first try to separate the foreskin by hand, local cleaning treatment, and consider circumcision when it is not effective.