Phimosis

　　Phimosis can easily lead to complications due to the prepuce being tightly tied around the corona groove, which affects the blood circulation at that place, causing the glans to swell. The swelling makes the prepuce ring, which is already narrow, compress the corona groove more severely, thus further aggravating the blood circulation obstruction. At this time, the prepuce swells, the glans becomes bright and purple, and the patient may have severe pain. If the condition continues to develop, it can cause severe infection and gangrene of the prepuce and glans.

　　If the disease is not treated in time or not enough attention is paid to the disease, irreversible tissue necrosis may occur due to excessive ischemia of the glans, which may cause a decrease in the sensitivity of the glans, resulting in failure to achieve ejaculation, and even because of glans necrosis, glans amputation, which may affect normal life.

　　The clinical manifestations include severe pain at the tip of the penis, difficulty in urination, local phimosis around the penis, and swelling of the distal prepuce and glans. After the prepuce swells, the narrow ring at the opening of the prepuce becomes tighter and tighter. If not treated in time, the distal penis may lead to necrosis and shedding. In patients with severe phimosis and long duration, local ulceration and necrosis can be seen, and systemic symptoms such as fatigue, fever, and loss of appetite may also occur.

　　For males who have not undergone circumcision, daily attention should be paid to the local cleanliness and hygiene of the penis. When cleaning, if the prepuce cannot be flipped over, do not force it to flip. If it can be flipped, the prepuce should be returned to its original position after washing to avoid causing phimosis.

　　If a circumcision operation is to be performed, the penis should be cleaned with warm water or a potassium permanganate solution at a concentration of 1:5000 for three days before the surgery. After the operation, in addition to taking medication and preventing the penis from becoming erect and bleeding or becoming inflamed, attention should also be paid to keeping the dressing dry. If the dressing gets wet with urine, it should be changed immediately. Generally, the stitches are removed after 5-7 days post-operation.

　　When diagnosing incised prepuce, in addition to relying on its clinical manifestations, it is also necessary to rely on chemical tests. Patients can make a diagnosis by doing penile ultrasound examination, penile examination, and prepuce and phimosis examination.

　　The following points should be paid attention to in the diet of patients with incised prepuce:

　　1. Eat more fruits and vegetables, and the food should be light. You can drink apple juice after meals every day, and make sure to consume a certain amount of vegetables every day, and pay attention not to eat too greasy food.

　　2. Patients should drink more water. Patients should drink about 2 liters of water or cool tea every day. Cool tea can suppress sexual desire, reduce desire, and is beneficial to wound healing.

　　3. Avoid spicy and刺激性 and pungent foods.

　　The treatment of prepuce incision should first adopt home treatment. After the prepuce incision, some oil should be applied to the surface of the prepuce, and then try to slowly turn it down, after reduction, antibiotic can be taken to prevent infection, and some anti-inflammatory ointment can be applied to the prepuce, such as erythromycin ointment, etc.

　　In case of incised prepuce during sexual intercourse, it can be immediately self-reduced. The specific method is to use the index and middle fingers of both hands to hold the edematous part of the prepuce and the glans penis, gradually increase the pressure to promote the spread of the edema fluid to the root of the penis, so as to reduce the edema. Then, with the thumbs pressing the glans penis, gently push the glans penis into the prepuce. Pain will occur during the pushing process, and the pain will gradually disappear after the prepuce is reduced. In case of severe edema, multiple superficial punctures can be made at the obvious edematous part of the prepuce under sterile conditions, and then squeezed to allow the edema fluid to flow out, so as to achieve the purpose of decompression, and then perform reduction by manipulation.

　　If the manipulation for reduction fails, it is necessary to go to the hospital immediately for a dorsal incision of the prepuce to release the incarcerated prepuce ring. In the future, circumcision of the prepuce should be performed, and if the tissue is healthy and there is no necrosis and ulceration at that time, circumcision of the prepuce can be performed immediately to achieve the purpose of complete treatment.