4 methods to treat foreskin stenosis in children

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Treatment of foreskin stenosis without surgery includes exercises to pull the foreskin at home, combined with the use of topical medications for foreskin stenosis in children. Meanwhile, dilation and circumcision are two forms of surgical intervention performed in a hospital.

1. Methods of treatment of foreskin stenosis

Prioritizing conservative measures that cause less pain is the recommendation of doctors in the treatment of foreskin stenosis. If home remedies do not work, then it is time to proceed to minor surgery or surgery on the baby's foreskin. Currently, there are four commonly used methods of treating pediatric circumcision, including:
Pulling the foreskin Using topical medication to narrow the foreskin in children Circumcision Circumcision In which, 2 measures The first method helps to cure foreskin stenosis without surgery, is conservative and causes little pain. In contrast, the two forms of dilatation and cutting are surgical interventions, which are invasive, cause pain in children and can be accompanied by complications. Let's learn more about the 4 methods of treating foreskin stenosis mentioned above.

2. Pull the foreskin

Most cases of foreskin stenosis can be dilated at home, with the help of the foreskin stretch exercise. But parents have to do it consistently 2-3 times a day for 1 to 2 months. Steps to carry out manual stretching of the foreskin every day are as follows:
Use baby oil, vaseline hand wax, or body lotion as a lubricant. Gently pull the foreskin forward and away from the baby's body a few times Slowly pull back as much as the baby can tolerate and without pain, hold this position for a few minutes. Repeat this movement several times daily. You can let your baby soak in water in combination with doing exercises to make them feel more comfortable.

Method of pulling the foreskin does not cause trauma as well as limit damage to the structure of the foreskin. However, parents need to perform the stretching of the foreskin slowly and gently, gradually increasing the degree of stretch after each exercise, so that the cover will gradually stretch. Applying this method requires perseverance and good coordination between the baby and the parents, especially following the correct technique to avoid complications or scarring later. In the case of regular exercise but after 1 month of not seeing any significant results, this time should consider switching to other methods.

3. Topical medicine to narrow the foreskin in children

In fact, this is still an exercise to stretch the foreskin by hand, but with a combination of steroid ointment. The topical drug for narrowing the foreskin in children to use is Betamethasone 0.05% ointment, the trade name is Diprosone. Ointments containing steroids help promote skin tightening, making the skin thinner, making it easier to stretch. If you stop using the medicine, the skin will still be thick and normal again. Note that applying this drug alone will have little effect, if the method of drug use is to be effective, it must be combined with exercises to stretch the skin. Instructions:
Apply the medicine to the inside and outside of the foreskin If the foreskin is too narrow, leaving only a small opening, gently pull the foreskin up and down a few times or rub it around for a while and then give the medicine. in Carry out manual stretching of the foreskin as instructed in section 2 It is recommended to persist in doing this therapy 2-3 times per day for at least 1 month. In case after 3 months, there are still no signs of improvement, the treatment should be stopped and the child should be taken to a medical facility.

4. Dilation of the foreskin

Circumcision is a form of minor surgery performed by a doctor at a hospital with an instrument. This technique is quite simple, so the implementation time is also very fast, about 3-5 minutes. Most children will have little pain, but if you have a case of too tight foreskin, your doctor may use an additional anesthetic. After the procedure, the child will be prescribed pain relievers, as well as anti-inflammatory drugs and sent home for monitoring. Sometimes parents will see their child bleeding on the foreskin and cry, but there is no need to be too worried because the child can return to normal activities soon after.

5. Circumcision

This surgery includes circumcision, enlargement of the foreskin, and narrow circumcision. The doctor will inject anesthetic around the male genitals before performing the cutting operation. After circumcision, the skin may be slightly swollen, but should soon return to normal.
This is the last resort when the above methods do not work, usually applied to older children and adolescents. A circumcised penis not only solves difficulty urinating but is also easier to clean, limiting infection. Although this type of surgery is not too complicated, parents should also choose an experienced and skilled doctor to perform, with clean and sterile equipment, to avoid unfortunate risks for their children. young.

6. Some notes when treating foreskin stenosis

When treating foreskin stenosis for children, parents should pay attention to keep a few points in mind:
Boys are under 4 years old and have no signs of severe pelvic pain: Most boys are affected at a young age. Physiological narrowing of the foreskin. Therefore, parents should not try to manually dilate the foreskin on their children unless directed by a doctor. This can cause adhesions and scarring, leading to secondary stenosis of the foreskin.
Boys have unusual symptoms or are older than 4 years old. When parents find that the baby has difficulty urinating, has to push hard, is red in the face or accompanied by crying, and the foreskin is bulging, the foreskin is often inflamed and red, they should take the baby to the doctor. The doctor may ask the family member to apply two measures at home in turn before turning to surgical interventions.
According to medical studies, non-surgical treatment of foreskin stenosis in children is an inexpensive, easy-to-implement method at home, helping to avoid damage caused by medical interventions, as well as complications. Castle. The method of pulling the foreskin (with or without topical medication) is not only effective, but also helps the child to be pain-free, without psychological trauma or local effects such as when dilated or circumcised. Therefore, parents should follow the instructions of the doctor, try to patiently support pulling the foreskin for the child every day before deciding to have the child undergo surgery.
If this condition does not improve, you should take your baby to a reputable medical facility for examination and surgery. Pediatrics Department at Vinmec is one of the few multi-specialty hospitals with a full range of doctors specializing in neurology, cardiology, gastroenterology, nutrition, psychology, endocrinology, and hepatobiliary care, helping to quickly and promptly handle the disease. detect diseases during the examination. As a key area of ​​Vinmec Medical system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of leading pediatricians: including leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All are well-trained, professional, with a mind - range, understanding young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment. To register for examination and treatment with Pediatricians at Vinmec International General Hospital, please make an appointment on the website for service.

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