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Phimosis is a very common pathology in newborn children.
Although in most cases corrects naturally During the development of the child before the age of 3, there is a small percentage of cases in which medical intervention is required.
On the other hand, it is not the same phimosis than paraphimosis. We tell you the differences between these two pathologies
Phimosis is a problem that occurs in some boys caused by tightness of the foreskin (skin that covers the penis) and that can cause discomfort or pain by not being able to discover the glans (upper part of the penis).
This is quite normal in a newborn child, but over time the skin that adheres to the tip the penis should retract. In 90% of 3-year-olds this happens, but sometimes the foreskin is not slipped in a flaccid state, and it is necessary to see a doctor, although the problem may not influence the normal life of the child.
Phimosis has consequences on the correct hygiene of the penis causing infections, and it can be an inconvenience when having sexual relations in the future.
A common belief is that we must pull back the skin of the baby's foreskin to avoid this problem, however, we must be careful, since although this can help if it is done carefully and gently and over time, it has a rebound effect, that is, doing it too early or too roughly can cause phimosis. The reason is that the wound that we can cause in the foreskin to the child can have as a consequence a fibrous scar causing more adherence to the foreskin.
On the other hand, the paraphimosis is a worsening of phimosis, since it supposes the estrangulation of the foreskin once the glans is discovered. This can cause a necrosis of the penis as the blood supply does not reach and, therefore, if we see that the glans is congested we must go urgently to the doctor, who will try to free the penis manually, and if this cannot be done, perform emergency surgery.
How to know if the child has phimosis?
1- Due to a bulging of the foreskin when the child goes to urinate.
2- Impossibility of fully retracting the foreskin at 3 years of age.
How to know if the child has paraphimosis?
- The tip of the penis or glans blacken when we pull the foreskin back.
- Exists pain.
- The foreskin cannot cover the entire penis.
- Strangle the penis behind the glans.
How can we avoid phimosis?
There are different treatments depending on the case. The most common is to do progressive and daily stretching of the foreskin, although the use of corticosteroid creams or surgical intervention is also common.
You can read more articles similar to What are the differences between phimosis and paraphimosis, in the category of Childhood Illnesses on site.