Some common sense about foreskin

　　1. The difference between excessive foreskin and phimosis

　　Phimosis refers to a condition in which the opening of the foreskin is narrow and difficult to turn up. Determining whether it is phimosis or excessive foreskin can be determined through self-examination. Most phimosis is congenital, and some are caused by repeated infections on the basis of the foreskin being too long, resulting in adhesions that cannot be turned up.

　　Yang Honghai pointed out that phimosis is much more harmful to the human body than excessive foreskin. In severe cases of phimosis, the foreskin opening is as narrow as a pinhole, and the foreskin bulges like a ball during urination, causing difficulty in urination. Urine can reflux along the ureter, causing the ureter and renal pelvis to expand, causing upper urinary tract bacterial infection, leading to secondary reflux nephropathy and even renal function damage.
　　2. Foreskin common sense and some of its basic functions

　　Tianjin Yellow River HospitalYang Honghai, the attending physician at the Department of Urology, pointed out that excessive foreskin ismaleIt is very common that the foreskin, as a component of the male external genitalia, has important physiological functions. At present, the functions of the foreskin that are relatively recognized by the medical community are as follows: First, the foreskin covers the glans penis and protects the glans penis. In primitive humans, this function is even more prominent. Because primitive humans have to carry out hunting and other activities, they are often bitten by various mosquitoes in the deep mountains and old forests. Since the head of the penis is a relatively sensitive and easily irritated part, the covering of the foreskin can make it easier for people to complete various activities. Modern humans no longer engage in the primitive activity of hunting, and they all dress appropriately, especially well-made cotton underwear, which increases the protection of the genitals. In addition, some people believe that because the foreskin covers the glans of the penis, it can slow down and share the stimulation of the glans during sex, thereby delaying ejaculationpreventPremature ejaculation. Furthermore, the foreskin plays a lubricating role during sex. The structure of the foreskin is relatively delicate and can slide freely, which is unmatched by any other organ. The inner plate of the foreskin has a secretory function, and the secretions are like lubricants, which can increase the softness and pleasure in sexual life. It is conceivable that without the lubrication function of the foreskin, excessive friction on the penis during sexual life will make both couples feel uncomfortable and affect the quality of sexual life.

　　There is another point that I want to make clear to everyone: simply thinking that excessive foreskin can cause inflammation is not very comprehensive. This involves another function of the foreskin: there are already antibacterial ingredients in the foreskin secretions, among which lysozyme is the clearest one, which plays a role in killing germs. Therefore, when everyone is concerned about the foreskin being too long, they must not ignore the normal physiological functions of the foreskin.

　　3、Child If the foreskin is too long, when is the best time to remove it?

　　Yang Honghai pointed out that generally speaking, circumcision surgery should only be considered after puberty when the patient does not require general anesthesia. But if it's small boyWhen repeated inflammation or even urinary tract infection occurs due to excessive foreskin, surgical treatment should be performed as soon as possible to remove the foreskin. Whether a newborn baby boy should undergo circumcision surgery is controversial and should be carefully considered and not decided hastily. if babyIf you have hypospadias, you should not cut off the foreskin, because the foreskin is needed to repair hypospadias.

　　4. Dangers of too long foreskin

　　Some people think that phimosis and excessive foreskin do not hinder sexual life and fertility, so they are not a genital disease. disease. In fact, this view is unscientific. Because, whether it is phimosis or excessive foreskin, it is harmful to the human body. Yang Honghai pointed out:

　　aHindering the development of the penis. Phimosis will affect the growth and development of the penis. In adolescence, because the glans penis is tightly wrapped by the foreskin, the development of the glans penis is greatly restricted, resulting in a significantly smaller circumference of the crown of the glans penis after the sexual organs have matured, affecting male psychology and physiology. healthy. Especially for men whose foreskin diameter is too small, the foreskin cannot be turned up and restored. The foreskin is tightly stuck in the coronal sulcus, causing incarceration, and emergency surgery is the only option.

　　b causes inflammation of the penis. There are abundant sebaceous glands in the foreskin, which can secrete a large amount of sebum. When phimosis or foreskin is too long, the secretions of the sebaceous glands in the foreskin cannot be discharged, resulting in a large amount of "smegma". Smegma is suitable for bacterial growth, so it can cause inflammation of the glans penis and foreskin. Bacteria passing through the urethra can also cause urinary tract infections. Inflammation that occurs in the urethral meatus can cause urethral meatus stenosis after healing, causing difficulty in urination.

　　c Damage to kidney function Due to inflammation of the penis, it can cause stenosis of the urethra or anterior urethra, causing difficulty in urination. If you have difficulty urinating for a long time, the function of your kidneys will be damaged.

　　d. There is a risk of cancer. Excessive foreskin and phimosis may induce penile cancer. Modern scientific research shows that smegma is a carcinogen. According to surveys, 85%-95% of penile cancer patients have phimosis or excessive foreskin. Phimosis and excessive foreskin not only affect your own health, but also bring smegma into the vagina if you have sex with your wife, causing some gynecological diseases.

　　The most common cause of premature ejaculation during sexual intercourse is when the foreskin normally covers the glans, but the glans is exposed during erection. Because the mucosa of the glans is usually hidden under the foreskin, the mucosa of the glans usually receives less friction and stimulation, making the nerve sensation of the mucosa of the glans too sensitive. During sexual intercourse, the glans is exposed after erection. When the glans and vagina are rubbed and stimulated, premature ejaculation will be triggered due to the delicate and sensitive nerves of the glans mucosa, causing premature ejaculation.

　　Therefore, men with phimosis and excessive foreskin should go to the hospital for surgical treatment as soon as possible. If the foreskin is inflamed and cannot be operated on early, do not apply medicine on your own, and do not believe in any "folk remedies". You should go to a regular hospital in time to be treated by a professional doctor, and do not perform surgery until the inflammation has completely subsided.

　　5. Foreskin surgery

　　Yang Honghai pointed out that excessive foreskin and phimosis are common problems among many men, which seriously affect men's health and must be paid great attention by male citizens. The only way to cure them is circumcision. Circumcision surgery is very simple. It can be completed in more than ten minutes after local anesthesia. It can be performed in the surgical outpatient department of a general hospital without hospitalization. I would like to advise those who have excessive foreskin or phimosis, especially those with chronic foreskin balanitis, not to be afraid to seek medical treatment and to get rid of the root cause of this disease that is harmful to you and your wife as soon as possible.

　　There are many kinds of surgical methods at present, but generally they can be divided into traditional surgical methods, Korean circumcision methods and laser methods. Each of the three methods has advantages and disadvantages, and each has its own indications. The most appropriate method should be used based on the patient's own condition and the doctor's habits.