April 26th, 2010 I was just a child born to do circumcision surgery?
white lumps on the foreskin is pus inside it?
This should not turn cleaning the foreskin?
parents of these two problems in pediatric urology out most frequently asked questions, but answers to a urologist may have many different versions; fact that most small boys with phimosis or smegma can live in peace.
However, some medical literature reports that the foreskin filth, is the main cause urinary tract infections children grow up , is the culprit of cervical cancer caused by another Banzai. So most people are concerned that the culprit is to remove the foreskin, the solution is that circumcision, or else forcibly opened to clean the foreskin.
Does every little boy born on the circumcision then?
the latest American Academy of Pediatrics concluded that there are advantages and risks of circumcision, but not absolutely necessary .
and another troubling question is, should not turn over the child's foreskin small penis clean it?
many parents will notice that there are white children's foreskin something similar pustule that is a very dirty thing, In fact, these things are so-called “smegma” (Smegma). Smegma is the foreskin sebaceous gland secretions accumulated within the surface is formed, because the color was yellow-white, it is easy to be mistaken for a pustule. Researchers have been sent to do these smegma bacterial culture, only about 23% of smegma president of the bacteria that cause urinary tract infections. As for the smegma can lead to cervical cancer occur next sexual partner, has not yet conclusive, in fact, the incidence of cervical cancer is caused by multiple factors may be related to personal hygiene habits, relationship adult large. And there is evidence to the contrary that the Nordic countries, very few adult male circumcision, but their spouse is not high incidence of cervical cancer.
because year-old former boy foreskin phimosis in the majority of the state, do not turn out barely clean every day. For two reasons: first, the smegma in childhood will not have any adverse effects, which is a sterile discharge will not necessarily result in infection, but most of the boys to the age of five after the foreskin can easily be turned open smegma naturally smooth discharge; second, violent turn completely surround the glans of the foreskin, is not only very painful, but also easily lead to infection and laceration, and then form a foreskin scarring, but to make some more boys phimosis serious. Even if would like to advance to the foreskin turn, must also adopt a more moderate means, you can use low concentrations of topical steroid cream, with hands and gently pushed back the foreskin, but not too much foreskin laceration caused by violence, every day morning and evening each done once, at night you can do after a bath, about 70% of phimosis after this boy, two weeks after treatment, could expose the glans penis, but also because the foreskin smegma opened and followed after discharge.
Although circumcision has already become quite simple and safe, but the indications for surgery still has not changed: (1) General , the age of five boys glans foreskin naturally turn more likely exposed, Guer Not every child needs long foreskin surgery, another congenital hypospadias and concealed penis foreskin boys simply can not be accepted surgery, because the foreskin should be left for future reconstruction of the urethra or penis foreskin plastic surgery use; (2) If it is close to five or more years older boys, the foreskin is too long then pack tightly, causing trouble when urinating , can try a low concentration of steroid cream smear, should be 70% of the opportunities opened to expose the glans to the foreskin, surgery can be considered successful if not exposed to the glans; (3) If the foreskin is too long then pack tightly, and for the often repeated infections lead to chronic scarring of the circumstances shall be considered circumcision; (4) have occurred glans foreskin swelling caused by incarcerated received emergency treatment of boys, regardless of age, were removed should be considered to accept circumcision surgery.
surgery should be considered when the case?
1, foreign scholars have suggested that if after 5 years of age still phimosis, surgery should be considered. We believe that after the age of 9, still phimosis to steroid cream coated invalid, the foreskin is still difficult to turn slipped out, in considering the surgery.
2, repetition Balanitis, or urinary tract infection, regardless of how old are needed surgery as soon as possible.
3, occurred foreskin incarceration.
not consider under what circumstances the surgery?
1, newborn babies generally do not need surgery.
2, penile abnormalities (such as hypospadias, urethral reconstruction when the foreskin is necessary to retain the material).
3, children phimosis steroid cream to smear, the foreskin may turn slipped out, do not necessarily need surgery.
4, the foreskin is too long but can be flipped slipped out, easy to keep clean, do not necessarily need surgery.
5, concealed penis (also known as buried penis). Although the penis itself is normal, but embedded in the next abdominal adipose tissue hypertrophy, the look is very short, was the foreskin covering the glans, then need is to lose weight. The children look very small penis, in fact, most of the fat layer hiding the penis, the foreskin is too long and thus a wrong impression to others, if unfortunately cut the prepuce foreskin too short.
