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Fimoz – the state at which the exposure of a head of a penis is painful or is impossible owing to narrowing of extreme flesh. Fimoz can be both pathological, and physiological. At 96% of newborn boys the head of a penis opens not completely because of insufficient mobility of extreme flesh. At boys at the age of 6 months physiological comes to light in 80% of cases. At boys at the age of 3 years the head of a penis is freely bared in 90% of cases. Sometimes physiological disappears only at the age of 6-7 years.

Fimoz

Fimoz – the state at which the exposure of a head of a penis is painful or is impossible owing to narrowing of extreme flesh. Fimoz can be both pathological, and physiological. At 96% of newborn boys the head of a penis opens not completely because of insufficient mobility of extreme flesh. At boys at the age of 6 months physiological comes to light in 80% of cases. At boys at the age of 3 years the head of a penis is freely bared in 90% of cases. Sometimes physiological disappears only at the age of 6-7 years.

All cases of a fimoz revealed at adult men and boys are aged more senior than 7 years, belong to a pathological form of narrowing of extreme flesh. It is necessary to consider that the impossibility to bare a head of a penis can lead to complications not only in case of pathological, but also in case of a physiological fimoz. The division of a fimoz into pathological accepted in urology and physiological is rather conditional from the point of view of development of complications, but is of practical value when determining tactics of treatment of an uncomplicated fimoz.

Reasons of a fimoz

Physiological it is caused by the fact that the internal leaf of extreme flesh sticks together with a penis head. Pathological can develop after an injury of a penis or a balanopostit owing to cicatricial narrowing of extreme flesh (cicatricial ).

The reasons of the fimoz developing without the previous injuries and inflammatory diseases up to the end are not found out. The genetic predisposition to development of a fimoz connected with insufficiency of an elastichesky component of connecting fabric is noted. Along with genetically caused fimozy flat-footedness, malformations of heart valves and some other diseases can come to light to a varikotsela.

Fimoz can arise owing to uneven development of extreme flesh and a penis at rapid growth in the puberty period. Further one of the reasons of the progressing narrowing of extreme flesh is itself . Narrowing leads to a constant travmatization of an internal leaf of extreme flesh, scarring and causes further narrowing. The risk of microinjuries increases at emergence of an erection in teenagers, at masturbation and in the period of the beginning of sex life.

Classification of a fimoz

Depending on expressiveness of clinical manifestations urologists allocate four degrees of a fimoz:

  • I degree. The head of a penis is freely bared in a quiet state and with small effort – during an erection.
  • II degree. The penis head in a quiet state is bared with some effort. The head exposure during an erection is impossible.
  • III degree. The penis head in a quiet state is not bared or bared at considerable effort. The head exposure during an erection is impossible. The urination is not complicated.
  • IV degree. Even the partial exposure of a head is impossible. The urination is complicated. Urine is emitted kapelno or a thin stream.

Symptoms of a fimoz

The main symptom of a fimoz – impossibility of an exposure of a head. At children the concern and a natuzhivaniye at an urination is noted. The adult patients suffering fimozy the I-II degrees can show complaints to the pains during an erection caused by a tension of extreme flesh on a penis head. Some patients note decrease in a potentiality because of anticipation of pain during sexual intercourse. At patients with the III-IV degree of a fimoz of pain during an erection disappear as the preputsialny ring is considerably narrowed, and the head cannot be bared.

Complications of a fimoz

  • Parafimoz

At a fimoza the narrowed extreme flesh can restrain a penis head. Most often develops at patients with fimozy the II-III degrees in attempt of an exposure of a head of a penis. Infringement is possible during masturbation or sexual intercourse. Infringement leads to development of the accruing penis head hypostasis. The head becomes blue, becomes sharply painful. Because of the progressing head hypostasis reposition becomes impossible after a while.

The patient with parafimozy needs the emergency help – reposition of a head of a penis. If reposition is impossible, the emergency surgical intervention is necessary (a longitudinal section of extreme flesh or ).

  • Head union with extreme flesh

Usually develops at patients with III and IV degree of a fimoz. Small mobility of extreme flesh can lead to the fact that between a penis and an internal leaf of extreme flesh sinekhiya (small sites of an union) will appear. Gradually these sites extend, and the head of a penis grows together with extreme flesh.

Usually the union does not cause unpleasant feelings at the patient while he does not try to bare a penis head. In attempt of an exposure there is a sharp morbidity and bleeding. It is possible to treat such pathology only surgically, and to eliminate an union on the big square happens not easy.

  • Balanopostit

Hygiene at the expressed fimoz is complicated. Sperm stands in a preputsialny bag. At its infection the inflammation of a head of a penis develops (balanopostit). If it is combined with expressed balanopostity, the emergency section of extreme flesh is necessary.

Treatment of a fimoz

The only real-life way of treatment of a fimoz – trimming. Also other ways of treatment are applied, however they in most cases do not bring desirable effect. Sometimes apply kortikosteroidny medicines to treatment of a fimoz long courses. Reception of corticosteroids leads to insignificant increase in elasticity of extreme flesh. Besides, kortikosteroidny medicines reduce puffiness and an inflammation. In practice application of corticosteroids allows to slow down a little development of a fimoz, however in some cases the effect of administration of drugs is absent. Full treatment at reception of corticosteroids does not come.

In certain cases to patients suggest to stretch extreme flesh fingers or the special tool for a long time. Extension of extreme flesh can be supplemented with reception of kortikosteroidny medicines. Theoretically, treatment from a fimoz can become result of regular extension, however in practice it happens very seldom. The matter is that for obtaining real effect the patient has to stretch extreme flesh on an hour or two in day within several months, and sometimes – and years. Usually patients after some time cease to stretch extreme flesh, and treatment comes to an end without results. It is possible to achieve positive result everything at 1% of patients with fimozy the I-II degrees. At a fimoza of the III-IV degree extension is inefficient as the patient cannot stretch extreme flesh rather strongly.

Expeditious treatment of a fimoz

Tsirkumtsizio (trimming) – operation which can be carried out at any stage of a fimoz. During surgery extreme flesh can be removed partially or completely. At the expressed balanopostit operation is contraindicated.

At a fimoza of the III-IV degree, the complicated sharp balanopostit and at a parafimoza perform operation of a longitudinal section of extreme flesh. In the first case it is not carried out as there is a big risk of insolvency of seams. In the second trimming is not recommended because of blood circulation violations. After elimination of inflammatory process and normalization of blood circulation in the cosmetic purposes it is carried out .

Prevention of a fimoz

As in some cases development of a fimoz is caused by genetic predisposition, absolutely reliable measures for prevention of a disease do not exist. It is necessary to observe hygiene of a penis, to regularly bare a penis head when washing, and at the first signs of a fimoz or a balanopostit to see a doctor.

Fimoz - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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