Circumcision refers to the narrow opening of the foreskin, which makes it difficult to turn up the foreskin. If the foreskin can be turned up smoothly, it is circumcised. Circumcision is a congenital deformity, and almost all newborns have circumcision or hypospadias.
Circumcision symptoms and classification I. Circumcision: The foreskin completely covers the head of the penis, but can be freely turned upward is called circumcision. If you can often wash and keep the foreskin cavity clean, you may not deal with it. If there are repeated infections, circumcision is feasible.
Second, prepuce: foreskin completely covers the head of the penis and can not be turned up to the coronal groove of the penis is called prepuce. It can be divided into: (1) physiological prepuce: newborns have mild adhesions on the inner surface of the foreskin and the glans surface, preventing the foreskin from turning over to the coronal sulcus. This kind of prepuce is called physiological prepuce. It disappears naturally within 2 to 3 years after birth as the epithelial adhesion is absorbed.
(2) True prepuce: It refers to those who can’t flip the foreskin to the coronal groove after three years old. Sometimes the opening of the foreskin is as small as a needle point, which hinders the development of the penis, and urine accumulates in the foreskin when urinating, making the foreskin swell up like a ball. This kind of prepuce needs to be circumcised before the age of 9, otherwise it will easily cause glansitis and narrowing of the urethra. The accumulation of foreskin scale can form prepuce stones, and long-term stimulation can induce cancer. Long-term difficulty in urination can affect kidney function. Pediatric patients can cause frequent urination and bedwetting at night.
(3) Secondary prepuce: circumcised people due to trauma, infection caused by foreskin mouth scar formation, resulting in narrow foreskin mouth, foreskin can not be turned up. This kind of prepuce is called secondary prepuce and requires circumcision.
Third, embedded prepuce: The foreskin mouth is slightly tight, and the foreskin can be flipped to the coronal groove by force. The patient has severe pain and even difficulty in urination, and in severe cases, it can cause foreskin and glans necrosis. In the early stage, it can be reset by manipulation, and in case of heavy edema, it can be reset after acupuncture and fluid release. If it cannot be reset, a narrow circumferential dorsal incision can be made first to reset the foreskin. After the wound has healed, circumcision can be performed. If possible, circumcision can also be done at the same time.