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show full textA phimosis is the narrowing of the opening of the foreskin, which makes it more difficult or impossible to expose the glans penis. The problem is quite widespread; moreover, in the certain age, the phimosis is a normal phenomenon.
The foreskin of 96% of newborn boys is almost non-retractable and does not let the glans penis open. The same is observed among 80% of the boys, aged 3. However, at the age of 6-15, the phimosis passes off in most cases.
The main symptom of the phimosis is the inability to move back the foreskin of the penis. At the initial stages of the disease, the exposure of the glans penis is difficult or impossible only with the erection, but with the advanced stage of phimosis, it also becomes difficult in the state of rest.
The phimosis may be of two types: physiological (observed among boys before sexual maturation) and pathological (encountered among 2% of the adult men).
The main causes of the pathological phimosis are:
The phimosis itself, which does not cause unpleasant feelings and complications in the sexual life, is not a problem. However, the development of the phimosis is fraught with complications, dangerous for health.
First of all, it is the urinary obstruction (blockage of urine flow), which does not allow fully urinating that is fraught with the diseases of kidneys, bladder and prostate.
Inflammatory processes. As the result of constant closure of the glans penis, the urine residues and smegma accumulate there, creating ideal conditions for development of disease-inducing microorganisms, causing the balanitis and balanoposthitis.
A paraphimosis is the entrapment of the glans penis by the displaced ring from foreskin. It is the urgent condition, during which the patient needs the emergency medical aid. The attempt to ignore symptoms is fraught with the necrosis of soft tissues and their further amputation.
Fusion of the glans penis with an inner leaf of the prepuce. As the result of a constant contact of the skin of the glans penis and inner leaf of the prepuce, they start getting fused together, forming synechias, which become wider and harder over time and can be removed only surgically.
The adult men with the phimosis have often complaints about the decreased potency, which is the result of psychological reaction to painful feelings during the sexual intercourse, which can occur with the phimosis.
In case of phimosis, the examination by the urologist is highly recommended, because even if you do not have problems and strong discomfort feelings in your sexual life, it can become the cause for above-listed complications.
The doctors of Oxford Medical Kyiv in their practice use the most different methods of treatment of the phimosis: from medication therapy to surgical intervention. Everything depends on the stage of development of the disease and associated complications.
The medication treatment involves the use of ointments and creams, which increase the elasticity of the foreskin, allowing it stretching and releasing the glans penis.
Nowadays, the surgical treatment (circumcision) is the last resort measure, used when the medication methods and stretching did not bring results. In Oxford Medical Kyiv, the surgery is performed under the local anesthesia and virtually does not disrupt the patient from his usual mode of life, as the surgery is performed on an outpatient basis – after the surgery, it is enough to spend several hours under the care of the doctor in the ward of the day patient department.
This operation does not anyhow influence the feelings during the sexual contact, and after it, the patient can continue to live a full sexual life.
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