Surgery for phimosis in children and adults

Surgery for phimosis is performed quite often, and does not belong to the category of complex operations. Let us consider the peculiarities of this operation.

Should I have surgery for phimosis?

Often patients ask whether to perform surgery for phimosis. Thus, it is indicated if a boy or man has a narrowing of the foreskin, which has a pronounced pathological character. In this case, exposure of the head of the penis is impossible. The exposure of the penis can be painful. This condition leads to a violation of sexual life, negatively affects the processes of urination. With this condition, inflammatory and infectious processes often occur. [1]

Phimosis is a pathology that requires surgical treatment. Phimosis as a natural physiological condition is possible if the child is a newborn or at an early age. After the child has reached puberty, such a phenomenon becomes a pathology. It is also worth noting that phimosis is a pathological phenomenon against the background of scarring and inflammatory processes.

Indications for the procedure

Surgery should be performed if there are indications for it. The main indication is the development of phimosis in adult men and mature boys. This is characterized by pathological immobility of the foreskin, in which the opening of the penis and the release of its head is impossible. If there is pain, swelling, redness, inflammation, discomfort, surgery is also performed. In the presence of any complications of the disease, pathology, the operation is performed at any age. With recurrences of inflammatory processes, complications, with inflammatory lesions of the prepuce and head of the penis, surgery may be indicated in an emergency. Also as indications are noted the following diseases: balanitis, alanopostitis, condylomatosis, the presence of any neoplasms, foreign bodies, infections under the foreskin.

Surgery for scar phimosis

In case of scar phimosis, surgery is indicated. Its duration is approximately 30-40 minutes. It takes about 14 days for the body to fully recover. The advantages are that the rehabilitation period is short, after 2 weeks patients can return to their usual way of life (you can perform any hygienic manipulations, return to intimate life, urination is restored without pain). As a rule, patients claim that after the operation, discomfort is much less pronounced than the daily difficulties associated with phimosis.

Scar phimosis is a form of pathologic narrowing of the foreskin in which a scar develops. Scar phimosis is considered an acquired, irreversible condition resulting from trauma or mechanical damage to the foreskin. The injury results in a scar, which is essentially a scar that occurs at the site of skin damage. In this form of phimosis, surgical intervention is the only possible treatment. Circumcision of the foreskin is performed. This is due to the fact that phimosis can not disappear on its own, it is constantly progressing. There is a further narrowing of the skin, in connection with which there are new and new incisions, cracks, tears. Accordingly, new scars are formed. The sooner the surgery is performed, the more effective it will be, the sooner further recovery will occur. [2]

Circumcision is a routine outpatient surgical procedure. A convenient time is chosen, the surgery is scheduled, and then preparations must be made, such as tests for infections. Also take standard tests, such as blood tests, urinalysis. The operation is carried out mainly in the morning, necessarily on an empty stomach. Do not eat for 4-5 hours before the procedure. Local anesthesia is used. In this case, sensitivity is lost, it returns 2-3 hours after the operation. The recovery period does not exceed 14 days.

Preparation

Preparation for the operation is standard. It includes a set of necessary examinations, including blood and urine tests, ECG, fluorography, bacteriological studies, tests for infections. At the same time, the specifics of preparation are determined by the age of the patient and other features, individual physiological indicators of the patient. Obligatory need consultations with specialists, and it is also necessary to obtain a conclusion from a pediatrician, or a therapist, which will indicate the conclusion about whether the patient can be operated. When planning general anesthesia, it is absolutely necessary to consult with a specialist anesthesiologist, to choose the optimal method of anesthesia. As a rule, the allergist finds out the allergoanamnesis, draws conclusions about what variant of anesthesia is required by the patient. An anesthesiologist necessarily needs a complete anamnesis. It is necessary to be sure to mention the presence of comorbidities, the presence of genetic or congenital anomalies, and medications taken.

If the operation is allowed, about 2-3 weeks you need to switch to a rational diet. In this case, from the diet should be excluded all fatty, fried, smoked. Also do not use marinades, spices, spices. Confectionery should also be excluded. Alcohol for 14 days should also be completely excluded, cancel the reception of anticoagulants and other drugs. A few days before the operation you need a light diet. Also on the day of surgery, you can not eat or drink anything. On the day of surgery, it is necessary to thoroughly wash the genitals using water and mild soapy foam. In the pubic and groin area, hair should be removed. In this case, it is necessary to carry out the shaving procedure extremely carefully, so that there are no cuts. If the operation is performed on an adult, he does it at home by himself. If the procedure is performed on a child, all the necessary preparatory measures are performed by medical personnel. If the operation is performed on a newborn or young child, it is necessary not to forget to take with you all the necessary hygiene supplies, diapers, wipes.

Before admission to the hospital, all necessary documents are drawn up and a written consent for the procedure is signed. Then a preoperative consultation with an anesthesiologist is conducted, after which the consent for the selected type of anesthesia is signed. As a rule, the consultation of doctors, the decision of organizational and documentary issues, takes about 2-3 hours. Therefore, it is necessary to arrive at the department a few hours before the scheduled time of surgery. It should also be taken into account that on the day of surgery, the patient is not likely to be discharged home, although there are cases. As a rule, the patient is under observation for about a day. You should also consider the fact that for a few days the patient will not be able to drive a car, not so much because of the surgical trauma, but after the anesthesia and sedatives administered.

Anesthesia

Anesthesia is required for the operation. Thus, anesthesia is mandatory, but the method of anesthesia is determined by the doctor. Local or general anesthesia may be performed. The choice of method depends on the age of the patient, on the condition, severity, volume and duration of the surgical intervention. It also depends on the peculiarities of the psycho-emotional state of the patient. When carrying out the procedure circumcisio boys of newborn age, local anesthesia is shown. However, in this case, the patient must be reliably and firmly fixed, immobile. However, due to the high activity, mobility of children at this age, this method is unsafe, so most surgeons still use mask anesthesia. In this case, the child lies quietly, and the surgeon carefully, unhurriedly performs all the necessary manipulations.

For older children, general anesthesia is always used. This avoids trauma to the surrounding tissues and also prevents the risk of psychological trauma in the child. As a rule, surgery with local anesthesia is painless. However, if the operation is performed without anesthesia, the child observes everything that happens, resulting in psychological trauma. Anesthesia avoids severe stress for the child.

Patients of older age have the full right to choose the form of surgery. For adult men, both general and local anesthesia can be used. In any case, men experience stress and psychological discomfort to a much lesser extent if the operation is performed under general anesthesia. The surgeon is also much easier to carry out the necessary manipulations in the case when the patient is under general anesthesia. This eliminates the possibility of spontaneous movements. Also general anesthesia is indicated in the case if the patient is overexcited, if he has fear, or panic, doubts. In the event that a person has allergies and individual intolerance to drugs or anesthesia, it is better to limit yourself to local anesthesia.

Technique of the phimosis surgery

Let's consider the technique of surgery for phimosis. So, the patient should be placed on the operating table on his back, legs should be spread apart. After the anesthesia has fully acted, the surgeon begins to carry out all the necessary manipulations. If anesthesia is carried out with the help of anesthetic gel, it is necessary to apply it in advance. Then, immediately before the operation, the skin is treated with special antiseptic agents. For treatment, as a rule, iodonate is used. In this case, not only the penis is treated, but also the abdomen, scrotum, thighs and buttocks. After antiseptic treatment, it is necessarily necessary to cover the patient's body with sterile linen. The whole body is closed, only the place where the manipulation will be carried out is opened.

The opening of the foreskin is narrowed, so it must be widened. This is done with clamps. The skin is pulled back and the glans is exposed. If there are adhesions on the genitals, they need to be separated. The doctor makes a marking with a scalpel (the line along which the incision will go is indicated). After that, the surgeon proceeds directly to the incisions.

One of the techniques used to perform circumcision is the circumcision technique (circumsizio). Several techniques are used to perform the operation: dorsal incision, clamp operation, and circular resection.

The dorsal incision is used for phimosis and paraphimosis. This procedure has a number of advantages, in particular, it can be performed independently, without assistants. Pass the operation in several stages. First, it is necessary to apply clamps to the foreskin, then the skin is dissected (around 12 o'clock). The skin is cut off along the intended line, after which the sutures are applied. It is obligatory to coagulate the vessels, then a sterile dressing is applied to the wound. [3]

The simplest techniques include the clamp operation. The presence of an assistant is required. The disadvantages of the method include the fact that for some time after the operation will not be attractive aesthetic appearance. The essence of the procedure is that the skin is captured by clamps, then it is pulled away to the required length. Then the skin is cut off, after cutting off the skin is pulled back and fixed with sutures. After the procedure, a sterile dressing is applied.

The circular resection technique is of some interest. It is essentially a cosmetic procedure that is performed with an assistant. It is indicated in case of developed and pronounced saphenous veins. With this approach, the risk of bleeding is drastically reduced. In this procedure, the surgeon makes a marking of the incision line, makes the necessary incisions, separates the skin flap from the head of the penis. Then the skin is excised and a sterile dressing is applied. [4]

Preputioplasty is an alternative method of surgical treatment. It is used if the scarring affects only the tip of the foreskin. The duration of the procedure is about 20 minutes. Consequences and complications are much less, the pain is also expressed quite weakly, easily quenched with the help of conventional painkillers.

The procedure is performed in several steps. First, a small incision is made in the area of the prepuce along the penis. The incision should be of such a size that it can open the head of the penis. Also in the course of the incision, the doctor dissects the fibrous splices of the skin. After performing all the necessary manipulations, the doctor applies sutures and a sterile dressing.

Meatoplasty is also performed. This is a method of surgical intervention, in which the narrowing of the outlet is corrected. As a rule, during this procedure, the doctor performs an additional biopsy and endoscopic examination of the urethra. [5]

Types of operations

In case of pathological phimosis, surgery is always performed because it is the only possible treatment option. Statistics show that among all men of puberty who have undergone such an operation, about a quarter of them were performed precisely because of pathological phimosis. In phimosis, several types of operations are possible. The choice of one or another type of surgery depends on the age of the patient, its type, severity and severity of the pathological process, as well as on the skills and qualifications of the doctor himself.

The main types of surgery currently practiced are circumcision, or circummisio, prepuceoplasty, and meatoplasty. There is also traditional surgery, which is performed with a conventional surgical scalpel. A modern method of treatment is laser light. Traditional surgical treatment is often performed because it is the cheapest and easiest method. This method does not require any special equipment and can be performed in a conventional operating room, in a regular surgical department. A number of urologists can perform this operation. But it has a number of disadvantages, in particular, after the procedure requires a long rehabilitation period, the risk of complications increases sharply. The patient must comply with numerous doctor's recommendations, in particular, the patient is limited in his abilities for several months, in particular, sexual activity is restricted. The procedure is accompanied by stitches, and scars and scars may remain in their place for a long period of time.

Endoscopic treatment of phimosis is performed as an outpatient procedure. Hospitalization is required for 1-2 days with a normal course of the postoperative period. As a rule, the patient arrives in the morning, he is operated, after which he spends several hours or days under the supervision of a doctor. If everything is normal, the patient can leave the hospital. As a rule, the operation lasts 30 minutes. [6]

Schloffer's operation for phimosis.

Schloffer surgery is used for phimosis. This is a special technique for phimosis surgery aimed at cutting the foreskin. The doctor performs a zigzag incision. Then a full incision is made, all the necessary manipulations are performed, then stitching of the edges of the wound is performed. The operation is performed under local anesthesia. The result of the operation is the complete preservation of the foreskin, at the same time its expansion. The effectiveness of the procedure is 100%.

Laser phimosis surgery

Laser phimosis surgery is increasingly common nowadays. During this procedure, instead of the traditional scalpel and scissors, a laser is used. A special laser stream is used. Under the influence of this flow is heated tissue. At the same time, water is evaporated and cells are destroyed. The laser acts like a cutting tool. In general, the technique of performing the procedure is similar to that of the traditional surgical technique.

The advantage of this technology is that laser treatment results in significantly fewer complications. In particular, there are no complications such as infection, bleeding. Pain is significantly less pronounced. It is worth noting the high accuracy of the procedure. The rehabilitation period is much shorter, and is about 3-4 days. The duration of the intervention is much shorter - up to half an hour. [7]

How long does the surgery last?

One of the most common questions we hear from patients is how long the surgery lasts. The duration of the surgery depends on the method of surgery performed. Laser phimosis surgery is the shortest procedure. The duration of the intervention is much shorter - up to half an hour. The rehabilitation period is much shorter, and is about 3-4 days.

Classic surgery is done for 2-3 hours. With the endoscopic technique, the operation usually lasts 40-50 minutes. After the operation using the classical method or an endoscopic incision, the patient is transferred to a postoperative room, where he spends several hours. In the absence of complaints and complications, the patient is discharged. If the course of the postoperative period is normal, the patient is released home. If there is a risk of complications, the patient will not be discharged. Bed rest will be required for the first 2-3 days.

Surgery for phimosis in children

Surgery for phimosis in children is not uncommon. It is indicated if a boy has a pathological narrowing of the foreskin. In this case, exposure of the head of the penis is impossible or painful. With this condition, inflammatory and infectious processes often occur. This can cause infertility, sexual weakness, problems in intimate life.

Phimosis as a natural physiological condition is possible when the child is a newborn or at an early age. After the child has reached puberty, this phenomenon becomes a pathology. Surgery should be performed if there are indications for it.

If the procedure is performed on a child, all necessary preparatory measures are carried out by medical personnel. If the operation is performed on a newborn or young child, it is necessary not to forget to take with you all the necessary hygiene supplies, diapers, wipes.

It should also be taken into account that on the day of surgery, the child will most likely not be discharged home, although there are such cases. As a rule, the patient is under observation for about 24 hours.

Local or general anesthesia can be performed. The choice of method depends on the patient's age and condition. For example, local anesthesia is indicated when performing the procedure on newborn boys. But at the same time, the patient must be securely and firmly fixed, immobile. But always take into account all possible risks: there is a high probability of high activity and mobility of children at this age. Therefore, this method is unsafe, the probability of injury increases sharply. It is for this reason that most surgeons still use mask anesthesia. In this case, the child lies quietly, and the surgeon carefully, unhurriedly performs all the necessary manipulations.

For older children, general anesthesia is always used. This not only avoids trauma to the surrounding tissues, but also helps prevent the risk of psychological trauma in the child. As a rule, surgery with local anesthesia is painless. But in this case, the child observes everything that happens, as a result of which psychological trauma inevitably develops. Anesthesia allows you to avoid severe stress in the child. In addition, general anesthesia excludes the possibility of spontaneous movements. Also general anesthesia is indicated if the child is overexcited, if his fear, or panic, doubts are present.

Contraindications to the procedure

As contraindications to surgery include severe decompensated pathology of internal organs until the disease is stabilized. Surgery is not performed in acute infectious and inflammatory processes, hemostasis disorders, blood coagulation disorders, taking anticoagulants. It is also not necessary to perform the operation in the presence of pustular infections, with ulcerous lesions of internal organs, with the presence of pus and exudate in the area of the prepuce. However, this contraindication is temporary. When the condition stabilizes, the operation is performed mono. Also among the temporary contraindications include structural changes in the penis. In this case, plastic surgery is required first, and only then surgery is possible. If a man has venereal infections, diseases of the genitourinary system (infectious, inflammatory), the operation is also not carried out. Full recovery is required first.

Consequences after the procedure

After surgery, there is a feeling of discomfort and pain in the first few days. But these sensations, as a rule, disappear within a few days. It is also worth noting that the pain is quite easily managed with conventional painkillers. After surgery, it is extremely important to observe the correct rehabilitation period, the duration of which ranges from several weeks to several days, depending on the severity of the condition, the chosen technique of surgery. It is important to provide proper skin care, to carry out genital hygiene. It is necessary to use sterile dressings (dry, clean). Shower for some time it is better not to take a shower, or put on a condom while taking a shower. Children are not recommended to take a shower. For them, ordinary rubdowns are quite enough. They should be carried out in such a way as not to wet the bandage.

You also need to consider that men may experience nocturnal spontaneous erections that cause pain and discomfort. It can also lead to blood flow disorders. Sometimes, with a strong erection, it is possible that the sutures may diverge, but this is extremely rare. With a pronounced blood flow disorder, the bandage should be removed for a while. As a rule, in this case, the penis will be swollen, slightly increased in size. But this should not cause concern, as this is a normal reaction to tissue damage. Usually, the removal of sutures is not required, since in the process of surgery self-absorbing threads are used. They do not need to be removed unless they have not dissolved within 10 days.

How long does it take to heal after phimosis surgery?

Every patient should know how long it takes to heal after phimosis surgery in order to somehow plan their further actions. This depends, first of all, on the technique of surgery, the patient's condition, the severity of the pathology. The rehabilitation period is important, the duration of which ranges from a few days to several weeks. For example, with scar phimosis, it takes about 14 days for full recovery. The advantages are that the rehabilitation period is short, after 2 weeks, patients can return to their usual way of life. You can take a shower, carry out any hygienic manipulations. As a rule, patients say that after the operation, discomfort is much less pronounced than the daily difficulties associated with phimosis.

Circumcision is a routine outpatient surgical procedure. During this procedure, local anesthesia is used. The anesthesia stops working 2-3 hours after the operation. The recovery period does not exceed 14 days.

Endoscopic or traditional surgical treatment of phimosis is performed on an outpatient basis. Hospitalization is required for 1-2 days with a normal course of the postoperative period. As a rule, the patient arrives in the morning, he does the operation, after which he spends several hours or days under the supervision of a doctor. If everything is normal, the patient can leave the hospital.

With laser surgery, the recovery period is approximately 3-4 days. In the first 2-3 days, bed rest will be required. This reduces the swelling of the genitals.

Swelling after surgery for phimosis

In order to answer the question of how long swelling lasts after phimosis surgery, it is necessary to know exactly what method of surgical intervention was used. For example, with classical circumcision, swelling can persist for up to 5 days. With laser surgery, the swelling lasts on average 2-3 days. With the endoscopic method, swelling persists for up to 5 days. With the classical surgical technique, swelling can last from 5 to 14 days.

Edema occurs as a natural reaction to mechanical damage to tissues, as a reaction to the introduction of drugs. It is impossible to avoid the appearance of edema, because in the process of surgery, inevitably damaged mucous membranes, skin, soft tissue, often - blood vessels and nerve fibers. There is an effusion of fluid into the interstitial space, there is a release of tissue mediators, inflammatory factors.

Swelling goes away as the damaged tissue recovers and regenerates. If the rehabilitation period is properly observed, the duration of edema can be significantly reduced. It is also necessary to take into account the fact that the severity of edema depends on the physiological and functional state of the body, individual characteristics of the body. It is necessary to wear a special bandage. Also, many doctors recommend bed rest for 2-3 days, because it is in a lying position that the swelling goes away, reducing the load on the head of the penis.

Temperature after phimosis surgery

It is possible to have a fever after phimosis surgery. Fever occurs for many reasons. The temperature may rise with intensive recovery processes in the body. In this case, the temperature, as a rule, does not exceed 37.2-37.4 degrees. This is due to the fact that after mechanical damage to tissue structures, the processes of their natural recovery are launched. Restoration processes are associated with active metabolic processes, strengthening of the biochemical background, as a result of which the temperature rises. However, it should be taken into account that a rise in temperature over 37.5 degrees is a pathological phenomenon. It can be associated with the development of an inflammatory process, or an infectious process. Especially dangerous is the accession of hospital strains, since they are quite difficult to succumb to antibacterial therapy, have a high degree of resistance.

Complications after the procedure

There may be complications after the procedure. The operation is considered to be quite simple, but sometimes complications occur. They usually arise from improper care of the postoperative wound, infection, poor hygiene, and lack of competence of the surgeon who performed the operation. The main complications include the following complications. Hemorrhages and bruises may appear in the places of suturing. Inflammatory and infectious processes may also occur at the surgical site. There can also be a sharp increase in sensitivity of the head, develop irritation, allergic reaction, itching, painful sensations. Pain during urination is also common, and inflammatory reactions develop in the area of the genitourinary tract. Also on the skin may occur ulcers, inflammatory processes.

Post-operative treatment

After surgery, treatment is necessary. It is necessary to carry out regular dressings, observe the rules of asepsis and antisepsis, observe hygienic rules. It is necessary to provide the head of the penis with full hygienic care, it is important to properly treat the wound, to take care of the sutures. Approximately 24 hours can not remove the sterile dressing. The first dressings must necessarily be performed by a professional. It is recommended to regularly apply a hygienic dressing to the suture. In this case, the suture should be pre-moistened in hydrogen peroxide solution. Dressings should be done for at least a week. If the dressing is dry, it should be moistened with hydrogen peroxide solution. This will reduce the likelihood of infection, as well as prevent adhesion of the tissue, and its mechanical damage.

Ointment after phimosis surgery

Most often after phimosis surgery, ointment (levomekol) is used. This is an ointment that is applied to the affected area. First, a solution of hydrogen peroxide is made, then treatment with ointment is made. After that, you can put a sterile bandage on top. Ointment is effective in healing wounds, allows you to prevent the development of infection. Ointment allows you to eliminate unfavorable consequences after surgery, significantly alleviates the condition. Other ointments prescribed by the doctor can also be used.

Baths after surgery for phimosis

Baths are given after phimosis surgery. Means for baths can be prepared at home independently, using available means. Let's consider some recipes for infusions and decoctions for baths.

Recipe #1.

As a basis take 250 grams of honey. Separately prepare an extract that will act as the main active ingredient. Take in equal parts plantain leaves, chamomile flowers, linden, leaves and shoots of black currant. Pour 250 ml of alcohol. Insist 2 days. After the extract is prepared, take honey, melt it on low heat or water bath, with constant stirring slowly pour 50 ml of extract. Set aside, give the opportunity to solidify. Use for baths.

Recipe #2.

Butter is used as a base. Melt it on low heat. Then add about a tablespoon of the following ingredients: St. John's wort, chamomile flowers, horsetail, motherwort, cornflower blue. Stir, then set aside and give the opportunity to insist. Baths are taken for 15-20 minutes.

Recipe #3.

Mix in equal parts nettle leaves, calendula flowers, birch buds, hawthorn, pour boiling water (200-250 ml), insist for at least an hour. Separately melt 50 grams of butter and honey. With slow stirring, add about 50 ml of previously prepared decoction. Take off the fire, give a chance to solidify. Add to the bath a tablespoon at a time, stir.

Recipe #4.

Brewed as a tea hawthorn, valerian root, mountain ash, rose hips berries. Add sea buckthorn fruit (about 50 grams). All this is mixed with glycerin in equal parts, used to soften the water in the bath.

Recipe #5.

Take a tablespoon of rosehip roots, black currant fruit, walnut leaves, needles, hay grass, pour 500 ml of boiling water, insist about 30 minutes. 50 ml of the solution is added to the previously melted fat. With slow heating on the fire stirred, give a chance to solidify. Add to the bath a tablespoon at a time.

Prescription #6.

As a base take butter, melt it. Separately prepare a decoction of the following composition: strawberry fruit, dry leaves and shoots of cherries, red currants, wild strawberries, raspberries, cherry in a ratio of 1:1:2:2:2:1:2. Brew 1-2 tablespoons of the mixture per cup of boiling water. Add to melted and heated fish oil in a ratio of 1:1. The mask is applied to the face daily for 28 days.

Recipe #7.

Cedar oleoresin is taken as a base. It is melted. It is added about 50 ml of pre-prepared decoction. Decoction is as follows: take blueberries, lime blossom, rose petals, rose hips, calamus, rowan berries in a ratio of 1:2:1:1:1:1:3:1, pouring a glass of boiling water.

Recipe #8.

The basic composition is prepared: grape leaves, May wormwood, rosehip berries, honey, vodka in a ratio of 4:1:1:2:0.5. The remedy is heated to a comfortable temperature (about 40 degrees). Then a tablespoon of the remedy is added to 2-3 liters of bath.

Prescription #9.

Prepare a remedy of the following composition: corn stigmas, stevia, echchinacea, nettle leaves, chamomile flowers, rose hips, in a ratio of 3:1:1:1:1:1:2:1. Baths are taken for 10-15 minutes.

Prescription #10.

To prepare a remedy for baths take honey, milk in equal parts. Melt on low heat. Heated. Add herbs: walnut septum, dill, dried seaweed, sage, chamomile flowers in a ratio of 2:2:1:1:1:0.5. All this is mixed, boiled for 2-3 minutes, cooled, used for baths for 5-10 minutes.

Care after the procedure

After the procedure, special care and rehabilitation are required. The patient is transferred to a postoperative room where he/she spends several hours. If there are no complaints or complications, the patient is discharged. In the normal course of the postoperative period, the patient is released home. If there is a risk of complications, the patient will not be discharged. Surgical treatment of phimosis is considered minimally traumatic. The patient's activity is sharply limited, but this is only for a few days.

In general, the rehabilitation period does not exceed 1-2 weeks. For the first 2-3 days, bed rest will be required. This reduces the swelling of the genitals.

In order to produce penile fixation, sweaty fitting underwear must be worn. A special bandage (bandage) must be worn.

In the first few days, its wearing is mandatory, because it provides protection of the penis from excessive loads, contaminants. It also helps to avoid the development of edema. The bandage should be applied in such a way that the urethra is not closed and does not interfere with urination. After a few days, the bandage is removed. It can be removed by the doctor or by the patient.

If the bandage sticks, it should be gently treated with chlorhexidine and removed after it has soaked. Forcibly remove the bandage can not be removed, as it can lead to damage to the mucous membrane, which can lead to complications and adverse effects. If you have had surgery for phimosis, hospitalization is not required, but it is necessary to follow the rehabilitation strictly.