Phimosis is constriction of external prepuce opening. One should remember that phimosis can be either congenital or acquired. Congenital constriction of prepuce can be seen with the majority of the new-borns as a physiological phenomenon with children up to 3 years old. Within the first 3 years dilatation of preputial opening takes place, physiological phimosis disappears spontaneously, and it doesn't require additional correction.
Physiological phimosis has the same complications as the acquired phimosis.
How does it look like?
The acquired phimosis can appear under the influence of different factors:
- Inflammation of prepuce and balanus (balanitis) can cause prepuce edema and temporary diminution of its external opening diameter.
- Mechanical trauma can lead to formation of scar tissue (which is incapable of stretching) of prepuce.
- In childhood (in the period of active balanus and prepuce growth) temporary or permanent inconsistency between balanus diameter and prepuce external opening diameter can appear.
- Insufficiency of connective tissue in a body. It has genetic predisposition.
- Synechias are commissures between a balanus and prepuce that hamper balanus release. They are considered to be normal with children under 3 years old. Very often there can be seen physiological caseosa or smegma. Smegma is a curdy mass which is a good nutrient medium for microorganisms. And very often it is the cause of inflammatory processes such as balanitis. Synechias are recommended to be separated.
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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