Foreskin – is a fold of skin that in normal conditions covers the glans penis.
Phimosis is the condition of the penis when the foreskin cannot be fully retracted over the glans penis.
In adults phimosis can be:
– innate- in patients with non-diagnosed, untreated or inappropriately treated phimosis in infancy
– acquired- caused by chronic inflammation
Difficulties in foreskin retraction lead to the neglecting of personal hygiene due to pain during sliding down the foreskin. Abnormal hygiene causes the inflammation of the glans penis and foreskin what in turn promotes the development of phimosis.
Forcible foreskin refraction can result in skin cracks what with inflammation leads to the formation of scars. Recurrent skin cracks of the foreskin irritated chronically by urine and smegma cause increasing devastation. In severe cases absolutely no refraction is observed. The diabetics are more susceptible to the infections of foreskin and glans penis.
Chronic irritation of glans penis by thickened foreskin can contribute to penile cancer, post-inflammatory urethral stricture or recurrent urethral inflammation.
The treatment of phimosis, depending of the grade of severity, relies on:
– the circular incision of the narrowed fragment of foreskin
– the plastic surgery of foreskin
Like frenuloplasty, this intervention is performed under local anesthesia.