Treatment of phimosis without surgery depends on the stage and form of the disease, age-related features of the structure of the organs of the reproductive system. Phimosis can be caused by physiological causes and be congenital, because the full opening of the head of the penis usually occurs by 5 – 6 years old.
The doctor should monitor the child's condition in order to prevent a bacterial inflammatory process, but in most cases, the physiological narrowing of the skin of the foreskin does not require specific therapy.
On estet-portal.com read about effective methods of non-surgical treatment of phimosis using drug and non-drug therapy.
Treatment of phimosis by stretching the foreskin
This method of therapy entered clinical practice towards the end of the last century and still remains relevant. There are several ways to carry out this procedure. The most common and effective is the daily stretching of the foreskin with progressive movements, as with masturbation, for 10 – 15 minutes.
If the clinical symptoms of the disease are moderate, it is necessary to lift the skin on the head of the penis during water procedures and after each emptying of the urine.
It is necessary to carry out the procedure for stretching the foreskin in compliance with the following rules:
• pre-wash your hands and penis thoroughly;
• pull the skin over the head until discomfort appears, strong pain, cracks and microdamages should not be allowed;
• before starting therapy, you should consult your doctor;
• the effect of such a procedure will appear no earlier than after 2 – 3 months.
In a manipulation room, stretching is carried out using special tools. To do this, use Glansha forceps. The working ends of the device are inserted into the opening of the foreskin and the handles are gently squeezed, gently expanding it until pain impulses appear. Treatment of phimosis without surgery in this way has not become widespread due to the banal unwillingness of patients to resort to outside help in such a delicate matter.
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Therapy of phimosis using hormonal drugs
The treatment of phimosis without surgery is based on the use of local agents that soften the skin, facilitate its stretching and have anti-inflammatory properties. Ointments, creams and gels containing corticosteroid hormonal components are usually prescribed.
Treatment with similar drugs is carried out for a long time. Apply them 2 – 3 times a day after hygiene procedures. The main active ingredients of medicines enter the bloodstream in a minimal concentration, therefore, they cause systemic side reactions in isolated cases.
In the treatment of phimosis without surgery, hormonal ointments are prescribed for a long time, while it is important to observe the frequency of application of the drug. Their effectiveness is enhanced by simultaneous mechanical stretching of the foreskin.
The use of hormonal drugs is limited at an early age, in adolescents and schoolchildren they are prescribed only for strict indications. In addition, they are contraindicated in infectious lesions of the skin of the foreskin.
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Treatment of phimosis with non-hormonal drugs
Skin tension injures the epidermal layer, leading to microdamages, which increases the risk of inflammation and infection. To prevent complications and increase the effectiveness of non-surgical treatment of phimosis, creams and ointments are needed that moisturize the epidermal cover and increase its elasticity. Additionally, it is recommended to do local baths and rinsing with weak solutions of disinfectants or decoctions of medicinal plants.
The treatment of phimosis in mature men is not a contraindication to an active sexual life. Moreover, intercourse serves as an additional way to release the head of the penis. However, to avoid discomfort and pain, it is advised to use lubricants.
Success in the treatment of phimosis without surgery depends on the stage of the disease. The earlier the procedures are started, the greater the chances of success. According to medical statistics, the combination of mechanical action with corticosteroid and non-hormonal ointments avoids surgical intervention and a painful rehabilitation period.
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