ilya
01.09.2004, 19:30
Phimosis - - narrowing of an external aperture of a prepuce. It is necessary to remember, that the phimosis happens congenital and got. Congenital narrowing of a prepuce is observed at the majority of newborns as the physiological phenomenon till 3 years. Within the first 3 years of a life there is an expansion of a preputial aperture, the physiological phimosis passes or takes place spontaneously and does not require additional correction. The physiological phimosis has all the same complications, as a phimosis usual, got.
Why there is a phimosis?
What reasons of its or his development?
The got phimosis can be generated under influence of various factors:
The inflammation of a prepuce and balanuses (balanoposthitis) can lead to an edema of a prepuce and time or temporary decrease of diameter of its or her external aperture.
The mechanical trauma can lead to formation of a cicatrical tissue (not capable to be stretched or be dragged out) to a prepuce.
At children's age during active body height of a head and a prepuce there can be a time or temporary or constant disharmony of diameter of a head and an external aperture of a prepuce.
Failure of a connecting tissue in an organism that has genetic predisposition.
Synechias - solderings between a balanus and a prepuce interfere with remission of a balanus, are a variant of norm or rate at children till 3th years. Very much often under a cuticle physiological greasing or a smegma curdled mass which is a good nutrient medium or medium for microorganisms is appeared through is and often serves as the reason of inflammatory processes of a balanitis and a balanoposthitis. The synechia is recommended to plant.
Displays and signs of a phimosis.
Narrowing a prepuce is defined or determined, and it is impossible to nake or expose a balanus, due to formation of a cicatrical phimosis.
Sometimes children have morbidity, a dyscomfort at an emiction, under a pressure of urine is inflated or fanned *quot; ?aO?*quot; on the extremity or end of a sexual member. Happens, that it is difficult to kid to be wetted, it is necessary to make an effort. Thus urine is allocated with a thin trickle.
The hypertrophic phimosis, the given disease is characterized by a superfluous prepuce, its or her thickening and loss of an elastance that complicates full deducing or removing a balanus.
In what danger of a phimosis?
At a phimosis often there is a balanoposthitis.
At very narrow aperture of a prepuce the infringement of a balanus - a paraphimosis is possible or probable.
The phimosis complicates an emiction therefore pressure in urinary ways raises or increases. And it, in turn, can lead to such serious diseases, as a pyelonephritis and a hydronephrosis.
Constant natuzhivanie increases or enlarges pressure and in an abdominal cavity because of what there can be a hernia or a prolapse of the rectum.
Treatment of a phimosis
As a rule, treatment of a phimosis is reduced
To a circumcision
To separation of solderings between a balanus and a prepuce. It is spent under the general or common narcosis or without anesthesia (*quot; on ???O*quot;). The child receives a psychological trauma after this operation and often there is a relapse of a phimosis.
To corticosteroid therapy. Regular and frequent use of corticosteroid ointments slightly increases or enlarges an elastance of a tissue of a prepuce therefore she can be stretched or dragged out, thus, by a balanus and a prepuce a degree of disease decreases. However in practice even from multimonthly application of corticosteroid ointments it is not observed any effect more often. As a whole it is necessary to recognize this method of treatment of a phimosis ineffective, and to recommend it or him to application it is not necessary.
Method of treatment which is used by me
It is necessary to note, that each child demands an individual approach, without dependence from its or his age.
At presence of synechias I separate solderings under local anesthesia with use of special medicinal preparations which provide full convalescence of the child without a psychological trauma and without the general or common narcosis.
In some cases it is impossible to avoid operative treatment (a circumcision of a prepuce).
My method of a circumcision.
Best of old and new techniques sobljudeny in my technics or technical equipment of operation. I use a special clamp which provides minimal travmatizatsiju tissues of a prepuce and thus there is no risk of damage of a balanus. The circumcision is made by the special electrodevice, he provides a full hemostasis (a stopping of a bleeding) and simultaneously connects or bridges leaves of a prepuce. Thus, operation is made bloodlessly, the good cosmetic effect is reached or achieved without complications.
Why there is a phimosis?
What reasons of its or his development?
The got phimosis can be generated under influence of various factors:
The inflammation of a prepuce and balanuses (balanoposthitis) can lead to an edema of a prepuce and time or temporary decrease of diameter of its or her external aperture.
The mechanical trauma can lead to formation of a cicatrical tissue (not capable to be stretched or be dragged out) to a prepuce.
At children's age during active body height of a head and a prepuce there can be a time or temporary or constant disharmony of diameter of a head and an external aperture of a prepuce.
Failure of a connecting tissue in an organism that has genetic predisposition.
Synechias - solderings between a balanus and a prepuce interfere with remission of a balanus, are a variant of norm or rate at children till 3th years. Very much often under a cuticle physiological greasing or a smegma curdled mass which is a good nutrient medium or medium for microorganisms is appeared through is and often serves as the reason of inflammatory processes of a balanitis and a balanoposthitis. The synechia is recommended to plant.
Displays and signs of a phimosis.
Narrowing a prepuce is defined or determined, and it is impossible to nake or expose a balanus, due to formation of a cicatrical phimosis.
Sometimes children have morbidity, a dyscomfort at an emiction, under a pressure of urine is inflated or fanned *quot; ?aO?*quot; on the extremity or end of a sexual member. Happens, that it is difficult to kid to be wetted, it is necessary to make an effort. Thus urine is allocated with a thin trickle.
The hypertrophic phimosis, the given disease is characterized by a superfluous prepuce, its or her thickening and loss of an elastance that complicates full deducing or removing a balanus.
In what danger of a phimosis?
At a phimosis often there is a balanoposthitis.
At very narrow aperture of a prepuce the infringement of a balanus - a paraphimosis is possible or probable.
The phimosis complicates an emiction therefore pressure in urinary ways raises or increases. And it, in turn, can lead to such serious diseases, as a pyelonephritis and a hydronephrosis.
Constant natuzhivanie increases or enlarges pressure and in an abdominal cavity because of what there can be a hernia or a prolapse of the rectum.
Treatment of a phimosis
As a rule, treatment of a phimosis is reduced
To a circumcision
To separation of solderings between a balanus and a prepuce. It is spent under the general or common narcosis or without anesthesia (*quot; on ???O*quot;). The child receives a psychological trauma after this operation and often there is a relapse of a phimosis.
To corticosteroid therapy. Regular and frequent use of corticosteroid ointments slightly increases or enlarges an elastance of a tissue of a prepuce therefore she can be stretched or dragged out, thus, by a balanus and a prepuce a degree of disease decreases. However in practice even from multimonthly application of corticosteroid ointments it is not observed any effect more often. As a whole it is necessary to recognize this method of treatment of a phimosis ineffective, and to recommend it or him to application it is not necessary.
Method of treatment which is used by me
It is necessary to note, that each child demands an individual approach, without dependence from its or his age.
At presence of synechias I separate solderings under local anesthesia with use of special medicinal preparations which provide full convalescence of the child without a psychological trauma and without the general or common narcosis.
In some cases it is impossible to avoid operative treatment (a circumcision of a prepuce).
My method of a circumcision.
Best of old and new techniques sobljudeny in my technics or technical equipment of operation. I use a special clamp which provides minimal travmatizatsiju tissues of a prepuce and thus there is no risk of damage of a balanus. The circumcision is made by the special electrodevice, he provides a full hemostasis (a stopping of a bleeding) and simultaneously connects or bridges leaves of a prepuce. Thus, operation is made bloodlessly, the good cosmetic effect is reached or achieved without complications.