A tight foreskin is also termed phimosis. It is a situation where an individual is unable to retract the foreskin. This leads to numerous complications which include, among others, urinary tract infections and pain. The main form of intervention is circumcision but this may not always be possible due to one reason or the other. There are a number of options used to relieve tight foreskin without surgery.
Phimosis is a very common occurrence among male infants and toddlers. In most instances, it is a transient problem that resolves without intervention. This common type is what is usually known as physiological phimosis and is caused by the presence of naturally occurring adhesions between the glans and the skin. The other type is the persistent or pathological type that is due to trauma and infections.
There is a need for a proper diagnosis for the right type of management to be instituted. In most cases, the process is clinical with laboratory investigations not being utilized. However, such tests may be needed to identify and assess complications associated with phimosis. Among the most important roles of the diagnosis process is to differentiate between the physiological and pathological types.
There are a number of situations in which circumcision is inappropriate. For instance, if parents feel that the act goes against their cultural practices then another option should be sought. Some people may also decide against the surgery because of the associated risks and cost. Removal of the skin may be harmful due to pre-existing medical conditions. The skin may be needed for the repair of conditions such as epispadias and hypospadias.
Conservative surgery is considered when full removal of the foreskin is not possible. It involves creation of incisions in a manner that preserves most of the skin. The incision are made either on the upper part or on the side. The penis can thus be retracted easily after this procedure. The downside this method is that it predisposes to recurrence of phimosis.
Dilatation and stretching is also effective in many cases. This method entails the stretching of the skin to make it retractable. Some local anesthesia is usually injected into the area to minimize the pain associated with this process. Some advantages associated with this option is that it is cheaper, easier to perform and is associated with less pain when compared to circumcision.
Topical steroids are another non surgical option that may be considered. They are believed to be effective in managing this problem due to their anti-inflammatory and analgesic properties. It is also possible that They also have some anti immunity effects as well. The disadvantage with using steroids is that phimosis is likely to recur because the foreskin is left in place. Thinning of the foreskin as a side effect is also a common observation.
Circumcision remains the main form of management for phimosis. Due to the associated costs and complications, a number of people would rather opt for other alternatives. There is a need to have a discussion with your doctor on the merits and demerits of these alternatives before deciding on which of them would work best in a given situation.
Phimosis is a very common occurrence among male infants and toddlers. In most instances, it is a transient problem that resolves without intervention. This common type is what is usually known as physiological phimosis and is caused by the presence of naturally occurring adhesions between the glans and the skin. The other type is the persistent or pathological type that is due to trauma and infections.
There is a need for a proper diagnosis for the right type of management to be instituted. In most cases, the process is clinical with laboratory investigations not being utilized. However, such tests may be needed to identify and assess complications associated with phimosis. Among the most important roles of the diagnosis process is to differentiate between the physiological and pathological types.
There are a number of situations in which circumcision is inappropriate. For instance, if parents feel that the act goes against their cultural practices then another option should be sought. Some people may also decide against the surgery because of the associated risks and cost. Removal of the skin may be harmful due to pre-existing medical conditions. The skin may be needed for the repair of conditions such as epispadias and hypospadias.
Conservative surgery is considered when full removal of the foreskin is not possible. It involves creation of incisions in a manner that preserves most of the skin. The incision are made either on the upper part or on the side. The penis can thus be retracted easily after this procedure. The downside this method is that it predisposes to recurrence of phimosis.
Dilatation and stretching is also effective in many cases. This method entails the stretching of the skin to make it retractable. Some local anesthesia is usually injected into the area to minimize the pain associated with this process. Some advantages associated with this option is that it is cheaper, easier to perform and is associated with less pain when compared to circumcision.
Topical steroids are another non surgical option that may be considered. They are believed to be effective in managing this problem due to their anti-inflammatory and analgesic properties. It is also possible that They also have some anti immunity effects as well. The disadvantage with using steroids is that phimosis is likely to recur because the foreskin is left in place. Thinning of the foreskin as a side effect is also a common observation.
Circumcision remains the main form of management for phimosis. Due to the associated costs and complications, a number of people would rather opt for other alternatives. There is a need to have a discussion with your doctor on the merits and demerits of these alternatives before deciding on which of them would work best in a given situation.
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