Pediatrics have adhesive foreskin and glans when they are born, and they are called congenital phimosis.Due to the growth of the penis and erection within 3 to 4 years after birth, the adhesion was gradually absorbed, and the foreskin retracted itself, exposing the glans.For some reason, the foreskin mouth failed to expand and the foreskin failed to shrink, and congenital phimosis continued to exist.The acquired phimosis follows the balanal foreskinitis, and the foreskin mouth forms scar contracture, which makes the glans cannot be exposed.
Other boys, the penis is short from the outside, and the glans cannot be exposed. They are often misdiagnosed as phimosis.In fact, it is a hidden penis.
The hidden penis is a congenital malformation caused by abnormal flesh development under the penis skin.Normal meat membrane is an elastic structure, and the penis can slide deeply and freely under the skin.Patients with hidden peniles have abnormal flesh, and they have become unsecured, thickened fibrous fascia, and some also form cable -shaped objects.These abnormal fascia and cables are mostly located at the proximal and base of the penis. In severe cases, they can grow to the distal side to the coronary groove, pull the penis to the proximal side, and force the penis to be under the union below the pubic bone.
Most of these patients with pubic fatty tissue are too rich, and they are even more deformities, causing the penis to hide in the bloated subcutaneous tissue.It is different from the fat of the pubic bone due to obesity, and the penis is hidden under the skin.After the latter is mature and the fat tissue is reduced, the penis can return to normal state.
If the concealment of the penis is not performed, the penis is not performed, which will affect the development of the penis and cause the children's psychological and physiological disorders.Because the concealment penis is often accompanied by phimensis, if the surgeon does not understand the cause of the disease, and the anatomical mutation is used as a general phimosis performer, the penis can not be returned to the normal anatomical location after surgery, but also loses the loss.Some foreskin, causing short shrinkage of foreskin skin, brings greater difficulties to future treatment.
As long as we have a correct understanding of the hidden penis, pay attention to the difference between it and the phimosis, and choose the appropriate surgical method to make the child's penis reach a normal appearance.
Therefore, when you see a boy with phimosis, you should pay attention to checking the exposure of the penis. If the length of the penis is normal, the foreskin mouth is narrow, the penile mouth cannot be exposed, and it can be diagnosed as a phimosis.If the appearance of the penis is very small, it is found that the penis sponge body is developing normally during examination, but it is hidden in the adipose tissue in the pubic bone. It is used to push the skin around the penis backwards. After pulling the glans, the penis can be revealed.It quickly retracted into the pubic fatty tissue, and the skin covered with the penis was very short.
Men should not put the concealment penis wrongly as a phimosis. As long as we have a correct understanding of the hidden penis, pay attention to the difference between it and the phimosis, and choose the appropriate surgical method to make the child's penis reach a normal appearance.
(Editor in charge: Internship Chen Xu)
