What are the hazards of long foreskin and phimosis to children?

1. Damage to kidney function. Inflammation of the penis can cause urethral orifice or anterior urethral stenosis, which can lead to dysuria. Long-term dysuria can impair the function of the kidneys.

2. Impede the development of the penis. In puberty, the head of the penis is tightly wrapped by the foreskin and cannot be stimulated by the outside world. The development of the head of the penis is greatly restricted. As a result, the circumference of the crown of the head of the penis after the sexual organs mature.

3. There is a risk of cancer. If the child’s foreskin is too long and is not treated in time, it will often lead to incarcerated phimosis. When incarcerated phimosis occurs, the blood circulation of the incarcerated penis is blocked, and no nutrition is available. The penis and the foreskin are prone to infection. Festering or even necrosis, repeated occurrence of foreskin penile head inflammation and chronic irritation of smegma will promote the occurrence of penile cancer.

4. Affect the normal development of the glans. Once repeated urethral infections occur, it is easy to cause adhesions between the foreskin and the glans mucosa, affecting the normal development of the glans, and even if the symptoms are severe, glans deformity may occur.

5. Inflammation of the penis. There are abundant sebaceous glands in the foreskin, which can secrete large amounts of sebum. Generally, when phimosis or foreskin is too long, the secretions of the sebaceous glands in the foreskin cannot be discharged, and the sebum and urine sediments synthesize cheese-like odorous “scalp”. The smegma is suitable for the growth of bacteria, so it will cause inflammation of the penis and foreskin.

What are the common foreskin diseases?

1. Phimosis. The foreskin mouth is small and needle-like. The foreskin cannot be turned up to reveal the glans of the penis. When urinating, the foreskin swells and a small bag is swollen. The urination is endless, and the second urination occurs, resulting in dysuria. Foreskin phimosis often occurs with foreskin head inflammation. Because the phimosis of the foreskin is stimulated, it promotes its secretion and shedding of the epidermis, forming white smegma, which accumulates in the coronary sulcus, and is often treated as a lump by parents.

2. The foreskin is too long. The foreskin mouth is normal, and the foreskin can be turned up to reveal the glans of the penis. There is generally no obvious discomfort in clinical manifestations, and no obvious difficulty in urination.

3. Occult penis. It is more common in obese children. It is a common congenital dysplasia and deformity. It is also called buried penis. If the penis is concealed, the body of the penis is shrunk in the body, and only the pointed small foreskin protrudes from the outside. If you squeeze the skin of the penis inward with your hands, the body of the penis will be exposed, and when the hand is slightly released, the body of the penis will retract. Although the concealed penis looks like a long foreskin, it is two completely different diseases. Although the glans is not exposed in appearance, the penis is mostly hidden in the abdomen or scrotum. It looks like the foreskin is too long. It is actually the penis. Retraction, the treatment method is completely different.

4. Webbed penis. Also known as penis-scrotal fusion, it refers to the fusion of the skin of the scrotum and the skin on the ventral side of the penis, so that the penis and the scrotum are not completely separated. Most are congenital malformations. The patient has no other discomfort except for the abnormal appearance, but the webbed skin stretches to the glans of the penis, which may affect sexual life after adulthood.

5. Hypospadias. This is a common congenital malformation of the male genitourinary system, with an incidence of 0.4‰~8.2‰, mainly manifested by ectopic opening of the urethra, penile curvature and abnormal foreskin distribution. Its deformity has four characteristics, namely, abnormal urethral opening, ventral flexion deformity of the penis, the head of the penis is bowed, the dorsal foreskin of the penis is normal but the ventral foreskin is lacking, and the urethral cavernous body is underdeveloped.

Why do so many people see foreskin during summer vacation?

1. It is more convenient to use summer vacation for circumcision surgery. For students, because they are busy with their studies and rarely take long breaks, it is more convenient to use summer vacation for circumcision. The two-month vacation is very generous in time, which is conducive to recuperation after circumcision.

2. After the circumcision surgery in summer, body repair speeds up. In summer, the metabolism of human cells and tissues speeds up, and the body repairs faster after trauma or circumcision. Therefore, the wounds of the patients undergoing circumcision surgery in summer heal faster, scars are not easy to find, and the scars soften faster than circumcision surgery in other seasons.

3. It is convenient to supplement enough vitamins and minerals in summer. Summer is the peak season for fruits and vegetables. It is more convenient to replenish sufficient vitamins and minerals after surgery. Balanced vitamins and trace elements are necessary for wound healing, which is beneficial to the recovery after circumcision.

Is the foreskin of a boy like wheat in the field, which will be “harvested” in the season?

The foreskin is the most special and precious gift given by God to primates, especially humans. It is believed that this gift has been retained on the primate body for more than 100 million years, without degradation or evolution. It shows that its function and structure have indeed gone through thousands of tempers, but they have always stood firm.

However, in certain racial or religious cultures, in order to conform to their social heritage or religious rituals, this precious gift was cut off as a sacrifice during childhood or when they performed the “mature ceremony”. This God’s gift is-the foreskin.

Although most contemporary doctors admit that the foreskin is something that has been completely preserved after thousands of years of evolution, and belongs to the normal structure of the penis, they still recommend that the foreskin should be circumcised at an appropriate age.

Since the foreskin is a normal structure on the penis, why choose to remove it?

The choice of circumcision is because excessively long foreskin has many harms. If male phimosis cannot be treated in time, the head of the penis will be locked by the foreskin for a long time, resulting in poor development of the penis after puberty, causing shortness of the penis, and affecting normal sexual life. Impotence and premature ejaculation occur, causing lifelong regrets. Foreskin and phimosis are prone to infection and accumulation of smegma. Long-term chronic stimulation can lead to chronic inflammation, papitis and balanitis, and even induce cancer, which may induce cervical cancer in women. If the phimosis and foreskin are too long, it is easy to cause the foreskin to be incarcerated. If the foreskin cannot be reset after being forced upturned, it may cause the glans penis necrosis in severe cases.

Circumcision refers to the removal of excess foreskin to expose the head of the penis instead of the entire foreskin. When circumcision is required, remember to blindly pursue as much foreskin removal as possible.

If you really want to circumcise, how big is better?

Generally speaking, the older the age, the more exposed part of the head of the penis, and the incidence rate in 7th grade (12-14 years old) boys is about 1%. The risk of recurrent urinary tract infections in boys who have not undergone circumcision is 4-10 times that of boys who have undergone circumcision. If the boy has recurrent urinary tract infection, or has urogenital abnormalities such as vesicoureteral reflux, circumcision can be considered as a potential intervention to reduce the risk of urinary tract infection.

All in all, the question of whether or not the foreskin is too long should be evaluated by an experienced urologist. If the condition requires it, it is safe to perform circumcision with anesthesia under the surgeon of these doctors. It would be more ideal if local anesthesia can be performed after 10-12 years of age. However, children with repeated inflammation of the foreskin glans still need early surgery.

What should I pay attention to before circumcision?

Please wash your genitals before surgery and go to the hospital in loose clothes. If you want to receive general anesthesia, please ask your doctor in advance what you need to pay attention to. There are many surgical methods, mainly to cut off the excess foreskin on the glans, and then suture the glans to expose the glans and coronal sulcus. If the foreskin remains too much, the foreskin and coronal sulcus adhesion may form in the future, and smegma may be formed.

If the foreskin is removed too much, it may cause erection pain in the future, so you should communicate with the hospital in advance. To perform this kind of surgery on a baby, you need to go to a regular hospital where an experienced doctor will perform the operation. After the operation, if the condition is stable, you can go home for care and care without being hospitalized.

What are the advantages and disadvantages of circumcision surgery?

There are many modern surgical methods for overlong circumcision, from traditional circumcision and circumcision to the current circumcision using a skin stapler. Compared with traditional circumcision, circumcision using a stapler has the characteristics of less bleeding, neat and beautiful appearance after recovery, and small postoperative scars.

If there is no surgery, how to care for it?

1. Pay attention to cleanliness. When the baby is young, parents should thoroughly clean the inner and outer sides of the foreskin with warm water, taking care not to use excessive force. When the child is older, parents should also teach the child how to clean the foreskin and keep the foreskin clean and hygienic.

2. Observe and pay attention. In addition to the correct cleaning of the foreskin, you should also pay careful attention to observe whether the foreskin has “foreign bodies” and inflammation. If your child has increased frequency or crying when urinating, pay attention to whether there is a urinary tract infection.

Is the operation general anesthesia or local anesthesia? Will the child’s intelligence be affected?

Whether children or adults, circumcision surgery needs to be performed under anesthesia to block the pain during the operation. As for the choice of local anesthesia or general anesthesia, it needs to be determined according to the child’s ability to tolerate pain during local anesthesia and the degree of cooperation in the operation.

If the child is older, has a better tolerance for pain, and can cooperate with surgery, local anesthesia can be chosen. If the child is young, cannot tolerate local anesthesia, and cannot cooperate with the operation, general anesthesia should be chosen. In addition, if the foreskin inflammation is considered before the operation, or there are other special reasons, it is recommended to operate under general anesthesia.


About Sarah A.

Sarah is a dermatologist, which makes her pretty trustworthy, she has been a dermatologist for over 10 years, and she’s been guest blogging abour Skin Health and Wellness since 2012. She covers a wide array of skincare topics, from acne to aging, skin cancer to psoriasis, and diet to dry skin. She also evaluates all kinds of skincare treatments, both lab-made and all-natural.