Circumcision refers to the narrow opening of the foreskin, where the foreskin cannot be turned out to reveal the glans. Every normal boy has congenital prepuce. When a child is born, the foreskin wraps around the glans and plays a certain protective role, and there are adhesions between the foreskin and the glans. At the age of 3-4 years, due to the development of the penis and glans, the foreskin recedes upward on its own, and the glans can be revealed by turning out the foreskin.
Circumcision can be divided into true circumcision and pseudo-circumcision. True prepuce is the glans that cannot be fully exposed even after the penis is erect; pseudo prepuce is the glans that cannot be fully exposed normally, but can be fully exposed after the penis is erect.
Children with prepuce may have difficulty in urination, thin urine line, and bulging foreskin. Urine retained in the foreskin sac often stimulates the foreskin and glans, prompting it to produce secretions and epidermal shedding, forming excessive foreskin scale. Some foreskin scale accumulates in the coronal sulcus and is often mistaken for a tumor by parents. The foreskin scale can induce glans prepuce inflammation, acute attack glans prepuce moist red swelling, can produce purulent discharge, children pain and uneasiness, urination difficulties, serious cases can have fever and other systemic reactions. The recurring cases can lead to upper urinary tract infections such as pyelonephritis and induce lesions such as penile cancer. In some children, the opening of the foreskin is as small as a needle point and the foreskin cannot retract, which can hinder the development of the glans and even the entire penis, thus affecting the quality of life in adulthood.
Congenital prepuce in infancy and early childhood generally does not require treatment. If recurrent urinary tract infections occur, early surgery may be considered.
Pinpoint prepuce. Scarring prepuce and recurrent glans prepuce require surgical treatment.
For children with symptomatic prepuce, the foreskin can be turned out first to expand the foreskin opening and remove the foreskin scale, the technique should be gentle, do not rush, and those who have difficulty in turning out on their own can go to the hospital for foreskin expansion treatment, with treatment. The parents often encounter the child to do a foreskin expansion at home after the foreskin flip, because the child cries and pain and can not adhere to lead to adhesion again, need to expand again. Some parents also flip the foreskin because the time is too long, the foreskin edema can not recover caused by foreskin inlay, this situation needs to immediately go to the hospital to avoid foreskin glans necrosis.
Circumcision is a normal phenomenon in children, but those with true circumcision are prone to infection.
Circumcision is subject to religious beliefs. National customs and culture are influenced by many factors. It is generally believed that circumcision reduces urinary tract infections, decreases the incidence of penile and cervical cancer, and reduces premature ejaculation. It is also believed that circumcision can reduce the transmission of sexually transmitted diseases.