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Many mothers with sons men have ever asked this question. The first question is whether your child has phimosis. The next, if you will need surgery. Often the question turns into anguish when verifying that the child evolves very slowly. But what is phimosis? Is it always synonymous with surgery? We answer here to all your questions: what is phimosis in children and when is it necessary to operate.
It is the tightness and adherence of the foreskin, a skin that covers the glans. There is no need to be alarmed. 95% of children are born this way and it tends to gradually separate. It is important that you separate, because if not, hygiene would not be correct and could lead to further complications, such as stagnant urine or possible infection.
It's just phimosis if the foreskin is tightly attached and does not descend completely. If it descends slightly and there is no skin pressure, there is no phimosis.
The pediatrician will be the one to determine if the child is evolving correctly. If any problem is detected, it will refer you to urologist. And the latter will be in charge of assessing whether the surgery is convenient, which is usually between 3 and 7 years old.
By age 3, 90% of children born with phimosis stop having any problems spontaneously. Surgery is always the last option, when the problem persists, there is difficulty in urination or risk of paraphimosis (the foreskin, once retracted, does not return to its initial position). For this reason, many pediatricians prefer to wait as long as possible.
If you've been told that your child for phimosis has to be operated on, don't be alarmed. It is a very simple procedure. Is a circumcision performed by a urologist, and does not need hospital admission. It is usually done with Local anesthesia and lasts a few minutes. It does not hurt, but it will be a discomfort in the following days, especially when it comes to peeing.
Most of the time it is not necessary to operate for phimosis. The most normal thing is that the pediatrician sends you a corticosteroid ointment which helps to separate the foreskin. They usually send it at three years between one and two months old. Then a slight retraction will suffice. This is done by either the pediatrician or the urologist. This works in more than 80% of the cases.
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