How to treat pediatric foreskin adhesions

  Pediatric prepuce adhesions and foreskin infection are common in outpatient clinics, but not all prepuce adhesions require treatment.  There is a period of physiological prepuce during the growth and development of a child that does not need to be treated if there are no special circumstances. In general, prepuce in children under 2 years of age does not require treatment. If a child develops a thin urine line and the foreskin bulges when urinating, attention needs to be paid to whether it is caused by narrowing of the outer foreskin opening. If the diagnosis requires circumcision dilatation, it is only necessary to dilate the outer foreskin opening in an outpatient clinic to relieve the difficulty in urination.  The second condition is the common circumcision. During the onset of circumcision, the foreskin is red and swollen, and sometimes yellowish-white pus is visible. Treatment: soak with 3% boric acid wash for 20 minutes each time and take oral antibiotics. When the circumcision is cured, it is necessary to perform elective foreskin adhesion separation.  The third case is foreskin scale. Pediatric circumcision often have foreskin scale, if the foreskin scale is too much, you can see yellow-white lumps on the outside. Foreskin scale can cause bacterial infection and foreskin infection. The prepuce is too much for a child to perform a foreskin adhesion separation and remove the prepuce.  The circumcision adhesion separation can be performed in the outpatient clinic, local application of bupivacaine gel for mucosal anesthesia, after separation can be applied erythromycin ointment at the coronal groove, and then turn over and apply once a day for 7 days.  If there is no above situation, simple foreskin adhesions do not need special treatment.