Normal and abnormal manifestations after circumcision in children

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Circumcision is often applied in the case of small children with physiological narrowing of the foreskin. Pediatric circumcision can be done in both the hospital and at home.

1. What is foreskin stenosis?

Foreskin stenosis is a condition in which the foreskin covering the penis is firmly attached, not or very difficult to pull down.
Approximately 96% of male infants are born with physiological foreskin stenosis. By the age of 3, about 90% of boys are able to reverse the foreskin. Physiological stenosis, which accounts for most cases, is due to the normal development of congenital adhesions between the foreskin and foreskin. Moreover, at this time, the glans penis is still fragile and needs to be protected from rubbing, urine, or other mechanical agents.
Pathological stenosis is less common (<16%), the foreskin is adherent after infection, causing fibrous scarring.
Parents, can recognize the condition of foreskin narrowing in children through a number of signs such as:
When urinating, the urine stream is small, not strong, and the amount of water is usually small. Urinary incontinence, difficulty urinating, must use a lot of force to inflate the foreskin to be able to shoot out. The foreskin is swollen, painful, and itchy. Children stop eating, cry every time they urinate. Children often touch and scratch their genitals every day.

2. Treatment of foreskin stenosis

Treatment of foreskin stenosis varies depending on the age of the child and the severity of the stenosis. Depending on the child's age and severity, treatments may include:
Gently inverting the foreskin daily Apply a topical corticosteroid ointment Dilatation of the foreskin. Cut the foreskin. In fact, narrowing of the foreskin in newborns is not a dangerous and difficult disease to treat. In most cases, the foreskin will heal on its own and return to normal as you get older.
If a young child with foreskin stenosis does not have any complications, parents should start with home treatments. Only when the foreskin is too long, too narrow, and there are symptoms of infection, parents should take the child to the hospital for examination and treatment.

3. Techniques of foreskin dilation in children

At the hospital:
First time: manual dilatation with local anesthetic with Xylocain 2% gel, or 10% Lidocaine spray anesthetic, wash off residues and lubricate the foreskin with Betamethasone 0.05% cream . In difficult cases, just a slight dilation shows the urinary opening. Prescription for: pain reliever (paracetamol) + Betamethasone 0.05% cream At home:
Parents dilate the baby's foreskin according to the instructions, apply Bethamethasone 0.05% cream 1-2 times a day, for 1-2 months.

4. Normal manifestations after circumcision in children

Conservative treatment for cases of foreskin stenosis in children is a cheap, easy to implement measure that helps to avoid surgical complications and long-term complications. This method is as effective as surgical interventions;
If the foreskin is done properly, the skin will gradually stretch, the baby will have no pain or just a little discomfort, no swelling, inflammation, or bleeding. Standard manipulation will avoid swelling of the foreskin, no mental trauma or local trauma.
This method requires perseverance, good coordination between parents and children, and especially technical compliance to avoid complications later on.
Many parents are often very impatient, wanting to know how long it will take to heal the foreskin. However, the time it takes to improve will vary from child to child, depending on how narrow the foreskin is. Usually, your baby's condition will improve after about 1-3 months. If after this period of time there are no results, parents should take the baby to the doctor for appropriate treatment.

5. Abnormalities after circumcision in children

Circumcision in children is a simple method, requires perseverance, does not cause bleeding, so it is only painful for a short time. However, this method only applies to long - narrow cases, making it easier for the foreskin to slip off.
In fact, many men still do not know how to manipulate, their hands are not smooth or too strong, causing children to experience some complications such as:
Bleeding, tearing the foreskin. swelling. Injury to the mouth of the flute. Constriction of the foreskin, adhesions, fibrous scars. Infection of the foreskin. Therefore, even when performing circumcision at home, parents should also give their children regular check-ups to check the child's condition. In particular, when there are signs of pain or abnormality, it is necessary to take the child to the doctor for immediate treatment to avoid complications.
As a key area of ​​Vinmec Health system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of top doctors and nurses in Pediatrics : consists of leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All doctors are well-trained, professional, conscientious, knowledgeable about 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.

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