Am I foreskin?

The foreskin plays an important role. Don't think that the foreskin is not good.

Common sense and basic function of foreskin

Moderator: Is the foreskin long? Is an operation necessary? These problems have been bothering many male friends. First of all, please eliminate illiteracy and introduce the common sense of foreskin and some of its basic functions.

Song Weidong: Too long foreskin is very common in men. As an integral part of male external genitalia, foreskin has important physiological functions. The medical profession has been studying the function of foreskin, and with the deepening of the research, the function of foreskin is also being updated. At present, the functions of the foreskin recognized by the medical community are as follows: First, the foreskin covers the penis head and plays a protective role. In primitive humans, this function is more prominent. Primitive humans often have various mosquito bites in deep mountains and forests because of hunting and other activities. Because the penis head is a sensitive and easily stimulated part, because of the covering of the foreskin, people can complete various activities more conveniently. Modern humans no longer engage in primitive hunting activities, but all dress appropriately, especially cotton underwear, which increases the protection of genitals. However, as the result of thousands of years of human evolution, the protective effect of foreskin can not be ignored. In addition, some people think that because the foreskin covers the glans of the penis, it can slow down and share the stimulation to the glans during sexual life, thus delaying ejaculation and preventing premature ejaculation. Furthermore, the foreskin plays a lubricating role in sexual life. The foreskin is exquisite in structure and can slide freely, which is incomparable to any other organ. The inner prepuce plate has the function of secretion, and secretion, like lubricant, can increase the sense of softness and pleasure in sexual life. It is conceivable that without the lubrication of foreskin, the friction of penis in sexual life is too large, which will make both husband and wife feel uncomfortable and affect the quality of sexual life.

One more thing to make clear to you: it is not comprehensive to simply think that too long foreskin will cause inflammation. Another function of the foreskin is involved here: there are antibacterial components in the secretion of the foreskin, among which lysozyme is relatively clear and plays a role in killing germs. Therefore, when we pay attention to the long foreskin, we must not ignore the normal physiological function of the foreskin.

Compere: The foreskin also has some autoimmune functions. It has the function of sterilization?

Song Weidong: Yes, the secretion of the foreskin itself contains bactericidal ingredients. However, due to the humid environment of the foreskin cavity, bacteria are more likely to multiply here. This is a question of balance. If the growth of bacteria exceeds the self-purification function of the foreskin, inflammation of the foreskin may occur. In addition, as mentioned above, there are many secretory glands in the inner plate of the foreskin, and the secretion can play a lubricating role. The accumulation of secretions, which can not be cleaned up normally, will also be conducive to the proliferation of bacteria and cause foreskin inflammation.

The foreskin is located at the front end of the penis and is a double-layer penis skin that wraps the glans penis. When you open the foreskin, you can see that the ring-shaped narrowing behind the glans penis is called the coronal groove. There are many sebaceous glands in the skin near the coronary sulcus, which secrete a smelly secretion, which is yellow and white mud-like, called "skin scale".

At birth, the foreskin is closely connected with the glans penis. If you pull the foreskin behind the glans during this period, it will often cause injury, pain, bleeding, and even leave scars, leading to narrowing of the foreskin, difficulty in urination, and repeated inflammation in the future. In infancy, foreskin can protect glans and urethra from direct contact with diapers, and can reduce dermatitis, pain and urethral stricture.

A man, especially before the age of 7, has a long foreskin, covering the entire penis head and urethral orifice. When you are about three years old, the foreskin and glans will separate themselves, which makes it easier to pull the foreskin behind the glans. With the development of youth, the size and length of penis are increasing, and the foreskin will shrink back, exposing the penis head and urethral orifice outside the foreskin.

If in adulthood, the foreskin mouth narrows, or the foreskin and penis head are still adhered, and the foreskin can't turn up, exposing the urethral orifice or penis head, which is medically called phimosis.

If the foreskin can show the glans, but the foreskin mouth is small and does not cover the external urethral orifice, it is said that the foreskin is too long.

If there is hypospadias, the urethra can be repaired with foreskin. When the child grows up, the foreskin can be used to protect the glans and urethra from accidental injuries.

Common injuries include wrapping around the zipper or scalding. Without foreskin, the glans penis and urethra will be directly injured.

Moderator: Please tell us about the foreskin.

Li Haisong: This problem is also the concern of male friends. This afternoon, a young man of 65,438+07,65,438+08 took a special look at his foreskin. His main problem is whether the foreskin is too long and whether the foreskin is too long needs surgery. I looked at his condition. His foreskin is really long, so there is no need for surgery. The key is his foreskin. It will affect the blood return, so surgery is necessary, because without surgery, it will affect the facial blood return after erection, affect his erection, form a ring, affect the venous blood return, and prone to some penis problems. Then, these all need surgery. So do all foreskins need surgery? That's not true. When do we say the foreskin is long? The first kind can't be turned up to form phimosis, and the second kind often has repeated balanitis. Even if it can be turned up, the foreskin mouth is too tight. The patient I saw today is likely to have an impact on erection and venous reflux in the future. These all need surgical treatment, but if it can turn up and stay on it, and it is not easy to come down repeatedly, it is not easy to get balanitis prepuce. Generally speaking, circumcision is required. Because the foreskin is not useless, it still has a certain effect. The foreskin contains many nerve sensory organs. During erection, especially during sexual intercourse, he will form a sliding coat on the penis sponge, which will increase the sexual induction of the penis sponge and be good for his sexiness. If there is no foreskin, the feeling of masturbation will be worse in the case of masturbation. And in the process of sexual intercourse, a sexual feeling will be worse, and some will have some other problems. Therefore, it is not necessary to have surgery when the foreskin is long. It doesn't mean that the foreskin is useless. However, if there are phimosis, or if the scales are often inflamed and stimulated, these must be treated surgically.

Moderator: We heard that phimosis may lead to premature ejaculation, because the glans penis does not often contact with the outside world, which enhances the sensitivity of the glans penis and is prone to premature ejaculation.

Li Haisong: When the foreskin is too long, it is very sensitive because the glans penis is always in the foreskin. In a sensitive situation, if it is during normal sexual intercourse, if it is in a warm and humid vagina, it will be excited quickly at this time. Very sensitive glans penis can quickly reach the threshold of ejaculation, which is prone to premature ejaculation or premature ejaculation. So generally speaking, for patients with premature ejaculation, if it is because the foreskin is too long or phimosis, we recommend it. After the operation, the glans penis is often exposed and often rubs against the underwear outside, so it becomes less sensitive and dull. It is not easy to have premature ejaculation after it is dull, which is good for controlling ejaculation.

Moderator: Circumcision, how to cut it, can you introduce it?

Li Haisong: We usually do circumcision, including taking the glans penis with us for a long time, or having a small opening to urinate, or turning it up or not going down, so that we can keep a part of the coronary sulcus, cut off the extra part, and let the glans penis be completely exposed. It will be better for him to urinate and hydatid disease, and his urination will not be easily affected. Another is that because a part of foreskin must be left, short foreskin will not affect normal erection in the case of erection, so patients with long foreskin or phimosis are generally treated by circumcision.

Compere: Does my foreskin need surgery? It's usually wrapped in the glans! Is there a standard, such as simple measurement?

Li Haisong: Whether this requires surgery depends on whether the foreskin can be rolled up. In his case, this friend should try to see if it can be opened. If it can be turned up, the coronary sulcus will not be stuck too tightly, and there is no inflammation on the foreskin and glans. Generally speaking, surgery can be avoided first. If it can't be turned up, or the foreskin mouth is too tight after turning up, and the glans penis is firmly stuck, then surgery is needed.

Moderator: My foreskin may be too long, but the glans can be exposed when I get an erection. Will the foreskin be too long to affect my sex life? Can you not remove it?

Li Haisong: If it can be completely exposed, this can also be cut off temporarily. This is to see if it can be turned up. If it is an erection, it can be turned up completely, or it can be turned up completely at ordinary times, then you can temporarily stop the operation, but whether it affects your sexual life depends on whether he is prone to balanitis prepuce, whether he is often inflamed, or whether he often has premature ejaculation or premature ejaculation.

Moderator: Please tell your friends about riding injuries.

Li Haisong: This is a kind of human trauma. If riding or crossing something causes perineal injury, it is called riding and crossing injury. After riding across the injury, there is a hematoma in the perineum at this time, in addition to hematuria. After hematuria, part of the blood flows out of the urethra and cannot urinate normally. The bladder is swollen, there is urine in it, and it can't be discharged. At this time, the urethra is damaged, and catheterization is impossible at this time. At this time, surgery is needed. Therefore, in this case, acute urethral injury must be treated in time, so riding injury is also a common injury in trauma. The erect penis is covered with a white membrane. If it is over-stimulated, it will cause damage to the white membrane of penis. At this time, emergency surgery is needed.

Moderator: Are there many phimosis in the prepuce clinically?

Li Haisong: I should say a lot.

Moderator: What age is the best treatment for phimosis?

Li Haisong: If you are a preschool child, if you look at it at the age of six or seven, you should say that two thirds, or even more, 70-80% people have long foreskins. Why is this? Because at this time, children's penises have not yet reached puberty, and they have not yet developed. The foreskin appears a little more, but after puberty, the penis begins because of the role of youth hormones and endocrine. The development of penis, the growth of pubic hair and the appearance of Adam's apple will cause some foreskins to look very long, become very short and become normal, because the penis is growing, the foreskin is shrinking and the foreskin is slowly shrinking back, which is normal. But when the prepuce is still long in adolescence, then surgery is needed at this time, either surgery or whether it can be turned up. If you can't turn it up at this time, there are phimosis or frequent infections, you need surgery, because the child is still young at this time, so you should pay attention to washing it frequently to prevent adhesion. Many little boys will have phimosis with long foreskin or adhesion between foreskin and glans. I have seen many children's adhered foreskin undergo separation surgery myself. At that time, because I didn't pay attention at first, I needed to separate. If we don't separate, we will grow together in the future. If we need to separate again, it will be even more painful. So this means that children, children aged four or five, and children before the age of ten generally do not advocate surgery. At that time, the child's penis had not developed normally. Only after puberty, if the foreskin was still too long or phimosis, surgery was needed. However, phimosis has not reached puberty, and it can be operated if it has adhered, but it is generally not recommended to operate before puberty if the foreskin is too long.

Too long male foreskin may increase the chances of children suffering from urinary tract infection, and may also cause infection and inflammation of local foreskin and glans penis. Therefore, too long foreskin may have some effects on health, which deserves attention. In addition, local cleaning is an important key to prevent foreskin diseases. When the foreskin is too long, remember to open the foreskin and clean it every day.

2. Should all men be circumcised?

Not all men should be circumcised. People in some regions or races will have all men circumcised for some reason, such as religion or rite of passage, but from a purely medical point of view, circumcision has the following reasons:

Adult phimosis, penis erection still can't show glans.

Incarcerated phimosis is an emergency in urology.

Because the foreskin is too long, the local hygiene is worse.

Because the foreskin is too long, repeated infections occur in some areas, and even the foreskin adheres to the glans penis.

The opening of phimosis is too small, resulting in small urine flow.

3. If you want to be circumcised, when is the best time to have an operation?

Generally speaking, foreskin surgery should be performed before and after puberty without general anesthesia. However, if a boy suffers from repeated inflammation or even urinary tract infection due to phimosis or too long foreskin, he should undergo surgery and circumcision as soon as possible. Whether a newborn baby boy should undergo circumcision is controversial and should be carefully considered, so it is not advisable to make a hasty decision.

4. What should I pay attention to before and after circumcision?

During prepuce surgery, the doctor will give appropriate anesthesia according to the patient's condition. In order to avoid vomiting caused by patients' inadaptability to narcotic drugs, they should be fasted for four to six hours before operation. After the operation, the wound will have slight pain and swelling after the anesthetic effect fades. You should take the medicine regularly. Generally, the symptoms will subside after three days, and the wound will heal in seven to ten days. Before the wound heals, follow the doctor's advice and make regular follow-up visits. In addition, the postoperative wound should be kept clean and dry. Please be careful not to wet the gauze when urinating. If the gauze is soaked by urine, you can take it off first and then go to the clinic to change the medicine.

After the operation, ordinary patients can still do their daily work without hospitalization, but children under general anesthesia need to be hospitalized for safety reasons. Teenagers and adult patients will have penile erection after operation, which will lead to swelling, pain and bleeding of the wound. If there is slight bleeding, they only need local cold compress and pressing to stop bleeding. If there is serious bleeding, they should go back to the hospital immediately.

One month after the operation, the patient can resume sexual life.

The process of prepuce operation

1. The operation takes about 20 ~ 30 minutes, and hospitalization is not required.

2. After the operation, the wound will have slight pain and swelling. You should take painkillers regularly, and you will recover in about 7 ~ 10 days.

3. Before the wound heals, follow-up visits should be made regularly.

4. The postoperative wound should be kept clean and dry, and be careful not to wet the gauze when urinating.

5. The wound is sutured with absorbable suture, and no stitches are needed.

6. If there is penile erection, please protect the wound with one hand and hold the glans penis with the other hand to let the penis fade naturally and avoid the wound from cracking.

7. If the wound is swollen and bleeding, local cold compress and pressure can be used to stop bleeding; If the bleeding is serious, you should go back to the hospital immediately.

8. Prepare more pairs of underwear to wash (or buy disposable pants), because the interstitial fluid will seep out and dirty the underwear during the recovery period.

9. During the recovery period, it is best not to move the mind of "color", otherwise the natural physiological reaction will make you suffer! One month after the operation, the patient can resume sexual life.

10. Carefully select qualified doctors for operation, because the skills of doctors will affect the appearance after operation and the process of rehabilitation.

What harm does the foreskin have if it is too long?

Too long foreskin means that the penis is in a relaxed state, and the foreskin covers the whole glans. If the foreskin not only covers the entire glans, but also the foreskin mouth is narrow and the foreskin cannot be everted, this state is medically called phimosis.

Whether the foreskin is too long or phimosis, its characteristic is that the foreskin covers the glans penis and urethral orifice for a long time, so that the mucus secreted by glands in the inner plate of the foreskin, urethra, coronary sulcus and other parts can not be discharged and accumulated in the foreskin. Coupled with the "irrigation" of urine, the local areas of foreskin and coronary sulcus become good breeding areas for bacteria, and the organic components in secretions and urine become natural "grain depots" for bacteria, which thrive in fertile breeding bags with suitable temperature and humidity and occasionally "make waves" in local areas. Especially in summer, the exuberant secretion of human glands just provides rich nutrition for bacteria, and the bacterial family will flourish.

They mainly cause balanoposthitis, manifested as local redness, papules, ulcers and so on. Some patients may invade the male reproductive system such as prostate, seminal vesicle, epididymis and testis due to the in-depth development of bacteria along urethra. Especially in patients with phimosis, a large amount of secretions can not be discharged, and deposition can form scale. Children with phimosis often see uneven "lumps" on the surface of the foreskin. These lumps are scale.

Because the long foreskin creates a good place for bacteria to survive and lurk, anti-inflammatory treatment is difficult to be thorough, and it is often "a single spark will start a prairie fire", which leads to the recurrence of balanitis prepuce. For decades, some patients have stimulated the epithelial cells of glans penis for a long time, which will eventually change from quantitative to qualitative, leading to penile cancer, which is extremely harmful to human beings.

Epidemiological investigation shows that the foreskin is too long, and early circumcision can prevent the occurrence of penile cancer. There is almost no penile cancer in Jews, because all the boys in this nation are circumcised to remove the cause of penile cancer, so circumcision is of great significance to prevent penile cancer. In addition, Jews circumcise boys early, and the incidence of penile cancer is almost zero, which shows that the earlier circumcision, the lower the incidence of penile cancer. Therefore, the foreskin is too long, and it is necessary to carry out "cosmetic surgery" on the foreskin for reproductive health. Patients with phimosis prepuce should seek medical attention as soon as possible when they have long-term white spots in Baotou, incurable glans ulcer and glans tumor.