All parents wish their babies only the best. The best clothes, the best toys, the best food, the best care - all this is to try to give her any mom a crumb. However, very often, pursuing the highest goals, adults admit unforgivable mistakes in relation to their babies. And the most common mistake is the widespread opinion of parents that the child is an exact copy of an adult, just a greatly reduced size. And the reason for such errors often becomes phimosis in children. And it is this misconception that leads to the occurrence of standard mistakes in the care of the baby. This problem is especially acute for those happy mothers who gave birth to boys. Women have a very clear idea of how a man's penis should look. However, only a few of them have a clear idea of the appearance of the penis in a small child. And his appearance is radically different from the appearance of the penis in a man, which can not but frighten a young and not yet experienced mother. Doctors of children's polyclinics have long ceased to be surprised by moms, who on the very first day after discharge from the maternity hospital resort to them with a completely disreputable appearance and in panic fear complain that their crumbs are a violation of the normal structure of the penis. Doctors with a kind smile on their face calm the woman and send her home, calm down and come to her senses. In order that our dear readers do not fall into such a comic situation, they should be prepared for the fact that the penis of the child does not look like an adult male, and it is not necessary to be frightened of this. The fact that the penis of a young boy is underdeveloped is completely normal and natural. After all, none of the parents would not come to mind to be surprised and worried about the fact that their crumb has a tiny leg, on which sneakers 43 sizes will clearly be too big? The same applies to the penis - as the boy grows, his penis will also grow and change. The only problem concerning the penis, which many young mothers really have to face is not so rare - this is the so-called phimosis. This condition poses no threat to the life of the baby and his overall health (with rare exceptions), so there is no need to call an ambulance or take the crumb to the hospital immediately, without looking at the time of the day. Treatment of phimosis does not apply to indications for emergency hospitalization of a child. Mom should not panic. Just in case you have any doubts, write the child to see a doctor - a pediatrician who will look at the crumb and tell her about everything that interests her.
What is phimosis?
So, what is such a phenomenon,as children's phimosis? Doctors call phimosis the narrowing of the foreskin, in which it is extremely difficult to expose the head of the penis, or it is impossible in principle. Phimosis of the penis can have a different origin:
- Congenital phimosis.
This form of the disease occurs as a result offeatures of intrauterine development of the baby. It occurs quite often - about two newborns out of ten boys. Congenital phimosis accounts for approximately 70% of all cases of phimosis.
- Acquired phimosis.
With this form of the disease, its causeoccurrence is a trauma of 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 disease.
As mentioned earlier, in most casesit is congenital phimosis. That's why we'll tell you about it in more detail. By the way, narrowing of the prepuce in a weakly expressed form is inherent in all boys without exception until about three years of age. But not in all cases, doctors put a diagnosis of "phimosis" in the crumb and treat it as a pathological process. By the end of the third year, those loose spikes that are between the foreskin and the head of the penis are destroyed on their own, without any outside interference. Due to this the ring of the prepuce expands to normal sizes and, accordingly, the head of the penis begins to be denuded without any difficulties. In the same case, if the crumb is really phimosis, and not the age physiological feature, the doctors will also establish the type of disease:
- Atrophic form of phimosis.
With this form of the disease, the skin of the prepuce has a very fine structure, it covers the glans penis very tightly. And to denude it with this simply does not work.
- Hypertrophic form of phimosis.
In the event that the child has a skin of the foreskinelongated and hypertrophied (despite the fact that the skin is very much, the ring is still too narrow and does not allow to strip the head), doctors talk about the hypertrophic form of the course of the disease.
The main mistakes of parents
Since phimosis is sufficienta common disease, for sure on each playground there will be several "experienced" moms who willingly share their experience with yet inexperienced moms, how to treat phimosis in children. The most favorite advice that word of mouth is passed on by moms is the recommendation to stretch the skin of the foreskin after every bath of crumbs. However, do it yourself, without consulting and permission from the treating doctor - the surgeon is by no means impossible. Do not rely on other people's advice and experience. Firstly, you do not know what consequences this turned out for that baby, and secondly, all cases of phimosis are extremely individual. What has brought relief to one child, another can cause irreparable harm. And what is necessary for your baby, should be decided only by the doctor, and no one else. By the way, if we talk about stretching the skin of the foreskin, we can not fail to mention that the majority of pediatricians in the world are extremely negative about this practice. Such actions very often lead to the trauma of extremely delicate and sensitive flesh. As a consequence, various inflammatory processes often develop, scars are formed. And as a result, the situation is only aggravated - an innocuous physiologic phimosis, which with a very high probability would have passed without a trace without any outside intervention, grows into a pathological form, for the elimination of which physicians have to resort to surgical intervention. Self-medication is also very fraught with the emergence of a serious enough complication, which puts the crumbs health - paraphimosis - under attack. Paraphimosis is a sharp, pronounced edema of the glans penis, which develops as a result of the head being infringed by the foreskin and causing a violation of blood supply to the tissues of the penis. In the event that the child will not receive immediate medical assistance from surgeons, the consequences of this complication will be irreversible. In addition, this condition is accompanied by severe pain - a child can even fall into a painful shock.
Watching the baby
As mentioned above, manifestations of phimosisare individual and depend on the physiological characteristics of each particular baby. And if one kid physiological phimosis disappears on its own and without any problems, another boy may need to get qualified medical help as soon as possible. And it is mother who needs to carefully monitor the condition of her child, and at the first alarming symptoms, contact a pediatric surgeon. So, consult a doctor if you notice the following signs of phimosis in children:
- Difficulty urinating.
Keep an eye on how the act takes placeurinating with your son. In the event that the baby shows signs of anxiety during urination - he knits with legs, cries, and urine is secreted in a thin stream, unevenly, in small portions, it is possible to suspect an excessive narrowing of the prepuce. If you notice the above signs from your child, show the crumb to the district doctor as soon as possible - a pediatrician or a pediatric surgeon. The doctor will examine the crumbs and decide how to proceed.
Also mothers of small boys should regularlyclosely monitor the condition of the child's foreskin. The appearance of redness or swelling always indicates an inflammatory process of the prepuce. The child thus can very much worry during an emiction, as for an inflammatory process typical painful sensations at an emiction. Having noticed the above symptoms, parents should seek medical help as soon as possible. Otherwise, if the treatment is not started immediately, the inflammatory process will likely spread to the urethra and bladder. In the event that the crumb already knows how to talk, he himself can complain of pain and malaise. But the parents of crumbs can only rely on their own observation. So, for example, if a child almost always keeps pens in panties and for him this is not typical behavior, it may well serve as a symptom of the presence of an inflammatory process.
Speaking of causes, by the waythe emergence of phimosis, one can not help saying that another very frequent factor provoking the development of phimosis is a violation of personal hygiene rules. Very many, even the most responsible, because of ignorance, believe that the sexual organs of boys do not need as careful care as is required for girls. As a result, all hygienic procedures associated with caring for the baby's genitals are reduced to replacing the diaper and bathing the child. However, of course, such care is not enough. And, strictly speaking, he can not be called his departure. Doctors - pediatricians are strongly advised to pay attention to the personal hygiene of boys. The child must be carefully washed during each change of the diaper, or at least wipe it with special moist baby napkins. In the event that the baby pokakal, the genitals also need to be washed, and preferably using soap. Pay attention to this seemingly simple point, like wiping a child. In no case can you rub the boy's genitals with a towel, since the risk of traumatizing the delicate skin is very high. It is enough to just wet the skin several times with a dry and clean towel. Such a measure can also help prevent phimosis in children up to a year.
Tranquility for the sake of
It often happens that phimosis does not deliverabsolutely no problem: the child has the correct urination, there is not the slightest sign of inflammation of the foreskin, and even more so no painful sensations. However, my mother still can not find a place, worrying for her precious crumbs. In this case, for your own peace of mind, you can recommend your mother to seek advice from a pediatrician or a pediatric surgeon. Doctors will surely examine your crumbs, tell you about the peculiarities of his current condition and give all the necessary recommendations concerning caring for the baby and further actions.
Concluding the conversation on such a delicate topic asnarrowing of the foreskin, I would like to once again sum up, gather together and organize all the information that can be useful for those young mothers who have sons growing up, even though they are 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 for 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 difficulty. Therefore, as a rule, there are no special occasions for the excitement of parents. Our team sincerely wishes the young men good health. Let your kids bring you only joyous chores. We advise you to read: