What should you pay attention to when treating foreskin?

When treating paraphimosis, attention should be paid to preoperative assessment, local cleaning, postoperative care, observation of complications, and psychological counseling.

1. Preoperative evaluation

For circumcision surgery, it is necessary to determine whether there is local inflammation, coagulation disorder, or systemic disease before surgery. Patients need to complete basic examinations such as blood routine and coagulation function. The doctor will evaluate the degree of foreskin adhesion and penis development. Some patients need to control the infection first during the acute stage of inflammation and use local anti-inflammatory treatment with erythromycin ointment or mupirocin ointment before surgery.

2. Local cleaning

The perineum should be cleaned with warm water every day for 3 days before surgery, and rinsed with dilute iodophor solution if necessary. The dressing needs to be kept dry for 24 hours after surgery, and the incision can be gently cleaned with saline every day. Avoid using harsh bath products, dry immediately after cleaning and change to breathable cotton underwear.

3. Postoperative care

Avoid strenuous exercise or straddling movements for 1 week after surgery, and wear loose clothing to reduce friction. Use compound polymyxin B ointment to prevent infection as directed by your doctor. If the pain is severe, you can take ibuprofen sustained-release capsules orally. Most of the incision sutures are absorbable sutures, which usually begin to fall off after 2 weeks. During this period, manual tearing of the scab is prohibited.

4. Observation of complications

Be wary of postoperative bleeding, hematoma formation, or incision infection, which may manifest as persistent bleeding, local redness, swelling, heat, pain, or fever. Foreskin frenulum edema usually resolves on its own in 3-5 days. If abnormalities such as difficulty in urinating or glans cyanosis occur, seek medical attention immediately. Diabetic patients especially need to monitor their blood sugar to prevent delayed healing.

5. Psychological counseling

Teenage patients are prone to feelings of shame or anxiety, and parents should explain the necessity of surgery and eliminate concerns about genital development. Adult patients may experience erection pain in the short term after surgery, and they need to be informed in advance that this is a temporary phenomenon. The support of a partner can help relieve post-operative psychological stress.

After circumcision, you should maintain a light diet and avoid spicy and irritating foods that may affect wound healing. Keep the daily water intake above 1500 ml to prevent concentrated urine from irritating the incision. Sexual intercourse is prohibited within 1 month after surgery. During the recovery period, levator exercises can be performed to promote local blood circulation. Regular outpatient review is required to ensure the healing status. If scar hyperplasia is found to be obvious, silicone gel can be applied locally to improve the condition. Pay attention to observe whether urination is smooth within half a year after surgery. A few patients may develop urethral meatus stricture and require timely intervention.