FIMOZ

Fimoz is a congenital or acquired narrowing of the foreskin, which makes it difficult or impossible to expose the glans penis.

In connection with the physiological gluing of the inner sheet of the foreskin to the skin of the glans penis in the first years of the child's life, the cavity of the prepuce sack is not completely opened and the glans penis is not exposed. At the age of 3-5 years, the preputial bag accumulates smegma, which helps to expand the narrowed foramen of the foreskin and expose the glans penis. If the hole of the foreskin does not fully open, the cavity of the preputial sac may become infected, a picture of acute and then chronic balanoposthitis or balanitis develops, resulting in a true (acquired) phimosis. In adults, the formation of phimosis is facilitated by non-observance of hygienic rules for caring for the reproductive organs, which leads to a recurrent balanoposta, the development of cicatricial sclerotic changes in the skin of the prepuce, its tearing up during sexual intercourse.

Phimosis in children is manifested by pain in the penis, difficulty urinating. Prolonged existence of phimosis contributes to disruption of urodynamics, accumulation and infection of smegma up to the formation of preputial stones. In children, the hypertrophic form of phimosis is more common: the opening of the prepuce sack is located at a considerable distance from the glans penis - on the tip of a peculiar proboscis. When this hole is narrowed, urination is accompanied by an "increase" in the length of the penis due to urine coming from the urethra. Phimosis may be the cause of enuresis (bedwetting), vesicoureteral reflux, chronic pyelonephritis, as well as a risk factor for the development of malignant tumors of the penis. Complication of phimosis is paraphimosis .

Treatment of phimosis in children aged 3-4 years is reduced to forcible stretching of the narrowed foramen by means of a blunt-ended clamp and disconnection of the adhesions between the glans penis and the inner surface of the foreskin with the aid of a buttoned probe. Intervention is performed under short-term general anesthesia. After eliminating the constriction, the glans penis is smeared with sterile vaseline and closed with the foreskin. In the future, periodically wash the preputial sac cavity with warm boiled water or a weak solution of potassium permanganate (1: 6000). In cases of recurrence of phimosis and balanoposthitis, circumcision is recommended - circular excision of the foreskin.