The very fact that smegma is formed in a baby, a child, and in general throughout almost the entire life of a man, should not bother him.

Insofar as this substance is completely normal and its isolation is a physiological process, then there should not be any inconvenience, with appropriate hygiene.

In contact with

For young parents, the first appearance of a specific secret is often frightening, and an adult man begins to worry when this secret accumulates or is produced too actively, from which he notices a literally completely covered head. This not only looks unaesthetic, but is also perceived as problem alert.

It's important to know that the pathological process will not be detected solely by the release of smegma and accompanied by other symptoms. And it is equally important to understand what this specific secret of the male body is and what smegma looks like in boys and men.

How does it look and feel

By her own smegma is a specific substance secreted by the glands located on the foreskin of the penis. It consists of fats, pheromones, bactericidal substances and non-pathogenic flora represented by mycobacteria.

Smegma in boys is produced by these glands, especially during the period of frequent sexual activity, which most often falls on the period of 17-25 years, while in the elderly, the secretion of this secret is almost absent.

As already mentioned, the glands produce this substance, they are called preputial and are located under the foreskin. They begin to function in infancy and there is relatively little secret during this period. Gradually volume increases with puberty young man. The regulation of the activity of the glands occurs by the body itself and is gradually balanced.

Smegma is an oily substance, has a whitish tint and a specific smell.

You can see what smegma looks like (photos are below).

Smegma in boys

Since it has been pointed out that secretion occurs from an early age, it is worth expanding the understanding of what is smegma in babies.

It is important to understand that in a child, the foreskin is in a soldered state for some time with the head of the penis and their separation from each other is a gradual process.

It is this process that is accompanied by the production of a large amount of secretion, which is not similar to the typical male smegma.

For more information about opening the head, see the video:

Smegma in newborn boys and babies it will look like curd, and not an oily substance, as in adulthood, and also she will not have unpleasant odors. When this substance is formed in a child, it is necessary that parents carefully monitor his intimate hygiene and in the presence of the appearance of deviations from the norm, they turned to a specialist.

The very fact of the existence of formations in an infant should not frighten parents. They should pay attention to what symptoms accompany its secretion.

Will be warning signs O flow and redness of the penis or its glans, as well as the appearance of swelling of the skin around the glans when urination occurs.

Below you can see what does smegma look like in boys(photo attached):

Phimosis in a child and the role of the secretion of the preputial glands

It is worth mentioning right away that there is such a thing as physiological phimosis, this is the very period when the foreskin is soldered to the head and the accumulation of smegma in boys during this period is a factor softening the process of opening the head. In turn, pathology can already go in one of two ways:

• Atrophic, he is cicatricial phimosis;
• Hypertrophic.

Watch a useful video about phimosis in boys:

In that case, if parents try to expose the head of the child's penis themselves and an injury occurs, or when the accumulations under the foreskin of a child become inflamed due to lack or improper intimate hygiene, it is the cicatricial form that develops and whitish scars appear in large numbers on the foreskin.

plays its part accumulation of smegma under the foreskin in boys and hypertrophic phimosis. This situation usually occurs in overweight children. Due to the accumulation of subcutaneous fatty tissue in the abdomen and pubis, an elongation of the foreskin is observed, which makes it difficult for the child to maintain personal hygiene and pathogenic microbes enter the smegma, which quickly begin to multiply and cause inflammation.

Methods of treatment in a child

Parents face a similar question when they note that smegma is accumulating in boys - “how to treat this problem, and what is the reason for the accumulation in a child?”.

If there is no inflammatory process, then treatment is not required., and the usual hygiene procedures will be enough to maintain the health of the child.

However, with abundant accumulation, with the appearance of the first signs of inflammation, more radical measures are required and need to visit a doctor to learn how to treat smegma for their child. Most often, the doctor prescribes special baths, antiseptic solutions for washing the penis and meticulous hygiene, often experts offer surgical intervention in the form circumcision of the foreskin.

Certainly, there will be no complete cessation of formations, because the glands will not stop functioning, but its number will decrease, and the threat of inflammation will decrease.

It often happens that with phimosis in a baby, smegma accumulates in the form of a white ball under the foreskin, as in the photo:


In this case should see a doctor and with a high degree of probability, he will indicate to you the need for constant hygiene and gentle opening of the head, while swimming, twice a day. By carrying out this procedure, you allow water to get under the head and “dilute” the smegma. To completely remove deposits, you will need to perform the exercise for several months.

Important do not overdo it, all actions must be careful so as not to provoke complications.

For more information about hygiene in a child, see the video:

Video about removing smegma from a boy's penis:

Smegma in men

In adults the secretion of the glands of the penis has a typical appearance of an oily whitish substance or white coating. It consists not only of the secretion of the glands, but also of the epithelium of the penis.

Due to the fact that it is an excellent breeding ground for bacteria that feed on the fatty acids contained in it, the formation of an unpleasant odor of this secret.

With a normal state of health and personal hygiene, smegma will not cause any discomfort. However, in pathological processes associated with its infection, soreness, itching and swelling of the head of the penis often develop.

How to get rid of it

In accordance with its unpleasantness of the accumulating substance, both visually and taking into account its specific smell, a reasonable question arises - "how to get rid of smegma in men." It is impossible to completely stop the production of this secret, so the only thing that can help in the fight against it is careful observance of intimate hygiene every day.

And if abundant formations accumulate, how to get rid of them? The answer will be similar to the previous one, only taking into account the fact that, most likely, the frequency of visiting the bathroom will need to be increased.

In situations where smegma is inflamed, doctor prescribes treatment, often in the form of the use of antiseptic solutions. If the situation is difficult, then antibiotics in tablet form or topical ointments can also be used.

In no case is self-medication unacceptable. Only a specialist will be able to determine what is happening in the body of a man and which drug is right for him.

Despite the fact that the appearance of white matter causes concern and casts doubt on the state of health of a boy or man, in practice this substance poses no threat.

And with a careful attitude to your body and maintaining personal hygiene, you can not only avoid the onset of the pathological process, but also reduce the unpleasant visual impression of the appearance of a whitish coating on manhood.

It happens that parents are faced with such a problem as inflammation of the foreskin in a child. This disease is called balanoposthitis. It happens both in infants and in older boys. Balanoposthitis is not a dangerous disease, but it causes some discomfort and inconvenience.

Why does balanoposthitis occur

For a newborn, the condition when the head of the penis is soldered to the foreskin (phimosis) is quite natural and lasts up to a year and a half. As they grow, the distance between them increases and a cavity appears, which is gradually filled with smegma. These are desquamated epithelial cells and secretions of the sebaceous glands.

During the growth of the boy, the cavity expands and periodically clears itself, while the child does not need treatment. The state of physiological phimosis can be observed up to the age of five. In the process of urination, urine enters the cavity, and if the natural course of purification is disturbed, an inflammatory process may occur. In this case, you need to consult a specialist and appropriate treatment.

The occurrence of balanoposthitis can occur for the following reasons:

• violation of hygiene rules;
• the formation of constrictions in the cavity;
• deposition of urine salts;
• maceration of the skin of the penis with linen;
• hypothermia;
• endocrine diseases, obesity, beriberi.

The accumulated smegma is a beneficial environment for the growth of pathogenic microorganisms, the development of inflammation.

Classification and diagnosis

Depending on the symptoms, the disease can be acute, chronic or specific. Acute process is more typical for children; in adults, chronic balanoposthitis with periodic exacerbations is more common.

Acute balanoposthitis can be simple, purulent, allergic, erosive and necrotic. Treatment is prescribed depending on the type. The chronic inflammatory process of the glans penis in a boy differs in the duration of the course. The process may periodically subside, but scars and long-term non-healing cracks remain.

The type of specific balanoposthitis can be caused by some pathogenic microorganisms:

• tuberculosis bacillus;
• chlamydia and gonococcus;
• herpes virus;
• causative agents of syphilis.

Such balanoposthitis is rare. The risk group includes children whose mothers are sick with these diseases. In infants, the disease can develop as a result of intrauterine infection or during childbirth.

To diagnose a simple balanoposthitis, explanations of the parents or complaints of the child are sufficient. The doctor examines the head of the boy's penis. If the course of the disease becomes persistent, blood tests, urine tests are prescribed, and sugar levels are determined. Do sowing separated from the inflamed tissue on the microflora and susceptibility to antibiotics.

Symptoms of the disease

Signs of balanoposthitis sometimes occur with complete well-being. The child experiences discomfort and itching of the glans penis. There is redness and some swelling, later the boy may have difficulty urinating.

Urinary retention in children happens for two reasons. Due to swelling at the end of the penis, the urethra is blocked. Or when the baby experiences pain and burning, he himself delays the process. Symptoms are observed for 5 days, then self-cleaning occurs.

If purulent balanoposthitis occurs, there are other signs:

• discharge of pus from under the foreskin;
• there is an increase in temperature;
• lethargy, weakness of the child;
• inflammation of the inguinal lymph nodes.

If appropriate treatment is not provided in time, the stage of physiological phimosis becomes pathological, scars form. In children, the disease becomes chronic. It is unacceptable to use antibiotics on your own, especially if the infection is caused by fungi, you need to consult a pediatric surgeon.

home treatment

Uncomplicated, simple balanoposthitis in the early stages, after consultation with a specialist, is treated at home, inpatient treatment is not required. To relieve the symptoms of the disease, perform the following actions:

• baths with a decoction of chamomile, a weak solution of potassium permanganate or with furacilin;
• applying gauze wipes with an antiseptic;
• the use of special medicinal powders.

A small child can be put in a basin with a prepared solution. For older children, a bath for the glans penis can be made using a small container. Procedures in the early days are carried out often, every 2 hours. Before going to bed, you can apply gauze moistened with an antiseptic or antibacterial ointment. Before using the powder, the liquid from the glans penis must be thoroughly blotted, then treated with a powder with talc-tannin.

If allergic balanoposthitis, you need to find and eliminate the source of the allergy, and local treatment should be carried out with the same means.

The allergen can be in the urine, then you need to exclude allergenic foods, give more fluid. The reaction can be to washing powder, soap, new diapers, bedding, clothing dye and much more.

Medical treatment

Inflammatory diseases with the release of pus are dangerous because they can cause tissue necrosis. Levomekol ointment has a good antimicrobial effect. It is applied in the form of applications. When the procedure is difficult to carry out, the ointment is injected with a syringe. You can use antibacterial agents such as Synthomycin, Miramistin.

If a pathogen is isolated during sowing, Biseptol, Nitroxoline, antibiotics, to which the microbe is sensitive, are prescribed. If necessary, add: prednisolone, hydrocortisone. Locally used to protect the glans penis creams Panthenol, Bepanten, Sudocrem.

If the nature of the inflammation is of a fungal nature, treatment is carried out with Clotrimazole, Lamicon, Lamisil, Fluconazole. If the boy's temperature rises and pain appears, paracetamol, ibuprofen are added.

In children with purulent balanoposthitis, the doctor separates the adhesions that have arisen between the foreskin and the head, removes the purulent contents and treats with an antiseptic. The foreskin with a long-term chronic inflammation is completely excised.

Possible Complications

Simple forms in children are easily treatable. A neglected disease can cause the transformation of physiological phimosis into a pathological state. In this case, the boys do not have the possibility of a normal outflow of urine due to the closed opening of the urethra. The problem can be eliminated only by circumcision under general or local anesthesia of the foreskin.

Ulcerative and hypertrophic balanoposthitis is characterized by severe pain, redness, long-term non-healing wounds and ulcers. This can lead to curvature and deformation of the glans penis, which can injure the boy's psyche. An unresolved problem is dangerous by blood poisoning. Urinary system infections such as pyelonephritis, cystitis, urethritis can become a complication of balanoposthitis. The chronic form of the disease can provoke the appearance of cancer or gangrene of the penis.

Prevention of balanoposthitis

Balanoposthitis is important to detect in time, given the causes and main signs of the disease. Seeking help and timely treatment will give its results, complications are rare. Balanoposthitis can be prevented. For this, there are some recommendations:

• strictly observe the rules of hygiene of the boy;
• exclude unnecessary touching of the child's genitals, so as not to injure and not to infect;
• daily and after a chair to wash the genitals without soap;
• babies change diapers in a timely manner, while arranging air baths;
• choose diapers and panties made of soft fabric and without coarse seams according to age;
• do not retract the foreskin of the penis.

In order to prevent the disease, it is necessary to develop in the boy the habit of daily care for the genitals. At an older age, children should be taught to use the shower and independently remove excess smegma, change underwear daily.

Balanitis is a fairly common disease, which is an inflammation of the head of the male genital organ. Most often, they affect boys under 5 years of age. The disease can affect only this part of the penis or the inside of the foreskin, which is defined as fasting. If suppuration simultaneously affects both of these areas, then balanoposthitis is diagnosed.

The disease can negatively affect the sexual activity of a mature man and his ability to fertilize. A spermogram will help you get all the information to identify infertility and eliminate causes for concern.

Potential Problem Alerts

The disease state does not appear immediately. The child gradually develops the following symptoms:

• decrease in hunger, loss of appetite;
• increase in body temperature up to 38 degrees;
• pain, burning, redness in the penis area;
• the problem of urinary incontinence (enuresis);
• lack of sleep, weakness, irritability;
• inflammation of the lymph nodes in the groin.

Within 5-6 days, the signs of the disease can grow intensively and lead to acute balanoposthitis. The child's temperature rises, redness, pain during urination, discharge and swelling of the tissues of the foreskin appear.

Often, the acute form occurs as a response to an infectious disease or in case of neglect of the rules of personal hygiene.

If the correct treatment is not started in a timely manner, then the disease will turn into a chronic form and may result in big male problems in the future. Therefore, the situation should not be started and self-medicated, but it is better to get professional help, pass the necessary tests: blood, spermogram (for adult men), urine.

Sometimes a child may develop purulent balanoposthitis. It is characterized by reddening of the skin, swelling of the head of the penis, itching. The boy feels pain when urinating, accompanied by purulent discharge with a specific smell.

The root of the disease

Balanitis or inflammation of the glans penis often flares up due to various microorganisms. Usually those males who do not monitor the hygiene of their genitals suffer from the disease.

The main cause of problems with the penis is the release of a special lubricant (smegma) by the urethra and skin glands. It gathers under the foreskin and, with suppuration in the urethra, aggravates the situation, increasing irritation and inflammatory reactions.

In a healthy boy, this substance on the organ looks like a curdled mass, consisting of secretions from the glands of the skin, on the mucous membrane of the penis. However, when the secrets of the sebaceous and sweat glands are included in the smegma, the risk of microbial damage to the tissues of the penis increases.

The lubricant is concentrated in the skin fold of the foreskin, which reduces the protective properties of the skin. As a result, infection occurs, and intensive reproduction of microbes begins. Sometimes, in order to make sure that there are no accumulations of bacteria that threaten the fertilization process in the area of ​​​​the head of the penis, a spermogram is prescribed for men.

Also, the disease can develop in a child with skin lesions on the penis or local reactions to any chemical compounds. Often these are the results of improper self-treatment or wearing low-quality, narrow underwear, which leads to rubbing of the head and foreskin.

Inflammatory processes are possible with primary or secondary balanitis. In the first variant, the source of the disease is fungal and bacterial infections, the presence of which will help to see the spermogram or smear. Harmful microorganisms multiply under the outer layer of the skin of the foreskin and lead to severe inflammation of the penis. In such situations, there is only one way out - contact a surgeon to cut off the foreskin.

Purulent balanoposthitis occurs due to yeast fungi, staphylococci and streptococcal microorganisms.

Diagnosis of the disease

If inflammation is suspected, parents should take the child to a pediatric surgeon or urologist. Often, special instrumental studies are not needed to diagnose the disease. After analyzing complaints, examining the penis and passing laboratory tests, a conclusion can be drawn.

A urinalysis will help detect leukocytosis and the presence of harmful microbes.

To identify the pathogen, conduct a bacteriological study. The situation is different when diagnosing a disease in men. To exclude the possibility of developing serious diseases that will affect reproductive function in the future, a spermogram is needed.

Balanoposthitis brings a lot of sexual problems to the males. It affects both the reproductive function of a man and his health in general. Spermogram is considered one of the most important methods in the diagnosis of urological diseases. It helps to obtain information about the possibility of procreation, the presence of inflammatory processes, infections, bacteria. The data obtained in the spermogram can provide a clear picture of the course of the process and show whether there is inflammation of the mucosa.

Balanoposthitis treatment

There are no special difficulties in the treatment of inflammation of the foreskin. With a good and correct approach, the symptoms can be overcome in a few days.

Basically, hygienic baths and antibacterial ointments are used to treat the disease. The most effective remedies are a decoction of chamomile, which is prepared in the usual way, or furatsilin. You will need to dilute the tablets in boiled water at room temperature at the rate of: 2 pieces per 200 grams. Such sitz baths should be taken within a week 1 time per day. Even if the inflammation has passed, treatment should be continued in order to prevent relapse.

Do not rinse and wash the genitals with a solution of potassium permanganate, this is not always beneficial, since it has a drying effect. Sometimes a liquid ointment is injected into the opening of the foreskin. It is applied to a bandage, gauze, the diseased organ is wrapped around and the bandage is left overnight.

During treatment, the patient needs to drink plenty of water. This will ensure active washing of the urethra. And after the illness, for a month, you need to wash the boy and gently dry it with a soft towel after each visit to the toilet.

In the case of chronic balanoposthitis, such procedures will not be effective, but only for a short time can improve the child's condition. Therefore, it is very important to responsibly treat the treatment of the primary process in order to prevent the further development of a more serious form of the disease.

Preventive action

The development of inflammatory processes on the glans penis is always associated with the lack of adequate prevention. First of all, proper care is needed. In addition, it is important to follow the basic rules.

Due attention should be paid to the hygiene of the boy's penis. Parents need to wash their child every day. In no case should you open the head and wash it thoroughly with soap. Such procedures remove the natural protective barrier that keeps the mucous membrane of the foreskin from inflammation. Therefore, once a week, you can slightly open the extreme part and gently pour over it with water diluted with baby bath foam.

It is impossible to use disinfectant solutions or antibacterial ointments uncontrollably every day to protect the child from germs.

Men, even with unexpressed symptoms, should check their health by regularly referring to the spermogram prescribed by the doctor.

It is recommended to buy comfortable, high-quality underwear and choose the right diapers for babies, change them regularly. Tight-fitting things disrupt the circulatory system and promote inflammation, so loose underwear should be preferred to avoid rubbing it with the mucous membrane.

Do not forget about hygienic baths based on herbal preparations.

Urological diseases associated with inflammation of the foreskin are not considered the most terrible problem in the life of a child or an adult man. The main thing is to remember about preventive measures, treat treatment responsibly and not panic. And as soon as there is a suspicion of problems with men's health, contact a specialist as soon as possible without self-medication.

In boys, the area of ​​\u200b\u200bthe foreskin and the head of the penis often becomes inflamed. This inflammation is called balanoposthitis. Infants are especially often sick, since the anatomy of a newborn differs from the structure of the genital organs of an adult. Balanoposthitis in a child appears due to insufficient or rare washing, infectious diseases, allergies, diabetes, overweight. The temperature rises, the head of the penis becomes red and swollen, the boy complains of painful urination.

Causes of balanoposthitis

Balanoposthitis in children is usually caused by bacteria. The causative agents of the inflammatory process are staphylococcal and streptococcal infections, herpes virus, fungal infection (candida) and other microorganisms. Bacteria multiply in the sac between the glans and foreskin. Surrounding tissues and skin become inflamed, so balanoposthitis begins. The allergic nature of the disease is also possible, in which case the allergen becomes the cause of inflammation.
The causes of inflammation are varied. The following factors can provoke the development of balanoposthitis:

• Insufficient flushing. With insufficient hygiene, smegma and urine residues are not washed out from under the skin of the foreskin. In young children, smegma mostly consists not of foreskin secretions, but of dead epithelial cells. If these secretions are not washed out regularly, then an infection develops in the place of their accumulation, which leads to inflammation.
• Diabetes mellitus and hormonal disorders are common causes of balanoposthitis. High sugar levels in the urine create a sweet environment in which bacteria grow rapidly.
• Phimosis. In all babies, the head of the penis cannot be opened, it is covered by the foreskin (physiological phimosis). Closed areas of the head contribute to the accumulation of bacteria.
• Adhesions (synechia) of the foreskin. This is an anatomical feature of all male newborns. As the boy gets older, the adhesions disappear on their own and do not require special treatment. However, synechia prevents complete cleansing of the head, which can lead to balanoposthitis.
• Washing the boy too often with soap can also be a provoking factor. Soaps and other detergents can irritate the skin if used frequently. In such cases it is possible. Allergies are often caused by leftover detergents on diapers. A newborn boy comes into contact with such underwear with the genitals. So contact dermatitis may occur, and then allergic balanoposthitis. With allergies, redness and rashes are also observed on the skin around the genitals.
• Inflammation sometimes leads to a rare change of diapers. In older boys, balanoposthitis can provoke prolonged wearing of tight shorts or swimming trunks, especially with coarse seams in front.
• Overweight children are prone to balanoposthitis. With obesity, metabolism and immunity are disturbed, in addition, it is more difficult for a full child to maintain hygiene.
• Boys suffering from chronic diseases of the genitourinary system often suffer from inflammation of the head and foreskin.
• Vitamin deficiency and hypothermia also cause inflammatory diseases.

Washing the boy too often with soap

Balanoposthitis in the chest

Often balanoposthitis occurs in infants. This is due to the fusion of the head and foreskin.
This physiological feature in infants is considered the norm. In infants, the foreskin protects the head. It occurs in 96% of boys at birth. Usually, by the age of one and a half years, the head begins to be exposed. But for some children, this happens much later: at 6 years old, and sometimes at 10 years old. It is also not considered a pathological condition.
Usually smegma is washed out with urine. But it happens that the excretion of smegma is disturbed, and then conditions are created for the growth of bacteria and the occurrence of inflammation.
Sometimes parents try to expose the head of the baby's penis themselves in order to wash the boy. This is very harmful, so you can injure the genitals and cause infection.
In childhood, balanoposthitis is very common, so parents should know the symptoms and treatment of this disease.

Signs of children's balanoposthitis

First, the child develops balanitis (inflammation of the head), then the inflammation passes to the foreskin (fasting). When both inflammations occur simultaneously, this is called balanoposthitis.

How acute balanoposthitis manifests itself in children

Acute balanoposthitis in boys begins unexpectedly, without a latent period. In the evening, the state of health was normal, and in the morning signs of illness suddenly appear:

• pain in the penis;
• painful difficulty urinating;
• hyperemia (redness) and swelling of the penis;
• fetid discharge;
• elevated temperature;
• swollen lymph nodes in the groin;
• feeling unwell.

In the photo of a sick child, you can see the swelling and redness characteristic of acute balanoposthitis.
While the disease proceeds in an acute form, it is not difficult to cure it with local remedies (baths, ointments) for two to three days. Reduces redness and swelling, improves general condition. In the early days, the disease is treated easily. But if the treatment was insufficient or absent, and signs of inflammation remain, then balanoposthitis becomes chronic over time.

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How is purulent balanoposthitis manifested in children

Purulent balanoposthitis in a child is caused by an infection: streptococci, staphylococci or yeast. Clinical manifestations begin suddenly:

• heat;
• sharp pain and burning sensation in the urethra;
• pus comes out of the penis in clots.

Purulent balanoposthitis is dangerous with complications. Sometimes the infectious process spreads upward, pyelocystitis and urethritis occur.

Symptoms of chronic balanoposthitis in boys

If the child does not receive treatment or therapy is insufficient, then the disease takes a chronic course after about 3 weeks. In this case, the following symptoms are observed:

• Relieves itching in the genital area.
• When urinating, pain and burning bothers. The pain is moderate, not as intense as in the acute form.
• Puffiness and redness are reduced. The head is covered with plaque.
• Body temperature is not elevated.
• Allocations depart constantly.
• Scars and phimosis are formed.
• Inflammation can move to the urethra and cause urethritis.

Acute balanoposthitis in children is much more common than chronic. Usually, children under 10 years of age are more likely to get sick in an acute form, and adolescent boys have a chronic form of the disease. In a chronic course, balanoposthitis can last for months, periods of relief alternate with exacerbations.

Features of balanoposthitis in newborns

The baby cannot speak, and therefore it is sometimes difficult for parents to understand what is bothering him. But it is in newborns that balanoposthitis occurs very often because of their physiological characteristics. Parents should pay attention to the following manifestations:

• the child becomes capricious, often cries;
• the skin on the head of the penis looks reddened, sometimes becomes bluish;
• swelling of the head is noticeable;
• rashes and sores appear on the genitals;
• diaper rash is noticeable in the skin folds (powders and creams do not help);
• the child urinates frequently.

Possible complications of balanoposthitis

Launched balanoposthitis in boys becomes chronic, which can have serious consequences:

• Phimosis may develop - a narrowing of the foreskin. And then there is paraphimosis. With this disease, the head is squeezed by the ring of the foreskin. Blueness and swelling appear. This condition requires immediate medical attention.
• The infection can spread to other urinary organs and kidneys. This is especially true with a fungal infection.
• A gangrenous form of the disease may develop, which in the future can lead to gangrene of the penis.
• If you start the disease, then an ulcerative form of balanoposthitis may occur.
• Untreated balanoposthitis can provoke the development of oncological diseases of the genital organs.
• Running inflammation leads to curvature and deformation of the head of the penis.

Diagnosis of balanoposthitis in children

With severe symptoms of the disease, a pediatrician can make a diagnosis already during an external examination. If necessary, the doctor can refer the child to specialists - a urologist or surgeon. Additional tests may be needed:

• urinalysis for culture tank;
• urinalysis for leukocytes;
• swab from under the foreskin;
• Ultrasound of the genitourinary organs;
• a blood test for sugar (if the cause of the disease is diabetes);
• enzyme immunoassay for antibodies to infections.

Urine analysis for culture tank

These examinations are safe and painless for children. They help to accurately determine the cause of the disease and prescribe treatment.

Treatment methods for balanoposthitis in children

Treatment of balanoposthitis in children is carried out with medications - local (ointments, baths) and antibiotics. Most often, the disease responds well to treatment with local remedies. Ointments and baths do a good job with inflammation.

Antibiotics have to be used only when the disease is caused by staphylococci or streptococci. With the fungal nature of the disease, antibiotics of the penicillin series are contraindicated. Cephalosporin antibiotics will be required. There are also surgical methods of treatment, but they have to be resorted to very rarely.

Local treatments

• Baths. For baths, disinfectant and anti-inflammatory solutions are used: a decoction of Chamomile or a solution of Furacilin, Chlorhexidine, Potassium Permanganate. Instead of Chamomile, you can use Sage or Plantain. To prepare a decoction of Chamomile, you need to take 2 tablespoons of the collection and pour them with a glass of boiling water, then put the decoction in a water bath and warm for 15 minutes. Cool the decoction before use. To prepare a solution of Furacilin, you need to take 2 tablets per glass of warm water. It is necessary to lower the head of the penis into the prepared solution for 10 minutes, after opening it as far as possible. Wash the inflamed area 5-6 times a day.
• Ointments. If the baths do not help, then ointments are prescribed. In the treatment of balanoposthitis in children, the following ointments are used - Levomekol, Miramistin, Lokakorten, Baneotsin. Wash your child's genitals before applying the ointment. You can make a bath with one of the disinfectant solutions. Then an ointment should be put under the foreskin. If it is impossible to open the head, then the ointment should be applied to the bandage and bandaged. What kind of ointment to use - the doctor will tell you based on the symptoms and diagnostic results.

The use of internal medicines

If the use of baths and ointments does not improve the condition, or the disease is complex, medications are used. Antibacterial and antifungal therapy may be required:

• Balanoposthitis is treated with antibiotics of the cephalosporin group. Apply drugs Cephalosin, Cefixin, Ceftriaxone. These drugs are able to act on a wide range of bacteria. If the disease is caused by a fungal infection, the antifungal agent Fluconazole is prescribed. The antimicrobial drug Furagin is also used.
• For pain, non-steroidal anti-inflammatory drugs - Ibuprofen are prescribed.
• With balanoposthitis of allergic origin, antihistamines are used.
• Antipyretics, vitamins and drugs to strengthen the immune system are used as symptomatic therapy.
• If balanoposthitis is caused by endocrine diseases and obesity, then treatment of the underlying disease and diet are necessary.

Surgical treatments

Sometimes with balanoposthitis, a simple operation is required - circumcision of the foreskin. This surgical intervention completely eliminates complications and relapses of the disease. However, the operation is carried out in very rare cases. Usually there are enough conservative methods of treatment.
An operation is required only when the balanoposthitis is complicated by the narrowing of the foreskin - phimosis. And also surgical intervention may be required for a protracted chronic form of the disease, when drug therapy does not help. Usually, operations are easy and without consequences. For such an intervention, it is not required to go to the hospital, it is performed on an outpatient basis. The operation is not performed with severe inflammation, when the disease is acute. Circumcision prevents the risk of complications.

Prevention of balanoposthitis

To prevent the development of balanoposthitis in children, the following rules must be observed:

• Boys of preschool age need daily washing with boiled clean water without soap.
• Older boys need to be taught to daily hygiene of the genitals, while it is necessary to expose the head and wash out the smegma.
• Underwear should be changed daily.
• Newborn babies need to change diapers as they get dirty. It is also important to choose the right diaper size.
• For the care of infants, hypoallergenic products should be used.
• The boy should use only his own personal towel, never take other people's personal hygiene items.
• It is necessary to avoid wearing too tight underwear. For children, it is better to wear underwear made from natural fabrics, without seams in the front.
• If the child suffers from diabetes or obesity, then a diet and constant medical supervision are necessary. Overweight and obesity are common causes of inflammation. This also applies to children with diseases of the genitourinary system.

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From birth, sexual hygiene of the representatives of the strong half of humanity requires special attention. Otherwise, everything can turn into problems, for example, inflammation of the foreskin. Another name for this disease is balanoposthitis.

Why does inflammation of the foreskin develop in a child?

Most often, balanoposthitis occurs due to the manipulation of adults. In particular, inflammation of the foreskin in infants is common. The fact is, almost all male babies are born with phimosis - with a narrowed opening of the foreskin. This phenomenon is considered physiological, because over time, the head of the penis will be exposed more and more. But some parents rush things too much and open this fold of skin themselves, which is why it is traumatized.

Other causes of inflammation of the foreskin is improper care of the boy's genitals. In the inner surface of the foreskin, a special lubricant is produced - smegma. It accumulates, and if it is not removed, it becomes inflamed, which leads to balanoposthitis. In addition, inflammation can occur due to overheating, allergic reactions, sweating.

The main symptoms of balanoposthitis include the appearance of redness in the head of the penis. She swells up a little. The child, as a rule, complains of itching and pain, aggravated by urination. Perhaps the appearance of purulent or white plaque, rash. If no action is taken, balaposthitis can eventually develop into cicatricial phimosis.

Inflammation of the foreskin: treatment

Getting rid of the inflammatory process is not difficult. Usually, therapeutic baths with antiseptic solutions (potassium permanganate, furatsilina) or herbal decoctions (chamomile, calendula, strings) are prescribed. A plentiful drink is shown to wash the canal. It is important to observe the hygiene of the child. You should wash the foreskin at least twice a day, but do it very carefully and carefully. It is also necessary to change diapers on time, that is, every 2.5-3 hours. The doctor may advise lubricating the boy's glans penis with an antiseptic ointment (eg, levomikol) at night.

If the inflammation of the foreskin is caused by an allergic reaction, the child is usually prescribed antihistamines. But along with this, it is necessary to detect the irritant and get rid of it (inappropriate powder, diapers, diaper crepe).

If there is no improvement in the child's condition within a few days, antibiotics will most likely be prescribed, as there may be an infection.

In chronic balanoposthitis, circumcision of the foreskin is indicated.

Almost every boy, sooner or later, develops an inflammatory-infectious process in the region of the head and foreskin of the penis. This disease is called The disease can occur in acute (less than 3 months) and chronic (over 3 months). Boys get sick with this disease in 3 p. more often than adult men, so in children it is especially important to identify the symptoms of balanoposthitis in time and, with the help of a doctor, determine the correct treatment.

Causes of the disease

Location of bacteria

Various microorganisms (bacteria, viruses and fungi) can cause balanoposthitis under certain conditions:

• violation of the rules of child care (irregular washing, the use of soap when washing);
• the use of low-quality detergents for bathing and washing a child’s clothes;
• improper use of disposable diapers (size mismatch, rare change of them);
• tight panties rubbing the skin and the head of the penis, which contributes to the occurrence of microtraumas with their subsequent infection;
• allergic dermatitis to powder or cream;
• imperfect structure of the external genitalia in boys of preschool age: narrowed foreskin or physiological phimosis makes it difficult for the baby to carry out hygiene procedures; with the formation of adhesions between the two walls of the skin fold of the foreskin, stagnation of the secretion of special glands (smegma), dead skin cells occurs, and microorganisms that have fallen on them cause inflammation;
• violent attempts to expose the head of the penis;
• : high sugar in the urine - a breeding ground for microorganisms;
• contributes to the violation and decrease in immunity, makes it difficult to maintain personal hygiene;
• hypothermia and malnutrition of the child lead to and thereby facilitate the development of infection.

Symptoms

There are the following types of balanoposthitis: simple, purulent, erosive, gangrenous.

The acute form occurs suddenly and causes anxiety in the child.

The acute form of the disease, as a rule, begins suddenly, against the background of complete well-being. In the morning, the child has a burning sensation and itching in the foreskin (in older children, and in small ones - anxiety). The child cries when touching the penis and when urinating, sleep is disturbed, the temperature rises (sometimes to high numbers).

The general well-being of the child worsens, the lymph nodes in the groin area may increase. The foreskin is swollen and red, and urination may be difficult. Bright red eroded areas are formed with a weeping corolla along the periphery - the inflammation has passed into an erosive form. If further treatment is not carried out, then deep ulcerative-necrotic areas are formed on a bright red background. These ulcers indicate the transition of the disease to a gangrenous form, they are very painful, heal for a very long time.

Usually, treatment begins with local procedures: warm baths with a solution of furacilin (at the rate of 2 tablets per glass of water) or chamomile decoction (1 tablespoon of flowers pour 250 ml of boiling water) every 2 hours. The bath solution is poured into a jar and lowered inflamed organ. It is not necessary to move the foreskin away, this causes sharp pain in the boy.

drug for treatment

After the bath, you can apply a gauze napkin with Levomekol ointment - it has both antibacterial and anti-inflammatory effects. Using a syringe without a needle, warmed ointment (about 1.5 g) can be carefully injected under the foreskin. You can in the same way fill in a solution of furacilin or chlorhexidine to clean and disinfect the cavity. At night, an ointment bandage is applied to the penis.

With severe weeping, the doctor may prescribe baths with a slightly pink solution of potassium permanganate, given its disinfectant effect and drying effect. Usually the result of treatment is obtained after 3-4 days.

In case of violation of the general condition of the child and fever, anti-inflammatory drugs are used. In case of a severe course of the disease, weakened children, or with the threat of the spread of infection, antibacterial drugs are prescribed for internal use or in the form of injections. With candidal balanoposthitis, Clotrimazole ointment and other antifungal drugs are used.

In the chronic form of the disease, the inflammatory process is practically untreatable. Usually, surgical treatment is performed outside the period of exacerbation under local (in young children - under general) anesthesia - circumcision of the foreskin. Surgical treatment gives an effect in 100% of cases.

Types of foreskin circumcision

Complications of acute balanoposthitis

If untreated, the disease can lead to such complications:

• process timing;
• the spread of the infection;
• acute urinary retention;
• development of phimosis;
• gangrene of the penis;
• deformation of the head of the penis;
• malignant tumors of the genital organ.

Prevention

• Boys of preschool age should be washed every night (without soap), as well as after the act of defecation;
• Infants change diapers in a timely manner and select them according to size;
• Boys of school age, when washing themselves, should expose and wash the head of the organ with warm water;
• Boys of all ages use a personal towel for intimate hygiene;
• All boys (and men) should avoid wearing tight underwear.

Which doctor to contact

If you suspect the development of balanoposthitis, you can contact a pediatrician or immediately to a urologist. If necessary, an examination by a surgeon is scheduled. In addition, if the disease is associated with internal causes, a consultation with an endocrinologist, nutritionist, immunologist, allergist is prescribed.

The genital organs perform a urinary and reproductive function, which is why their health is so important. Inflammation of the foreskin in boys occurs at different ages and, despite the fact that the disease does not carry a big threat, it gives the child significant discomfort.

At the first symptoms of inflammation of the foreskin, it is necessary to contact a urologist who will diagnose and prescribe the necessary treatment

What causes inflammation of the foreskin?

A similar phenomenon is indicated by the medical term "balanoposthitis". With it, the inflammatory process extends to the glans penis and foreskin. In childhood, the disease is diagnosed in 6% of boys, mainly in children 4 years old.

The statistics is explained by the fact that in children under 5 years old, physiological phimosis is observed, that is, the head of the penis is not exposed, the tissue is motionless. After six months, the boy develops a lubricant - smegma, which reduces friction between the penis and the tissues surrounding it. Violation of the production of such a secret leads to irritation and inflammation. Other reasons include:

• inadequate hygiene;
• using diapers that are not the right size;
• wearing tight underwear;
• high sugar content in the urine (mainly in diabetics);
• the use of aggressive laundry detergents;
• frequent use of soaps or gels for intimate hygiene with various fragrances.

The use of low-quality intimate hygiene products is one of the indirect causes of inflammation of the foreskin in a baby.

In a separate group, it is worth highlighting infections that affect smegma and cause inflammation. Pathogenic organisms include:

• coli;
• staphylococci;
• streptococci;
• fungi of any kind.

In rare cases, balanoposthitis becomes a complication of other pathologies. Depending on the causes and nature of inflammation, there are several types of the disease.

Symptoms and types of the disease

The term "balanoposthitis" consists of two parts, in the same way there is a division of the types of the disease. Balanitis is a condition when only the head of the penis is swollen, fasting is an inflammatory process that affects only the foreskin. More often, the process extends to both parts, and the doctor diagnoses “balanoposthitis”.

According to the duration of the course, 2 types of balanoposthitis are distinguished: acute and chronic. In the acute form, inflammation lasts no more than 3 months, in other cases it is a chronic disease.

In turn, the acute course is classified into the following types:

• simple (characteristic signs - thinning of the penis, burning and discomfort);
• erosive (ulcers appear on the head);
• gangrenous (ulcers contain pus, fever is possible).

The latter is the most dangerous form. If the inflammation does not go away for months, then it subsides, then it arises with renewed vigor - we are talking about a chronic type of disease. It can take two forms. In the first case, small frequent ulcers appear that do not go away for a long time, in the second case, bloody wounds and characteristic discharge are observed.

Usually, it is not possible to cure the chronic form of the disease to the end, and after several relapses, a decision is made about surgical intervention. The boy will be circumcised, after which the balanoposthitis will disappear.

You can determine the presence of the disease by its symptoms. Common signs include:

• red skin around the penis;
• the penis is swollen and inflamed;
• the condition of the skin has changed;
• there was a feeling of itching and burning, pain.

As the disease progresses, you may experience:

• erosion and ulcers;
• pus from wounds;
• enlarged lymph nodes in the groin.

Sometimes a rash, diaper rash, abscesses and mechanical damage appear on the mucous membrane of the penis (more in the article:). The temperature may rise. If we are talking about a baby, then against the background of redness of the penis, the baby becomes restless and capricious. Urination and touching the organ will cause him pain.

What is the danger of the disease?

Despite the fact that inflammation is local in nature, without complex treatment it can cause a number of complications:

1. spread of infection to the urinary system;
2. phimosis scarring, i.e. the head of the penis cannot be exposed;
3. decreased sensitivity of the penis, which will negatively affect sexual life in adulthood;
4. the appearance of peptic ulcer;
5. paraphimosis - pathological infringement of the glans penis.

The disease itself is not dangerous, but if not properly treated, it entails a lot of serious complications, so the infection can spread to the urinary system.

Treatment of balanoposthitis in children at home

Usually, treatment prognosis is always favorable, with timely diagnosis, it is easy to get rid of the disease. In young boys, inflammation often resolves on its own, but this does not mean that when symptoms appear, you should postpone a visit to the doctor. Treatment comes down to proper care, drug therapy and folk remedies.

The first and most important thing is to teach the child to take care of himself properly. In infants, this hygiene is carried out by the mother. Important rules:

• hygiene must be carried out daily, the genitals are washed with warm water without detergents, additional care is carried out after each toilet;
• panties are changed every day, it is important to observe the size of the linen, diapers are changed at least 1 time in 3-4 hours;
• after water procedures, it is important to wipe the body dry.

Medicines

Medicines can help speed up the healing process. They are prescribed by the attending physician, in this case it is a pediatric urologist or surgeon. The therapy is based on topical creams and ointments.

Commonly prescribed drugs include:

1. anti-inflammatory ointments, such as Prednisolone, Hydrocortisol;
2. antiseptics: Miramistin, Levomekol, Synthomycin (we recommend reading:);
3. regenerating preparations: Sudocrem, creams and ointments with zinc, preparations based on dexpanthenol (Bepanten, D-panthenol) (see also:);
4. antifungal ointments: Lamisil, Lamikon and Clotrimazole.

Ointments are prescribed depending on the form of the disease and the cause of its occurrence. Many drugs have strict age restrictions, however, for drugs such as Levomekol, the minimum age of the patient is not indicated, so consultation with a specialist is required. Your doctor may also recommend combination medications.

If the focus of inflammation is very sore, it is possible to use antipyretics and painkillers, such as ibuprofen or paracetamol. Augmentin is used in the presence of abscesses; for disinfection, the affected areas are treated with Chlorhexidine.

Augmentin is prescribed for bacterial etiology of the disease

An important point in the treatment of edema of the foreskin are baths. They can be made with the addition of pharmaceuticals or based on herbs. The former include a solution of furacilin and a weak solution of potassium permanganate.

ethnoscience

Various herbs will help treat the problem, they will soothe the tissues, promote their healing, and have an antiseptic effect. All baths are prepared from a proportion of 1 tbsp. l. dried flowers in 200 ml of boiling water. In this case, you do not need to prepare a whole bath, a small capacity is enough. Often used:

• chamomile - a well-known antiseptic, also soothes, relieves itching and burning;
• sage - valuable for its healing properties;
• calendula - heals wounds and has a powerful anti-inflammatory effect;
• oak bark - relieves swelling.

The bath should have a temperature of 37-38˚. For babies, the duration of the procedure is 10-15 minutes, for older boys, you can extend the time to 30 minutes.

Chamomile can also be used in the form of compresses - to prepare the mass, take flowers and boiling water in a ratio of 1: 1, put the gruel in gauze and apply to the sore spot for several minutes. The procedure is carried out 2 times a day.

Disease prevention

Prevention of balanoposthitis is proper care. It is important for the mother of a newborn to know that:

• you can not open the foreskin of the penis;
• you need to wash the baby with each diaper change or as needed (we recommend reading:);
• you need to treat the penis only with warm clean water without the use of detergents;
• it is important to choose the right size of the diaper and underwear;
• underwear should be only from natural fabrics;
• once a week, it is necessary to thoroughly wash all the folds of the organ so that dirt does not accumulate there.

The famous pediatrician O.E. Komarovsky believes that phimosis, which is not the cause of problems with urination, can be observed before adolescence. If the phenomenon is accompanied by swelling, itching, or the boy's foreskin just turned red, then it is important to show the child to a specialist in time. Remember that in the matter of children's health, the main thing is timely treatment.

Episodic balanoposthitis occurs in most boys with uncut foreskin without significant pathologies: a small inflammatory process can suddenly occur in the penis, but quickly pass.

Reference. Avitaminosis and hypothermia are additional factors for the development of complications of balanoposthitis.

Reasons for the transition of the disease to the chronic stage

Urological disease in the chronic stage can last for months and years. Despite moderate or even mild inflammation, this condition of the child is not associated with a threat to his life or genitals.

The foreskin is slightly edematous, has a slight redness, there are white deposits on it, which are easily removed mechanically. The nuance is that exacerbations (relapses) are periodically recorded, which have signs of an acute form.

Factors of the appearance of chronic balanoposthitis in a child:

• improper treatment of acute balanoposthitis;
• insufficient hygiene of the intimate area;
• development of local dermatitis and eczema;
• accession of a secondary infection;
• wearing too tight underwear.

Poor quality soaps, powders, shampoos, ointments and other cosmetics can also interfere with the cure for inflammation.

You should also carefully choose underwear: cheap synthetic options can saturate the dermis with harmful compounds and worsen the condition of the child's genitals.

Reference. The presence of diabetes mellitus and psoriasis increase the risk of the disease becoming chronic.

The timing of the cure for the disease

Acute balanoposthitis caused by the accumulation of smegma is eliminated the fastest - the disease disappears after 5-7 days.

To eliminate inflammation, antimicrobial ointments are applied, and the head is washed with soap and water 3 times a day. The presence of a fungus in the intimate area slows down the pace of treatment: the complete elimination of a pathogenic microorganism can take up to a month or longer.

If a course of antibiotic therapy is added to the ointment, then the treatment time is reduced to two weeks (not prescribed in infancy). The ability to remove the head from under the foreskin allows you to use the aeration method using a hygienic silicone nozzle. The procedure allows you to quickly remove inflammation and prevent the re-development of inflammation when using the ring for prophylactic purposes.

In the chronic form of balanoposthitis, exacerbations last from one to two weeks. In this case, it is possible to completely get rid of the disease only by a surgical method, however, if preventive measures are observed, sometimes conservative treatment techniques can be dispensed with.

For antibacterial therapy, antiseptics are used: Chlorhexidine, Furacilin, Hydrogen Peroxide. Sedentary baths with chamomile and calendula bring a positive effect. Potassium permanganate also has a bactericidal effect.

Individual factors and cure rate:

• the presence or absence of an infectious factor;
• the degree of damage and the type of balanoposthitis;
• the presence of physiological changes - or a short frenulum;
• the state of the patient's immune system.

If balanoposthitis is accompanied by phimosis, then in most cases surgery is indicated (exacerbations often torment the child, relapses continue for several weeks).

Relief occurs immediately after circumcision of the foreskin: the inflamed tissue is removed, and the open head is easier to process with antiseptic ointments and solutions.

After the operation, the inflammation completely subsides after 3-7 days. An alternative option is associated with conservative therapy: special exercises performed with the fingers or Glansha's instrument can help with stretching the ring of the preputial sac.

In this case, the removal of inflammation directly depends on the ability to fully open the head and freely carry out hygiene procedures.

Conclusion

The child - due to lack of knowledge - is not able to take care of his own health, so parents must engage in the hygiene of their son's genitals until a certain age. And only as they grow older, the child should be instilled with the habit of regularly removing pollution in the intimate area on their own.

If there are already suspicions of balanoposthitis, then you should urgently contact a urologist to prevent the risk of dangerous complications.

Phimosis occurs in about 2% of men. There are congenital and acquired phimosis. In children of the first years of life, this condition is physiological. As it grows and with the appearance of erections of the penis, the head is gradually freed, which is impossible with a narrowed and scar-changed foreskin. In children, with a pronounced narrowing, there may be difficulty in the act of urination, thinning of the urine stream, swelling of the foreskin. ...

pseudophimosis

The narrowing of the foreskin in boys may be before the end of puberty. This is a completely normal condition and it is not phimosis. According to the experience of nations where circumcision is not given, this narrowing rarely requires treatment. Direct expansion usually occurs as they grow older. The complete disappearance of the narrowing of the foreskin can be expected in 50 percent of ten-year-old boys; 90 percent of 16-year-old boys; and 98-99 percent of 18-year-old men.

phimosis treatment
Medical
Lubrication of the foreskin with steroids accelerates the normal growth and expansion of the foreskin. It should be remembered that narrowed foreskins usually dilate without treatment. Methodology: lubrication of the foreskin with 0.05-0.1% betamethasone ointment twice a day (morning and evening) for up to 1 month. After the fifth day of treatment, the foreskin is gradually retracted during the daily bath. Efficiency 85-95%.
stretching
Gradual stretching of the foreskin regularly pulling it over the head of the penis (but not too hard!) until it hurts. Such training is carried out daily for 5-10 minutes. As the hole expands, move on to limited masturbation.
Gradual stretching of the foreskin by inserting two fingers into the preputial sac and spreading them each time to a greater distance. The effectiveness of stretching methods is 75%.
Surgical
Surgical treatments for phimosis are now rarely used and only in cases where there was no effect from other methods. The approved surgical treatment is three longitudinal incisions with transverse stitching. Surgical treatment of phimosis in children is performed by separating the adhesions of the preputial sac using a metal probe and a gauze tupfer. With cicatricial changes in the foreskin, its partial (along the border of fibrous changes) or (rarely) complete circular excision (circumcision) is performed. In some cases, instead of circumcision, another operation is performed - according to Schloffer. Under local anesthesia, a zigzag incision is made in the foreskin and the edges are re-sutured in the place where the zig turns into a zag. As a result, the foreskin is completely preserved, but its opening expands (at the level of the coronary sulcus at the junction of the inner and outer sheets of the foreskin, both sheets are cut perpendicular to each other and re-sutured in the transverse direction. Anesthesia is local, by laying 2% lidocaine ointment in the preputial sac ). The whole operation takes 10 minutes, it is carried out, like circumcision, in a polyclinic. The wound heals within 4-6 days. This operation is also good because the head remains covered, and therefore there are no unpleasant sensations, both in ordinary life and during intercourse.

Acquired phimosis is most often the result of primary balanoposthitis, focal scleroderma of the foreskin, and poor personal hygiene. In adults suffering from phimosis, friction is accompanied by pain, which over time reduces sexual desire and may contribute to the development of sexual disorders. At the first sexual intercourse or a spontaneous full erection, the head is often pinched in the narrowed ring of the foreskin - paraphimosis, requiring urgent surgical care. With combined diseases of phimosis and chronic balanoposthitis, cancer of the glans penis can develop.

If there is an infringement of the head, you can try to return the foreskin to its place without surgery. To do this, the head is generously lubricated with a lubricant (Vaseline, baby oil, etc.), the hands are folded under the head so that it is higher than the index and middle fingers slightly squeezing the barrel. The thumbs rest on the head and try to push it into the opening of the foreskin. The whole movement is very reminiscent of a figure being shown to a penis. If it was not possible to return the head to its place within 30-60 minutes, you must URGENTLY seek medical help! Every minute of delay is fraught with great trouble.

CAUTION: There are reports that external irritants and other environmental factors can cause constriction of the foreskin. One such irritant is the chemicals in a bubble bath.

Illustrated encyclopedic dictionary of sexological terms and concepts
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