What should be done about adhesion between the foreskin and the glans?
Generally, adhesions between the foreskin and the glans penis can be managed through methods such as proper hygiene, manual separation, topical application of medication, circumcision, and post-treatment care and observation.
1. Hygiene Care: Wash the penis with warm water, gently retract the foreskin, and clean any dirt or debris. Handle the area gently during cleaning to avoid forcibly retracting the adhered areas and causing injury.
2. Manual Separation: If the adhesion is mild, use the thumbs and index fingers of both hands to gently grasp both sides of the foreskin opening, and slowly push and press toward the glans to attempt separation of the adhered areas.
3. Topical Application of Medication: Under a doctor's guidance, apply topical ointments that have anti-inflammatory, lubricating, and anti-adhesion properties, such as compound acetic acid dexamethasone cream or hydrocortisone cream, to help relieve symptoms.
4. Circumcision: When the adhesion is severe, circumcision may be performed under medical guidance. This involves removing the excess foreskin to completely resolve the adhesion and prevent future foreskin-related conditions.
5. Post-procedure Care and Observation: After separation, follow medical advice to gently wipe around the wound with antiseptic solutions such as iodophor to remove secretions. Monitor the healing process, including checking for bleeding, discharge, or swelling. Seek immediate medical attention if any abnormalities occur.
After treatment for foreskin adhesion, patients should also avoid sexual stimulation that may cause penile erection. Adequate rest is important, and vigorous physical activity should be avoided to prevent interference with the healing process.