Phimosis

Subject: Child Health Nursing

Overview

Males with phimosis are unable to withdraw their foreskin from behind their glans. It is a narrowing of the foreskin's aperture so that it cannot be brought back over the penis' tip. physiologic and pathologic phimosis are the two main categories. Children are often born with a tight foreskin, and separation takes place throughout late childhood and early adolescence. This condition is known as physiological phimosis. Because of the infection, inflammation, or scarring, pathologic phimosis develops. Adhesions between the epithelial layers of the inner prepuce and glans cause physiological phimosis. Scarring is a result of pathologic phimosis, such as bad hygiene, balanitis, or balanoposthitis. Circumcision (excision of the glans penis' foreskin): This procedure is often carried out during infancy. Following surgery, a kid is monitored for bleeding and given analgesic medication for discomfort. A petrolatum gauze dressing is put and changed as needed. If advised, manual retraction is accompanied when taking a bath.

Phimosis

Males with phimosis are unable to withdraw their foreskin from behind their glans. It is a narrowing of the foreskin's aperture so that it cannot be brought back over the penis' tip.

physiologic and pathologic phimosis are the two main categories.

Types

Physiologic Phimosis

Children are typically born with a tight foreskin, and separation takes place during late childhood and early adolescence. This condition is known as physiological phimosis.

Pathologic Phimosis

Because of the infection, inflammation, or scarring, pathologic phimosis develops.

The skin surrounding the tip of the penis is still tight and less elastic in newborn males, which makes phimosis more likely. It's also usual for most newborns and toddlers to initially struggle with retracting.

Causes

Physiologic Phimosis: results from adhesions between the epithelial layers of the inner prepuce and glans.

Pathologic Phimosis: poor hygiene, balanitis or balanoposthitis lead to scarring.

Sign and Symptoms

  • bulging of the foreskin ( especially during urination ).
  • difficulty urinating.
  • inability to pull back the foreskin.
  • pain.
  • dribbling of urine during voiding.

Treatment

  • Circumcision ( excision of the foreskin of the glans penis ): It is usually performed in infancy. Post- operatively- a petrolatum gauze dressing is applied and changed as indicated, a child is observed for bleeding, administer analgesic for pain.
  • Administration of betamethasone cream to the narrowed preputial skin twice daily for four weeks.

Nursing Consideration

The operation of phimosis is done in day care surgery. So nursing consideration should be focus on parent's teaching:

  • Management of bleeding from the surgical site.
  • Infection avoidance ( proper hygiene ).
  • Care at home and symptoms of complications
  • It is not advisable to forcefully retract the foreskin.
  • If advised, manual retraction is accompanied when taking a bath.
Things to remember
  • Males with phimosis are unable to withdraw their foreskin from behind their glans. It is a narrowing of the foreskin's aperture so that it cannot be brought back over the penis' tip.
  • Physiologic and pathologic phimosis are the two main categories.
  • Children are often born with a tight foreskin, and separation takes place throughout late childhood and early adolescence. This condition is known as physiological phimosis.
  • Because of the infection, inflammation, or scarring, pathologic phimosis develops.
  • Circumcision (excision of the glans penis' foreskin): This procedure is often carried out during infancy. Following surgery, a kid is monitored for bleeding and given analgesic medication for discomfort. A petrolatum gauze dressing is put and changed as needed.
  • If advised, manual retraction is accompanied when taking a bath.



 

 



 

Questions and Answers

Males with phimosis are unable to retract their foreskin from behind their glans. It is a narrowing of the foreskin's opening so that it cannot be drawn back over the penis' tip. Physiologic and pathologic phimosis are the two main categories.

Types

  • Physiologic phimosis
    Children are typically born with a tight foreskin, and separation takes place during late childhood and early adolescence. This condition is known as physiological phimosis.
  • Pathologic phimosis
    Because of the infection, inflammation, or scarring, pathologic phimosis develops. The skin covering the tip of the penis is still tight and less pliable in newborn males, which makes phimosis more common. It is also common for most babies and toddlers to initially struggle with retracting.
  • An enlarged foreskin ( especially during urination )
  • Inability to pull back the foreskin,
  • Difficulty urinating,
  • Pain,
  • Dribbling urine while voiding

Treatment

  • Circumcision (excision of the glans penis' foreskin): This procedure is often carried out during infancy. Following surgery, a kid is monitored for bleeding and given analgesic medication for pain. A petrolatum gauze dressing is put and changed as needed.
  • Application of betamethasone cream twice daily for four weeks to the narrowed preputial skin.

Nursing consideration

Phimosis operations are performed in day surgery centers. Nursing consideration should therefore be on parental instruction;

  • Management of bleeding from the surgical site.
  • Infection avoidance ( proper hygiene ).
  • Care at home and symptoms of complications
  • It is not advisable to forcefully retract the foreskin.
  • If advised, manual retraction is accompanied while taking a bath.

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