Doesn't the boy's skin roll out? Said urgently needed surgery? Do not rush, read.

The reasons for the non-rolling of the skin on the penis are at least several:

1. Adhesions of the foreskin (fusion of the mucous foreskin from the mucous membrane of the penis).

2. Physiological phimosis (natural, which passes without surgery).

3. Cicatricial phimosis (an extremely rare phenomenon that occurs after prolonged purulent inflammatory processes on the skin of the penis).

4. Shortened bridle of the penis (analog of virtue in boys, which is often torn after the first sexual intercourse, rarely needs treatment, sometimes elastic, does not require anything).

Medical tactics (we discuss only the global, "non-commercial" approach):

1. Foreskin adhesions:

- up to 3 years do not require any intervention, due to difficult care due to the young age of the child, as well as due to the fact that up to 3 years in the vast majority of children adhesions separate on their own as all body systems mature. Exceptions are rare cases when a large amount of smegma accumulates under the skin of the foreskin (white cheese discharge from the urethra, a complete analogue of white in girls. Looks like a white ball under the skin of the foreskin). Due to the high risk of smegma inflammation, in the absence of phimosis, it makes sense to separate the adhesions and remove smegma up to 3 years.

- From 3 to 5-7 years, the adhesions must be removed, because from 6-7 years "consciousness wakes up" and any manipulations and operations cause psychological trauma to immature children's consciousness, and the adhesions which are not disconnected till age 11-12 years, threaten that at the first youth masturbation the central brain fixation of the managing center in a brain accompanied by pain from rupture. and psychological problems for life.

2. Physiological phimosis (sometimes called hypertrophic):

- As a rule, the skin of the foreskin up to 3 years has the form of "corrugations", in which the folds are glued with "embryonic glue" (fibrin), due to which the hole in the skin is narrowed. As these glues are resorbed, in most children under 3-5 years of age, the hole in the skin of the foreskin "sticks", the corrugated folds of the skin straighten and phimosis passes by itself.

- In some cases, when this process is slow, we use exercises for the skin of the foreskin, which is 97.9% effective for up to 7 years. Although we managed to recover from the older children, the recovery rate was slightly lower.

- in extremely rare cases in children with physiological (hypertrophic) phimosis, when it is impossible to do exercises (neurological problems, problems of upbringing), Roser's operation is performed (dissection of a narrowed ring in the skin and suturing of the wound transversely).

3. Cicatricial phimosis:

- 1-2 times a year in the operating room children get cicatricial phimosis. It is easy to determine. If a child has suffered purulent balanoposthitis or by the age of 3 he had his foreskin stretched with the help of tools, and this was accompanied by skin tears, then at the age of 3 it is enough to touch the foreskin so that there is no doubt. Under your fingers you will have cartilage! to the touch a scar in the thickness of the skin, resembling a small bagel. When you try to stretch the skin on the head, this white bagel will rest on the head and will not stretch the skin, and the head will come out.

Treatment - excision of the scar in the operating room.

4. Shortened bridle of the penis:

- You rolled back the foreskin, pulled it further, and suddenly realized that the head "nods" down. You turn the baby over, and you see that the bridle pulls it from below, which is not much different from the one under the tongue. Do not wait until your child grows up, take action. Why? Because not all boys who have grown up can break it during sexual intercourse. But the torn bridle threatens a scar, which shortens it even more. As a result, during an erection, the penis "bends down with a hook, and during the process there is severe pain and discomfort. heard (in general, today we have not heard anything about 1%, but we leave it for objectivity. Well, there must be at least one who listened.) And family problems in many people after consulting a urologist are not solved.

- why "Do not wait until your child grows up, take action"? In children aged 1 to 7 years, the average healing time of a dissected bridle is approximately 5 days and the operation does not require suturing. Adolescents - 7 - 10 days and 3-4 stitches. At the age of 25 - 14 - 21 days and complete plastic bridle with scar excision. At the age of 36 - the same plastic and 1.5 months of struggle for wound healing. Both the frequency and strength of spontaneous erections and the rate of metabolism (the older we are, the slower the wounds heal).

Now about circumcision...

Let's be honest - the medical indications for circumcision are listed in the previous paragraph. ALL! But there are other views on this process, completely medical in nature.

1 - in some religions, which we treat with deep respect in advance, there are certain laws bequeathed by the founders of these religions. Not subject to purely medical consideration, because is the basis of the spiritual life and unity of people, and is not subject to discussion. In such cases, all talk about the harm of circumcision is frivolous, and the medical aspects of the issue are limited to circumcision without complications and without suffering.

2 - for people who are wondering about circumcision, not having a "big goal", I want to make a reservation. For example, one of the common religions involves circumcision on the 7th birthday, and later than 1 month after birth. After all, this makes global sense. In the first month of birth there is a "postpartum stress", after which the body becomes a separate self-regulating system, and all the changes made during this period are "erased" from the main system. That is. how many nerve endings are left until the end of the first month of life, so much the body takes for 100% of normal and all systems function normally. Now fantasize about what will happen to the system (we are not talking about circumcision in adults when the procedure itself is Victim), if circumcision occurs in adolescence when prepuberty is over, there is a normal "first youthful masturbation", the brain has a focus "process", and it is written that reports 3 million nerve receptors. And after circumcision will report 1 million? What then? Then for a normal sexual life, it is necessary to take somewhere additional nervous impulses. But where? And in the emotional sphere. Where everything was treated by the great Sigmund Freud and God knows what else.

3 - for people who do not ask about circumcision, but want to have a reasoned explanation for why at the 2nd Ecumenical Council in Rome, where the Apostle Paul was invited to find out the reason for "pagan circumcision", after the 3rd day of closed debate adopted: "allow Paul not to circumcise the Gentiles!

And because in addition to purely religious difficulties in converting pagans to Christianity, there were arguments of purely material nature. At the edge of rivers, swamps, and lakes, circumcision threatens the same difficulties as uncircumcision in the desert. The slightest attempt to defecate in a body of water (which occurs spontaneously in children as a reflex to immerse the feet in cold water) can lead to infection of the urethra and complications of the urinary system. And the natural skin valve in the form of the foreskin prevents dirty water from coming into contact with the urethra.

In short, it looks like this - follow the hygiene of the genitals and you will be healthy in the desert and in the swamps.