What is phimos? What kind of types of phimosis? What are the causes of the appearance of phimosis? How many fimosis degrees and how they manifest? What happens if not to treat phyms? Answers you will find in this article.
Content
Physiological and pathological phimosis
FMOVOM is a narrowing of the uppermost flesh of the penis, manifested in soreness or the impossibility of finding his head. It is customary to distinguish physiological and pathological phimosis.
As a rule, physiological phimosis is in most children for up to 2-3 years. Until now, doctors have never come to a common opinion, to what age is considered phimosis physiological, when you need to operate the child and T.D. At the same time, it should also be borne in mind that physiological phimosis has all the same complications as phimosis pathological.
The question of the feasibility of the operation and its timing when «Children's phishima» solved individually, in each case. Most often, the phimosis in children passes independently, the head opens and problems with extreme flesh does not occur. Now most professionals believe that by 6-7 years, the head of the penis must be opened freely, and if this does not happen, the operation is necessary.
As for phimosis in adult men, he can persist since childhood, and may develop over time during puberty. This period is distinguished by the rapid growth and development of genital organs. Sometimes there may be a discrepancy between the development of the penis and the extreme flesh when the flesh is less than the head, its hole is already, and open the head is hard or impossible. Most often, it is phyms 1-2 degrees, but the phimosis has survived since childhood there are no less than 3 degrees.
Fimosis in adults
In adolescents, young men and adult men, phimosis is steadily progressing, this is due to the appearance of erections, masturbation and sexual life. When erection, the head of the penis increases, and the extreme flesh is tightly stretched. At the same time, there are cracks and microcracks of a small size on the extreme flesh, they do not bleed and no concern cause. But when healing in their place, a scar or micro-boron is formed. The scar tissue is less elastic than normal fabric of the foreskin, so with the advent of each new scar, the extreme flesh is narrowed more and more, the disease progresses. This process is especially pronounced during sexual intercourse, the ruptures of the extreme flesh can be significant and accompanied by abundant bleeding.
The reasons for the development of phimosis
For reasons, phimosis includes:
- The injury of the penis, as a result of which the formation of scar tissue is possible, leading to the narrowing of the extreme flesh (the so-called, scar phimos);
- inflammation of the extreme flesh of the penis (Balanopostitis), also leading to scar modes and phimosis;
- Genetic predisposition to the formation of phimosis as a result of insufficiency of connective tissue in the body, in particular its elastic component.
Degree of phyhoshosis
It is customary to allocate 4 degrees of phimosis.
At first degree It is possible to remove the head only in a calm state, with erection, the exposure of the head of the penis is difficult, sometimes painful.
At second degree Difficulties arise when removing the head in a calm state, when erection, the head does not open.
Third degree manifests that the head of the penis or does not open at all at all, or is opened only in a calm state, and it is not completely.
With fimose Fourth degree The head of the penis is not exposed, urination becomes extremely difficult - urine is distinguished dropwise or thin.
Basic manifestation with phimosis 1-2 degrees - pain sensations arising from erection when the extreme flesh begins to stretch on the head of the penis.
With a significant, 3-4 degrees of phimosis, pain during the erection, as a rule, are missing, which is associated with the small size of the pre-school ring and the impossibility of exposing the head.
A pronounced phimosis leads to stagnation of SMEGS - the residential shape of the ultra-flesh gland, which is a good nutritional medium for a variety of bacteria. All this, ultimately, can lead to the development of the inflammatory process. By the way, the hygienic problems with the accumulation of the Smegma can occur under extreme flesh and with a non-discovered phymsode.
With phimosis 4 degrees there is a maximum narrowing of the extreme flesh and the formation of obstacles to urine outflows. Inflating the extreme flesh in the form of a bag and the selection of urine drops is only an external manifestation of the narrowing. At this stage of phimosis, serious disorders arise in the mechanism of urine outflow from the bladder, which leads to the development of infectious complications in the urethra.
Complications of phyology
Not cured phimosis can lead to different complications, such as: Parafimos - Grinding the head of the penis by the narrowed farm. Usually, paraphomosis occurs when you try to expose the head or when sexual interchange. As a rule, the infringement occurs during phimosis 2-3, when it is possible to remove the head (it should be noted that at 4 degrees of the narrowing paraphomosis does not occur), but for this it is necessary to make certain efforts. The infringement leads to a petition head edema that its reverse order is impossible. The head shines, when touching it there is a sharp pain. Paraphomosis is an emergency state that requires urgent intervention. Sometimes there is a fairly simple manual head right. With a strongly pronounced edema, the right in most cases is impossible, and then a person requires an operation on the longitudinal dissection of an extreme flesh or on excision of its sheets.
Inflammatory complications when phimosis - the phenomenon is often. Due to the impossibility of carrying out the necessary hygienic care in a pre-bag, Schegma accumulates in which bacteria multiplies. In most cases, this leads to development Balanopostita (inflammation of the head and foremost flesh of the penis). At the same time, pain appear, redness, itching in the field of penis head. Diagnosis «Balanopostit» put on the basis of patient complaints and full-time inspection. In some cases, the inflammation of the urethra - urethritis, which is manifested by pain and researchers, as well as frequent urges associated with irritation of nervous endings of urethra. Treatment is usually reduced to the use of local antiseptics or booster. However, in the presence of Fimosis, urethritis can recur.
Phyms 3-4 degrees increment of extreme flesh to the head of the penis, Although this complication may occur at a less significant narrowing. Close long-term contact of the head and an internal leaflet of the extreme flesh leads to the epithelial gluing of contacting surfaces and the formation of battles (synech). The longer there are such combat, the broader site becomes more widely and the connection between the head and extreme flesh becomes stronger. In this case, surgical treatment is carried out.
Treatment phyology
The most effective treatment of phimosis - circumcision (Circumcia). With this operation, the extreme flesh is removed in whole or in part, as a result of which the problems of the penis of the penis no longer arise.
The technique of cutting operation is relatively simple, therefore the risk of early postoperative complications is reduced to virtually zero. As for the further postoperative location, the patient (optional) can either stay for a day in the hospital, or the operation can be carried out in the outpatient basis - in the morning it comes to the operation, and in the evening goes home. As a rule, after 2 weeks, a man can live a full life.
