Phimosis Surgery for Children: What Parents Need to Know

Phimosis is a condition in which the foreskin of the penis is too tight to be retracted over the glans (head of the penis), and it’s relatively common in infants and young children. In many cases, the condition resolves on its own as the child grows older. However, when phimosis persists and causes discomfort, infection, or other complications, phimosis surgery may be necessary. For parents facing the prospect of their child undergoing this procedure, understanding what it entails, when it is necessary, and how to manage the recovery process is crucial. This article addresses the key things parents need to know about phimosis surgery for children.

What is Phimosis?

Phimosis is a condition that affects the foreskin of the penis. In newborns and infants, it is completely normal for the foreskin to be non-retractable due to natural adhesions between the foreskin and glans. However, by the age of 3 or 4, most children’s foreskins become retractable. In some cases, the foreskin remains tight and cannot be 包茎手術 おすすめ pulled back, leading to phimosis.

While mild cases of phimosis typically resolve as the child matures, in some instances, the condition can cause problems such as difficulty urinating, infections, or pain during erections. When this occurs, medical intervention is often necessary.

When is Surgery Needed?

In many cases, phimosis in children improves naturally over time without requiring surgical intervention. However, surgery may be recommended if:

1. Infection: Recurrent infections of the foreskin, such as balanitis, may occur due to poor hygiene or trapped bacteria under the non-retractable foreskin.
2. Pain or Discomfort: If the child experiences pain or discomfort, especially during urination or erections, surgery may be required.
3. Urinary Problems: In severe cases of phimosis, the inability to retract the foreskin can cause difficulty urinating or may lead to a condition called urinary retention, where urine cannot be properly expelled.
4. Scar Tissue or Paraphimosis: If the foreskin becomes stuck behind the glans (paraphimosis), it can cause swelling and pain, which may require surgical treatment.

If these symptoms are present, parents should consult with a pediatric urologist or pediatrician to determine whether surgery is necessary.

Types of Phimosis Surgery

There are two main types of surgery used to treat phimosis in children:

• Circumcision: This is the complete removal of the foreskin. Circumcision is a common and effective treatment for phimosis. It’s typically recommended for more severe cases or when the child is older.
• Preputioplasty: This is a less invasive option that involves making small incisions in the foreskin to loosen it, allowing it to retract more easily. Preputioplasty may be recommended for children who need less extensive treatment and wish to preserve their foreskin.

The choice of procedure depends on the severity of the condition, the child’s age, and the recommendation of the healthcare provider.

What to Expect Before, During, and After Surgery

Before Surgery: If surgery is necessary, parents will need to follow pre-operative instructions provided by the healthcare provider. This may include fasting for a certain period before the procedure. The surgery is usually performed under general anesthesia, so the child will be asleep throughout the procedure.

During Surgery: The procedure typically takes about 20-30 minutes. During circumcision, the foreskin is completely removed. In preputioplasty, only small incisions are made to allow the foreskin to be stretched.

After Surgery: Recovery time for children is typically quick, especially if the procedure is preputioplasty. The child may experience mild swelling and discomfort in the first few days, but this usually subsides. Parents should follow the doctor’s aftercare instructions, which may include keeping the area clean, applying prescribed ointments, and avoiding strenuous activities or tight clothing that could irritate the area.

It’s essential to monitor the child for any signs of infection, such as excessive redness, swelling, or discharge, and contact the doctor if any concerns arise. Most children recover fully within a few weeks.

Psychological Considerations

While phimosis surgery is a relatively routine procedure, parents should be aware of the emotional impact it may have on their child. For younger children, the idea of surgery or discomfort around their genital area can be distressing. It’s important to explain the procedure in simple terms and reassure them that it is a common and safe treatment. For older children, discussing the benefits of the surgery, such as reducing pain or preventing infections, can help them feel more at ease.

Phimosis surgery for children is a safe and effective treatment for resolving issues related to tight foreskin. While many cases of phimosis improve on their own, surgery may be necessary if the condition causes pain, infections, or other complications. Parents should consult with a pediatric urologist to understand the best course of action for their child. With proper care and attention, the child can recover quickly and enjoy improved comfort and health.