How to deal with excessive foreskin

Excessive foreskin can be treated through conservative observation, manual stretching, topical drugs, circumcision, laser treatment, etc.

1. Conservative observation

Physiological phimosis in infants and young children and mild pseudoparaphimosis before puberty can be left untreated for the time being. Keep the perineum clean every day, wash away smegma with warm water every day, and avoid using irritating lotions. If urination is unobstructed and there are no recurring infections, regular follow-up visits can be made until pubertal development is completed. Forced washing at this stage may cause incarceration or damage to the foreskin.

2. Stretching techniques

Suitable for children and adults with mild foreskin stenosis. When bathing, gently push the foreskin back to gradually increase the exposed area of ​​the glans, and then reset after a few seconds each time. Use Vaseline ointment to assist lubrication and repeat daily. Persistence can gradually relax the foreskin, but it is necessary to avoid violent operations that may cause lacerations. This method is prohibited when combined with inflammation.

3. External use drugs

Corticosteroid ointments such as mometasone furoate cream can reduce foreskin fibrosis and improve elasticity； Ketoconazole cream can be used for combined fungal infections. The drug needs to be evenly applied to the inner plate of the foreskin and the coronal sulcus, and should be used continuously for no more than two weeks. Pregnant women and people with damaged skin should use it with caution. During use, you must monitor whether there are any adverse reactions such as skin atrophy.

4. Circumcision

In traditional surgery, the excessively long inner and outer foreskin plates are removed and sutured with absorbable sutures. Pressure dressing is required for 72 hours after surgery, and cefaclor dispersible tablets are taken orally to prevent infection. It is suitable for those with recurrent balanitis, foreskin incarceration or those who have affected sexual function. Coagulation disorders need to be checked before surgery, and complications such as bleeding and hematoma may occur after surgery.

5. Laser treatment

Carbon dioxide laser accurately vaporizes excess foreskin tissue, which has the advantages of less bleeding and quick recovery. Use epidermal growth factor gel to promote wound healing. Apply ice to reduce edema within 24 hours after surgery, and avoid strenuous exercise for 2 weeks. People with scarring constitution may experience incision hyperplasia after surgery and require regular follow-up evaluation.

You should choose loose-fitting cotton underwear to reduce friction and avoid using alkaline soap for cleaning. During the postoperative recovery period, use iodophor to disinfect the incision every day. If there is persistent pain, exudation or fever, you need to seek medical attention in time. People with underlying diseases such as diabetes need to control their blood sugar before undergoing surgery. No matter what treatment method is adopted, it must be carried out under the guidance of a professional physician.