Phimosis SURGERY WITH SIMULTANEOUS PLASTY OF THE PENIC FRENUS
The foreskin is a loose fold of skin covering the glans of the male penis. Its task is to protect the sensitive part of the body from mechanical injuries and other harmful external factors (e.g. cold). Sometimes the opening at the end of the foreskin is too small to pull the skin beyond the glans. In such cases, we are dealing with an anatomical defect known professionally as phimosis. Some men are born with this problem or acquire it during puberty.
What is phimosis?
Phimosis is a troublesome, often painful urological abnormality (congenital or acquired) associated with great physical and psychological discomfort, which consists of a significant narrowing of the foreskin, leading to difficulty in sliding it off the glans.
The main causes of secondary phimosis in adult men include: improper hygiene of the male genitalia, inflammation, diabetic complications, injuries and infections, leading to scarring of the foreskin structures.
How to treat phimosis?
Phimosis can be medically removed in several ways. One of them is plastic surgery of the foreskin, i.e. surgical enlargement of the opening in it. Plastic surgery of this part of the body is also indicated in the situation of paraphimosis, i.e. spontaneous retraction of the foreskin beyond the glans with simultaneous swelling of the upper part of the penis. Paraphimosis is usually a complication of phimosis.
Plastic surgery of the foreskin is a surgical procedure that involves correcting the shape or size of the foreskin of the penis. This procedure is recommended when the foreskin causes discomfort, pain or affects the patient's hygiene and sexual health. The procedure is tailored to individual needs and may include both the removal of excess skin (circumcision) and modification of the foreskin to facilitate its exposure.
Why does phimosis need to be treated?
Untreated phimosis can be a reason for unsatisfactory sexual intercourse due to pain, and in extreme cases - a reason for complete withdrawal from sexual activity. In addition, phimosis can cause dangerous infections in a man and his partner.
What does the procedure look like?
Each procedure is preceded by a medical consultation, during which the doctor makes the final decision to carry out the procedure and provides the patient with detailed information on the course of the operation and pre- and post-operative indications.
Foreskin plastic surgery is usually performed under local anesthesia. The procedure takes 30 to 60 minutes, depending on the extent of correction. Phimosis surgery involves plastic surgery of the foreskin or its complete excision during a surgical procedure, which is performed under local or general anesthesia. During this procedure, the surgeon either widens the foreskin (by making a longitudinal incision on the dorsal surface of the penis and sewing a skin fold in a transverse plane) so that the man can freely slide it off the glans, or performs a full circumcision, which is the complete removal of the foreskin.
Recovery after the procedure is usually short, and patients can return to most daily activities within a few days. Full healing and the final effect of the procedure are visible after a few weeks.
Recovery process
Recovery after phimosis correction is usually quick and easy. A protective dressing is applied after the procedure. It is very important to maintain proper hygiene of the wound and the operated area, because the appearance of infection can significantly slow down healing. It is also important to avoid any possible mechanical damage, which means avoiding intense physical exertion. You should also maintain complete sexual abstinence for at least 4 weeks after the procedure. This is crucial, because earlier, despite the apparent healing of the wound, the scar is not yet strong enough, which may result in the wound being renewed during intercourse.
Contraindications:
- active infections,
- respiratory and circulatory failure,
- serious liver diseases,
- kidney failure,
- systemic diseases,
- blood clotting disorders,
- autoimmune diseases,
- neoplastic diseases,
- radiotherapy and chemotherapy,
- epilepsy and other neurological diseases,
- ongoing antibiotic treatment