Manually pulling the foreskin on the baby's foreskin, with medication

Narrowing of the foreskin in boys is quite common. Manual pulling of the foreskin, which can be combined with topical medication to narrow the foreskin in children, is a commonly used remedy, but the child is prone to pain and often uncooperative.

The foreskin is the outer skin of the glans, long and small opening, covering the head of the penis to protect the male genitals. Most young boys have physiological narrowing of the foreskin, but along with the growth of the body, the foreskin gradually shrinks backward. During puberty, when the sex organs develop, the foreskin can turn out naturally, exposing the glans.
However, for adult male children who still cover the foreskin, unable to peel it off, or young children who often have difficulty urinating, and infection of the foreskin, this is a narrow pathology. foreskin. Besides, with similar manifestations, the condition of glans penis is also quite common in men, accounting for about 29% according to some statistics.

In general, medical professionals do not recommend circumcision for children under 1 year of age. In children younger than 6 years of age, foreskin stenosis is primarily physiological, and treatment is only necessary if there is evidence of obstruction to the urinary tract or infection. In the case of pathological narrowing of the foreskin, treatment should be given by traction of the foreskin combined with steroid cream first, rather than surgical surgery.
However, parents should also note that about 90% of children after 3 years old can automatically retract the foreskin easily. Therefore, early removal of the foreskin should not be attempted to limit pain, bleeding, or possibly adhesions and scarring, leading to secondary stenosis. Foreskin stenosis in both children and adults, if there are no serious problems, first, non-surgical methods must be applied, the most common is at home dilation with topical medication to narrow the foreskin. in children .

3.1. How to pull the foreskin by hand For the method of foreskin dilatation, the doctor will initially do it to guide, but then the family can do it themselves. Besides using hands, sometimes doctors also prescribe balloon dilatation or other tools. Many cases of foreskin narrowing after about 1-2 months can be enlarged by daily exercises to stretch the foreskin at home. The advantage of this method is that it is gentle, does not cause psychological trauma as well as damage to the skin structure. However, if parents do not dilate properly, it can cause bleeding and cause adhesions later.
Instructions for manual foreskin dilatation, stretch the foreskin every day for your baby:
Preparation: Lubricating oil (baby oil, lotion or vaseline), basin of water, wash hands Step 1: Apply lubricant on baby's private area, pay attention to choose the appropriate and safe type depending on the age Step 2: Gently pull the foreskin forward, away from the baby's body a few times Step 3: Slowly pull back and forth The level the baby is still tolerable and does not cry out in pain, remains for a few minutes. Repeat this movement regularly 2-3 times a day, can let your baby soak in water to be more comfortable while performing the exercise. Stretching the foreskin of parents should be done slowly, gently, after each exercise, the degree of tension should be increased a little more, from which the foreskin layer will gradually stretch.
Daily dilation of the foreskin is considered a conservative and non-invasive method, highly recommended by doctors. To be successful and effective when practicing, requires perseverance, good coordination between parents and children, and especially compliance with the right technique, otherwise it will cause complications to create scars later for the child. . When practicing regularly but after 1 month of not getting significant results, parents should switch to a method that uses topical medication to narrow the foreskin in children.

3.2. Combined use of topical drugs to narrow the foreskin in children Stretching the foreskin in combination with steroid ointment is an easy to use, cheap, low-risk method that is more effective than surgery. The most commonly used topical medicine for balanitis in children is Diprosone, which contains 0.05% or 0.1% Betamethasone. Applying steroid cream for 4-6 weeks helps accelerate the skin tightening process, making the skin thinner, making it easier to stretch. When you stop using the drug, the skin will automatically thicken again. The drug only works when combined with stretching exercises, specifically as follows:
Apply the medicine to both the inner and outer parts of the foreskin If the foreskin is too narrow to reveal only a small hole, it may be light Gently pull the foreskin up and down several times to introduce the medication. Stretch the foreskin as described above. Perform the method of pulling the foreskin combined with applying the drug 2-3 times a day, regularly for at least 1 month to see results. However, treatment should be discontinued and the baby should be circumcised if, after 3 months of topical application of balanitis in children, the following signs are still observed:
The foreskin is still narrow The foreskin is distended. when urinating Frequent balanitis Urinary tract infection. Up to now, there is no official conclusion on the cause of foreskin stenosis in male children. Parents with small boys should actively check to promptly handle when they see signs of narrowing of the foreskin. However, it should also be noted not to be hasty, try to pull the foreskin by hand for young children without being examined by a doctor. On the other hand, should not be afraid of long-term pain, but require minor circumcision or immediate circumcision. Depending on each case, the doctor will prescribe conservative measures or surgical intervention when necessary. Parents need to rest assured to follow the doctor's advice to ensure a favorable development for the child.
As a key area of ​​Vinmec Health system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of top doctors and nurses in Pediatrics : consists of leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All doctors are well-trained, professional, conscientious, knowledgeable about young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.