What is phimosis and what are its causes, we considered in a previous article. Like many pathological processes and developmental disorders, phimosis can have complications. In order to prevent them, planned treatment of phimosis is carried out. There is only one way to treat phimosis.
Three main complications can develop in phimosis – paraphimosis, fusion of the head with the foreskin and balanoposthitis. Under what conditions does each complication develop? Read more about these complications, as well as methods for treating phimosis, in our article.
Importance of treating phimosis to prevent paraphimosis
In phimosis, the narrowed foreskin can cause pinching of the glans penis. This condition develops in patients with grade 2-3 phimosis when trying to expose the head of the penis and is called paraphimosis. It is also possible to infringe during masturbation or sexual intercourse.
Paraphimosis is characterized by the development of edema of the glans penis, which tends to increase. The head is sharply painful and cyanotic. Edema makes reduction impossible. Therefore, such a patient needs emergency help – reduction of the glans penis and treatment of phimosis.
If reduction is not possible, an emergency surgical intervention is performed, in which a longitudinal incision of the foreskin or circumcision is performed.
Balanoposthitis and fusion of the head – complications in the absence of treatment of phimosis
Carrying out hygiene procedures in case of phimosis is difficult. The seminal fluid remains in the preputial sac. Infection is accompanied by inflammation of the glans penis. The combination of phimosis with balanoposthitis often requires an incision of the foreskin.
Fusion of the head with the foreskin. This complication develops in patients with 3-4 degrees of phimosis. Read more about the treatment of this condition on estet-portal.com. The lack of mobility between the inner layer of the foreskin and the penis provokes the appearance of synechia between them. Over time, areas of synechia increase, and the head of the penis finally fuses with the foreskin. This process is not accompanied by pain, but when you try to expose the head, there is a sharp pain and bleeding. Treatment of phimosis in this case is carried out surgically, and it is very difficult to eliminate the fusion, which occupies a large area.
What is the only and reliable way to treat phimosis?
There is only one real cure for phimosis – this is a cut. The use of other methods of treatment, as a rule, does not bring the desired results. In some cases, corticosteroids are used for long-term use. This allows you to increase the elasticity of the foreskin, and also reduces inflammation and swelling. The use of these drugs allows you to slightly stop the development of phimosis. However, a complete cure does not occur, and long-term use of corticosteroids can manifest itself with side effects and complications.
Patients are advised to stretch the foreskin with special instruments or fingers for some time. From a theoretical point of view, the regular implementation of such procedures can be a treatment for phimosis, but in practice this happens very rarely. After all, to achieve the effect, the patient must stretch daily for several months. Patients usually end the procedures without achieving the desired result.
At any stage, surgical treatment of phimosis is performed with circumcision (circumcision). The foreskin may be removed completely or partially.
Severe balanoposthitis is a contraindication to surgery due to the risk of suture failure. With phimosis of 3-4 degrees with balanoposthitis, a longitudinal dissection of the foreskin is performed, since blood circulation in the tissues is impaired at this stage. After the inflammation is eliminated, phimosis is treated - circumcision.
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