phimosis in childrenAll parents want only the best for their children.The best clothes, the best toys, the best food, the best care - any mother strives to give her baby all this. However, very often, pursuing the highest goals, adults make unforgivable mistakes in relation to their babies. Moreover, the most common mistake is the widespread opinion of parents that a child is an exact copy of an adult, just a greatly reduced size. And the cause of such mistakes is often phimosis in children. And it is this misconception that entails the emergence of standard errors in caring for a baby. This problem is especially acute for those happy mothers who gave birth to boys. Women have a very clear idea of ​​​​what a man's penis should look like. However, only a few of them have a clear idea of ​​​​the appearance of the penis of a small child. And its appearance is radically different from the appearance of a man's penis, which cannot but frighten a young and still inexperienced mother. Doctors at children's clinics have long ceased to be surprised by mothers who, on the very first day after being discharged from the maternity hospital, run to them with a completely distraught look and, in panic, complain that their baby has a violation of the normal structure of the penis. Doctors with a kind smile on their faces calm the woman down and send her home to calm down and come to her senses. In order for our esteemed readers not to get into such a comical situation, they should be prepared for the fact that the child's penis does not look like that of an adult man, and there is absolutely no need to be afraid of this. The fact that the penis of a little boy is underdeveloped is completely normal and natural. After all, no parent would think of being surprised and worried about the fact that their baby has a tiny foot, for which size 43 sneakers would clearly be too big? The same applies to the penis - as the boy grows, his penis will also grow and change shape. The only problem concerning the penis that many young mothers really have to deal with quite often is the so-called phimosis. This condition does not pose any threat to the baby's life or general health (with rare exceptions), so there is no need to call an ambulance or take the baby to the hospital immediately, regardless of the time of day. Treatment of phimosis is not an indication for emergency hospitalization of the child. The mother should not panic. Just in case you have any doubts, make an appointment with a pediatrician, who will examine the baby and tell the mother about everything that interests her.

What is phimosis?

So, what is this phenomenon?like childhood phimosis? Doctors call phimosis a narrowing of the foreskin, in which it becomes extremely difficult or impossible to expose the head of the penis. Phimosis of the penis can have different origins:

  • Congenital phimosis.

This form of the disease occurs as a resultfeatures of the intrauterine development of the baby. It occurs quite often - approximately in two newborns out of ten boys. Congenital phimosis accounts for approximately 70% of all cases of phimosis.

  • Acquired phimosis.

In this form of the disease, the cause isThe cause of its occurrence is a trauma to the penis or, which is much more common, acute inflammatory processes in which the foreskin is involved. Also sometimes there is cicatricial phimosis in children, which also belongs to the group of acquired diseases.

Congenital phimosis

As mentioned earlier, in most casescongenital phimosis is the most common. That is why we will tell you about it in more detail. By the way, a weak narrowing of the foreskin is common to all boys without exception until about the age of three. But not in all cases do doctors diagnose the baby with phimosis and consider it a pathological process. Around the end of the third year, those loose adhesions that are between the foreskin and the head of the penis are destroyed on their own, without any external intervention. Due to this, the ring of the foreskin expands to normal sizes and, accordingly, the head of the penis begins to be exposed without any difficulties. In the same case, if the baby really has phimosis, and not an age-related physiological feature, doctors will also determine the type of disease:

  • Atrophic form of phimosis.

In this form of the disease, the skin of the foreskin has a very thin structure, it very tightly covers the head of the penis. And it is simply impossible to expose it.

  • Hypertrophic form of phimosis.

In the event that the child has foreskin skinelongated and hypertrophied (despite the fact that there is a lot of skin, the ring is still too narrow and does not allow the head to be exposed), doctors talk about the hypertrophic form of the disease.

The main mistakes of parents

Since phimosis is quitea common disease, there are probably several "seasoned" mothers on every playground who are willing to share their experience with inexperienced mothers on how to treat phimosis in children. The most favorite advice that mothers pass on from mouth to mouth is the recommendation to stretch the skin of the foreskin after each bath of the baby. However, you should never do this on your own, without consultation and permission from the attending physician - surgeon. You should not rely on other people's advice and other people's experience. Firstly, you do not know what consequences this turned out to be for that baby, and secondly, all cases of phimosis are extremely individual. What brought relief to one child can cause irreparable harm to another. And what is necessary for your baby should be decided only by the doctor, and no one else. By the way, if we are talking about stretching the skin of the foreskin, we cannot help but mention that most pediatricians around the world have an extremely negative attitude towards such a practice. Such actions very often lead to injury of extremely delicate and sensitive flesh. As a result, various inflammatory processes often develop, scars are formed. And as a result, the situation only worsens - harmless physiological phimosis, which with a very high degree of probability would have passed without a trace without any outside intervention, develops into a pathological form, to eliminate which doctors have to resort to surgical intervention. Self-medication is also extremely fraught with the occurrence of a rather serious complication that jeopardizes the health of the baby - parophimosis. Paraphimosis is an acute, pronounced swelling of the head of the penis, which develops as a result of the fact that the head is pinched by the foreskin and causes a disruption in the blood supply to the tissues of the penis. In the event that the child is not provided with immediate medical care from surgeons, the consequences of this complication will be irreversible. In addition, such a condition is accompanied by severe pain - the child may even go into pain shock.

Watching the baby

As mentioned above, the manifestations of phimosisare individual and depend on the physiological characteristics of each specific child. And if one child's physiological phimosis disappears on its own and without any problems, then another boy may need to receive qualified medical care as soon as possible. And it is the mother who needs to carefully monitor the condition of her child, and at the first alarming symptoms, contact a pediatric surgeon. So, contact a doctor if you notice the following signs of phimosis in children:

  • Difficulty urinating.

Constantly observe how the act is happeningurination in your son. If the baby shows signs of anxiety during urination - kicks his legs, cries, and urine is released in a thin stream, unevenly, in small portions, you can suspect excessive narrowing of the foreskin. If you notice the above signs in your child, show the baby to your local doctor - a pediatrician or pediatric surgeon as soon as possible. The doctor will examine the baby and decide what to do next.

  • Foreskin.

Also, mothers of little boys should regularlycarefully monitor the condition of the child's foreskin. The appearance of redness or swelling always indicates an inflammatory process of the foreskin. The child may be very anxious during urination, since painful sensations during urination are typical for the inflammatory process. Having noticed the above symptoms, parents should seek medical help as soon as possible. Otherwise, if treatment is not started immediately, the inflammatory process will most likely spread to the urethra and bladder. If the baby can already talk, he himself can complain of pain and discomfort. But parents of babies can only rely on their observation. So, for example, if the child keeps his hands in his panties almost all the time and this is not typical behavior for him, this may well serve as a symptom of the presence of an inflammatory process.

Intimate hygiene

By the way, talking about the reasonsthe occurrence of phimosis, it is impossible not to mention that another very common factor that provokes the development of phimosis is the violation of personal hygiene rules. Many people, even the most responsible ones, due to ignorance believe that the genitals of boys do not require such careful care as is required for girls. As a result, all hygiene procedures associated with the care of the baby's genitals are reduced to only changing the diaper and general bathing of the child. However, of course, such care is not enough. And, in fact, it cannot be called care. Pediatricians strongly advise paying as much attention to the personal hygiene of boys as possible. The child must be thoroughly washed during each diaper change, or at least wiped with special wet baby wipes. In the event that the baby has pooped, the genitals must also be washed, preferably with soap. Pay attention to such a seemingly simple moment as wiping the child. In no case should you rub the boy's genitals with a towel, as there is a very high risk of injury to the delicate skin. It is enough to simply blot the skin several times with a dry and clean towel. Such a measure can also help prevent phimosis in children under one year old.

Tranquility for the sake of

It often happens that phimosis does not cause any discomfort.absolutely no problems: the child urinates correctly, there are no signs of inflammation of the foreskin and certainly no painful sensations. However, the mother still cannot find a place for herself, worrying about her precious baby. In such a case, for her own peace of mind, you can recommend that the mother consult a doctor - a pediatrician or a pediatric surgeon. Doctors will definitely examine your baby, tell you about the features of his current condition and give all the necessary recommendations regarding the care of the baby and further actions.

Summing up

Finishing a conversation on such a delicate topic,as a narrowing of the foreskin, I would like to once again summarize, collect together and organize all the information that may be useful for those young mothers who are raising sons, albeit still very tiny, but still men.

  • Approximately up to three years, almost all boys have a physiological narrowing of the foreskin - phimosis physiological in children is perfectly normal.
  • In no case can not engage in any kind ofwas self-medication - otherwise, after listening to various "good" advice, the child's mother risks only worsen the condition of the crumbs. Treatment of children's phimosis is purely medical prerogative. Do not trust the most valuable, that only can be - children's health, to non-professionals.
  • In the event that you notice redness orswelling of the foreskin, pain, you need to immediately seek medical help. If medical care is not provided in a timely manner, the risk of developing serious complications is too great.
  • Treatment of phimosis in children is a well-established scheme and does not represent a particular complication.

As you have already seen for yourself, with the right andregular care of the boy does not cause any special problems. And if they suddenly appear, they can be eliminated in the shortest possible time and without much effort. Therefore, as a rule, there are no special reasons for parents to worry. Our team sincerely wishes the little men good health. Let your little ones bring you only joyful troubles. We recommend reading:

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