What are the misconceptions about the diagnosis and treatment of pediatric prepuce?

Those with narrow foreskin opening have difficulty in urination, thin urine line and foreskin bulging. Severe cases can cause ulcers or stones to form on the foreskin and head of the penis. The accumulated foreskin scale is milky white and tofu-like, with small white lumps across the foreskin, which are often mistaken for tumors by parents and seen by the doctor. The foreskin scale can induce penile head circumcision. In acute inflammation, the mucous membrane of the head of the penis and foreskin is moist and red and can produce purulent secretions. Children have pain and uneasiness, foreskin edema, and sometimes acute urinary retention. In addition, due to the painful itching of the penis, the vice of squeezing the penis with the hand is developed and even causes masturbation. Repeated episodes of penile head circumcision can cause foreskin hyperplasia, hypertrophy, and scar formation. Urodynamic abnormalities have been reported in children with prepuce, manifesting as an unstable bladder.

Treatment and misconceptions 1. After the age of 4 weeks, the circumcision needs surgical treatment, but those with recurrent foreskin inflammation and painful urination are operated as early as possible, regardless of age. At the same time, surgical treatment should not circumcise the foreskin too much, otherwise it will cause serious complications such as painful erection after several years; 2. Do not mistake occult penis for prepuce, they are treated in opposite ways, and misdiagnosis and mistreatment are extremely harmful. In addition, some obesity-induced pseudocryptorchis do not need surgical treatment, must go to the regular specialist hospital specialist treatment, so as not to regret a lifetime; 3, can be turned out of the foreskin to reveal part of the penis head of the foreskin adhesion can be treated by foreskin adhesion release or chronic manual reset itself, but self-repositioning to turn back the foreskin in time, it is best after the guidance of professional doctors, so as not to cause embedded prepuce, so that the head of the penis is dark purple swelling The child is in severe pain and cries. The child is in severe pain, crying and may have difficulty in urination. If the time is too long, the embedded foreskin and the head of the penis can become necrotic and fall off; 4. The foreskin is a normal phenomenon in children, does not belong to the category of disease and does not require treatment.