As a rule, treatment of phimosis comes to:
- Excision of prepuce
- Separation of commissures between a balanus and prepuce. This operation is performed under either general anesthesia or without anesthesia. After such an operation a child may have a psychological trauma. After operation recurrence of phimosis in not uncommon.
- Corticosteroid therapy. Regular and frequent application of corticosteroid ointments on a balanus and prepuce slightly increases elasticity of prepuce tissue. As a result of this it can extend and thus the degree of the disease decreases. However in practice, even after of many months usage of corticosteroid ointments no effect is observed in most cases. On the whole this method should be considered ineffective. And it shouldn't be recommended for use.
It should be noticed that every child requires individual approach, beyond dependence on his age.
If there are synechias, I separate commissures under local anesthesia, using special drugs which provide complete recovery without psychological trauma and without general anesthesia.
Sometimes it is impossible to avoid surgical treatment (circumcision).
The best from old and new methods is observed in my operation technique. I use a special clamp which provides minimal prepuce trauma and at that there is no risk of balanus injure. Excision of prepuce is carried out by a special electrical appliance. It provides complete hemostasis (arrest of bleeding) and at the same time connects parts of prepuce. Hence the operation is bloodless and good cosmetic effect is achieved without complications.
Why does phimosis appear? What are the causes of its development?
Manifestation and symptoms of phimosis
Phimosis treatment
How does it look like?
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