In detail

Paraphimosis in infants / young children

Paraphimosis in infants / young children

Paraphimosis is a condition that appears in the boy and is characterized by blocking the foreskin behind the glans. Most newborns are born with some degree of phimosis. Parafimosis is its most severe complication and is often caused by a forced dislocation in the young child.

From the fimoza the parafimoza

Phimosis is characterized by the impossibility of retracting the foreskin behind the penile gland in uncircumcised boys. In other words, this condition prevents complete withdrawal of the foreskin at the base of the glans in the boy. Almost all male children are born with congenital phimosis, a benign condition that disappears as the child progresses into childhood.

In most young children, phimosis is a physiological and not a pathological one, which poses serious problems. A phimosis is guilty of local problems such as secretion failure, stagnation of urine or possible infection. In the event of a forced descaling, a phimosis can be transformed into a paraphrase (strangulation of the base of the gland through a too narrow preputial ring). Parafimosis is a severe complication of acquired or pathological phimosis.

What are the causes?

Paraphymosis occurs when the male foreskin in uncircumcised or partially circumcised children is trapped behind the glans of the penis. Thus, a venous and lymphatic congestion develops, and relocation is impossible. In infants and young children, paraphimosis appears as a result of self-stimulation (masturbation) or improper retraction of the foreskin when parents try to clean the area. As a result of forced displacement in infants or young children, there is a risk of paraphimosis.

How is paraphimosis manifested?

These are not only signs of paraphimosis, but they are also the basis of complications that can be very serious for the future health of the child.

  • preventing the relocation (the foreskin is immobilized by the swelling in a partial retraction position);
  • swollen and painful glans;
  • urinary discomfort;
  • preventing the urinary jet (dripping and splashing after urination).

What complications can occur?

Blocking of the foreskin results in stopping or diminishing the normal circulation of blood in the gland, which can have serious consequences. Urinary obstruction is one of the most serious. But if the condition is diagnosed late or left untreated, it can also lead to amputation of the penis. This may occur because ulcers of the gland and foreskin appear that can develop into superinfected necrosis.

How is paraphimosis treated?

Parafimosis is considered a urological emergency and it is important to present yourself with the child to the doctor. Initially, you may try to apply cold compresses or ice to the glans to relieve pain and discomfort. In addition, cold compresses can also help reduce edema (swelling) locally. After a few minutes of putting the compresses, apply a lubricating cream and try, gently to restore the foreskin to its normal position.

If you do not succeed, then it is important to go to the pediatrician urgently to avoid complications. The doctor will give the child local or total anesthesia and will try to push and pull the foreskin. If manual traction is impossible, the doctor will incision the foreskin choke ring. It is possible that he may resort to a surgical method called a phimotomy. It is quite rare today, but it is still practiced. Doctors no longer resort to it because it has aesthetic consequences and tends to recur frequently.

It is important to keep in mind that you should not force the child's penis decal for hygienic or aesthetic purposes. This can have serious long-term consequences. If you have any suspicions about the appearance of your little penis, do not try to solve it yourself. Ask your doctor for advice or go to the emergency room!

Tags Baby Bump Children Health