埋藏阴茎Buried Penis

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所属分类:龟头炎

小儿埋藏阴茎

什么是埋藏阴茎?
阴茎被包裹在皮肤护套中。通常,皮肤均匀地分布在整个阴茎,一直到阴囊。然而,一些男孩在出生时皮肤就没有均匀覆盖阴茎。最接近阴囊阴茎的部分少有皮肤。阴茎也隐藏在下腹部的脂肪内。这就是所谓的“埋藏阴茎'。医生也称之为隐藏或隐匿阴茎。
在大多数的孩子,埋藏阴茎是一个将会自发好转的状况。
男孩出生时就有埋藏阴茎(先天性)。可以有许多原因,其中包括:
•发育中胎儿的阴茎周围,皮肤和脂肪层出现问题。
•耻骨顶部脂肪过多,这常见于小婴儿。
•朝向阴囊的那一侧阴茎皮肤不足(阴囊“蹼状”)。
埋藏阴茎发生在什么年龄?
医生通常可以在2岁以上的宝宝诊断埋藏阴茎。
婴儿埋藏阴茎有什么表现?
•常常是因为阴茎看起来太小了才引起家长们的担心。它也可能使应有的清洁卫生复杂化。
•当宝宝小便时,包皮可以鼓胀并增大。如果这种情况不断发生,宝宝可能会不断地滴尿。此外,如厕训练时,孩子在控制他们尿流适当方向上可能会有麻烦。
患埋藏阴茎的青少年通常肥胖。年龄较大的孩子通常因为美观的原因而寻求治疗。
患埋藏阴茎的青少年可能会遇到:
•疼痛或排尿困难(尿痛)。也有可能发生包皮炎(龟头炎)。
•因为握持阴茎困难,所以在控制尿流的方向遇到麻烦。
•更衣室中感觉尴尬。
•很难保持应有的清洁卫生。
埋藏阴茎的治疗
大多数情况下,埋藏阴茎不需要任何形式的治疗。它通常会随着时间的推移而自然改善。
埋藏阴茎可以通过以下措施成功治疗:
•局部应用抗炎药,倍他米松。
•每天用手牵拉包皮几次。
许多不同的手术操作也会有帮助。一个外科选择是出生后一个月内行包皮环切。跟你孩子的医生谈谈,以了解你孩子可能的治疗方案。
可能有哪些手术并发症?
很少有并发症。如果出现并发症,多数也只是暂时的。
•在愈合过程中,皮肤内的瘢痕组织有时会粘在一起(粘连)。或者,多余的结缔组织可以累积(纤维化)。两者都可以再次向背侧牵拉阴茎背并埋藏它。
•阴茎肿胀
•勃起时疼痛
•皮瓣愈合不良,皮瓣坏死或抱怨移植部分敏感度降低。
•覆盖阴茎的皮肤持续增生
•腹部脂肪重新积聚
埋藏阴茎会导致儿童情绪困扰
埋藏阴茎的儿童处于心理和社会创伤的危险之中。患埋藏阴茎的肥胖男孩可能会对自己的身体感到羞愧。其结果是,他们不愿去社交。手术可以缓解焦虑,并改善自我形象。然而,在交付手术前,首先鼓励患埋藏阴茎的肥胖男孩进行减肥,这对于家长来说是个好的主意。
关键点
•阴茎通常包裹在皮肤的护套中。
•当阴茎皮肤覆盖不均匀时,会发生埋藏阴茎。阴茎也会隐藏在下腹部的脂肪内。
•医生会对2岁以上的宝宝诊断埋藏阴茎。
•青少年可能会出现疼痛或排尿困难,控制他们尿流的方向出现麻烦,并且保持应有的卫生卫生出现麻烦。
•在大多数情况下,埋藏阴茎会随着时间的推移而自发地改善。
•治疗方法包括手术,应用倍他米松霜,以及每天用手牵拉包皮。
•埋藏阴茎会引起儿童情绪困扰。

Buried Penis in Children
What is a buried penis?
The penis is wrapped in a sheath of skin. Usually, the skin is evenly distributed around the entire penis, down to the scrotum. However, some boys are born with skin that unevenly covers the penis. There is less skin on the part of the penis closest to the scrotum. The penis also hides within the fat inside the lower part of the belly. This is called a ‘buried penis’. Doctors also call it hidden or concealed penis.
In most children, buried penis is a condition that will get better by itself.
Boys are born with a buried penis (congenital). There can be many causes, which include:
· problems with the skin and fat layers surrounding the penis of a developing fetus.
· too much fat on top of pubic bone, which is common in young babies.
· not enough skin on the side of the penis that faces the scrotum (scrotal “webbing”).
At what age does buried penis occur?
Doctors can usually diagnose buried penis in babies up to 2 years of age.
What are the signs of buried penis in babies?
· Often, parents are concerned because the penis seems too small. It may also complicate proper hygiene
· The foreskin may puff and expand when the baby urinates. If this happens constantly, babies may dribble urine continually. Also, the child may have trouble directing their stream properly while toilet training.
Adolescents with buried penis are usually obese. Older children are usually referred to treatment because of cosmetic reasons. An adolescent with a buried penis may experience:
· pain or difficulty urinating (dysuria). Inflammation of the foreskin (balanitis) can also happen.
· trouble directing their urinary stream because of difficulty holding the penis
· embarrassment in the locker room.
· difficulty with proper hygiene.
Treatment for buried penis
Most cases of buried penis do not require any sort of treatment. It usually improves spontaneously over time.
The buried penis can be successfully treated by:
· applying the anti-inflammatory medicine, betamethasone, to the area.
· manually pulling the foreskin several times each day.
Many different surgical techniques can also help. One surgical option is circumcision during the first month after birth. Talk to your child’s doctor to learn about possible treatment options for your child.
What are the possible surgical complications?
There are few complications. If they do occur, most are temporary.
· During the healing process, scar tissue inside the skin can sometimes stick together (adhesions). Or, extra connective tissue can build up (fibrosis). Both can pull the penis back in again and bury it.
· Swelling of the penis
· Pain during an erection
· Poor graft healing, flap necrosis or complaints of decreased sensitivity in the grafted area.
· Persistent overgrowth of the skin covering the penis
· Belly fat re-accumulates
Buried penis can cause emotional distress in children
Children with buried penis are at risk for psychological and social trauma. Obese boys with a buried penis may feel ashamed of their bodies. As a result, they withdraw socially. Surgery may relieve anxiety and improve self-image. However, it is a good idea for parents to first encourage obese boys with buried penis to lose weight before committing to surgery.
Key points
· The penis is usually wrapped in a sheath of skin.
· Buried penis happens when the skin unevenly covers the penis. The penis also hides within the fat inside the lower part of the belly.
· Doctors diagnose buried penis in babies up to the age of 2 years old.
· Adolescents may experience pain or difficulty urinating, trouble directing their stream, and trouble with proper hygiene.
· In most cases, buried penis will improve spontaneously over time.
· Treatment options include surgery, applying bethamethasone cream, and manual pulling the foreskin every day.
· Buried penis can cause emotional distress in children.

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