Foreskin stenosis: Issues parents care about

The article was written by Associate Professor, Doctor, Doctor Huynh Thoai Loan - Department of Pediatrics - Neonatology, Vinmec Central Park International General Hospital

Foreskin stenosis is defined as the inability to fully retract the foreskin to the glans. This is a normal physiological condition, however, it should be noted when the degree of narrowing affects the child's activities.

Based on the obvious definition, almost all boys are born with narrow foreskin or in other words, no boys can completely retract the foreskin right after birth. In contrast, a baby boy after birth has a condition where the foreskin is easily exposed, parents should be careful that it may be abnormal, suggesting another anomaly such as low urinary opening.
So narrowing of the foreskin is a normal physiological condition. However, the degree of narrowing can affect children's activities, requiring parents to be careful.

There are many parents who bring their baby to the doctor when the baby is newborn or under 6 months old because of the red face when urinating, the baby cries when urinating. In this situation, parents should calmly consider. Anyone who urinates must push to urinate, so does the baby, maybe at a young age after birth, the bladder function has not come into play properly, moreover, the little one can only show discomfort by cry. But, the way the baby cried also gave me a lot to think about. The baby only blushes, but when the urine is released, everything seems to be easy, there is no hurry, just keep an eye on it and wait a little longer. Contrary to the gentle ones, that's when we should take the baby to the pediatric specialist.
Another very common situation is the red and swollen foreskin, like something bitten. In fact, most do not bite at all, the pediatrician usually diagnoses it as acute inflammation of the foreskin or pyoderma (occasionally with pus discharge). This situation is common in pediatric patients with physiological narrowing of the foreskin, but there may be underlying sebaceous cysts that facilitate balanitis.
In addition, if we see our son urinating but the urine stream does not come out immediately but swells up like a bubble and then comes out as a ray, this condition is called urinary bulging. Please arrange a convenient time to bring your child to the medical center.

There are many treatment methods such as: Dilation of the foreskin combined with topical drugs and instructions for family members to do for the baby. Or is it necessary to circumcise the foreskin in situations where the foreskin cannot be dilated or dilation fails due to many factors.
Remember that no two people are like you and of course no one's foreskin is the same. In a broader sense, if you want to treat a small child, you must consider many factors, not just taking care of the foreskin. For example, how old are you? Does pain every day foreskin dilatation have any effect on the child's psyche later on? Do you really need it or just keep an eye on it? Or just cut it off?... lots and lots of questions like that. Pediatric genitourinary surgeons will share and solve the problems of parents.

There are parents who have examined or sought information from many different channels, many different sources of information in the digital age we live in. However, be wise by starting by asking if my child has a foreskin that needs to be circumcised? Come for examination and consultation, if there is an appropriate method, the pediatrician will accompany you to share with parents. Sometimes we all like this modern surgery but consider whether it is suitable for your baby or not.

Of course the wrong treatment sometimes just needs a little change to make it right. But sometimes there is a cost with other complex surgeries just to fix the unresolved problems but also arise.
If this condition does not improve, you should take your baby to a reputable medical facility for examination and surgery. Pediatrics Department at Vinmec is one of the few multi-specialty hospitals with a full range of doctors specializing in neurology, cardiology, gastroenterology, nutrition, psychology, endocrinology, and hepatobiliary care, helping to quickly and promptly handle the disease. detect diseases during the examination. As a key area of ​​Vinmec Medical system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of leading pediatricians: including leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All are well-trained, professional, with a mind - range, understanding young psychology. Besides domestic pediatricians, 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. To register for examination and treatment with Pediatricians at Vinmec International General Hospital, please make an appointment on the website for service.