White coating on the head of a boy. The main causes and symptoms of inflammation of the glans penis in boys

pseudophimosis

The narrowing of the foreskin in boys may be before the end of puberty. This is a completely normal condition and it is not phimosis. According to the experience of nations where circumcision is not given, this narrowing rarely requires treatment. Direct expansion usually occurs as they grow older. The complete disappearance of the narrowing of the foreskin can be expected in 50 percent of ten-year-old boys; 90 percent of 16-year-old boys; and 98-99 percent of 18-year-old men.

phimosis treatment
Medical
Lubrication of the foreskin with steroids accelerates normal growth and expansion of the foreskin. It should be remembered that narrowed foreskins usually dilate without treatment. Methodology: lubrication of the foreskin with 0.05-0.1% betamethasone ointment twice a day (morning and evening) for up to 1 month. After the fifth day of treatment, the foreskin is gradually retracted during the daily bath. Efficiency 85-95%.
stretching
Gradual stretching of the foreskin regularly pulling it over the head of the penis (but not too hard!) until it hurts. Such training is carried out daily for 5-10 minutes. As the hole expands, move on to limited masturbation.
Gradual stretching of the foreskin by inserting two fingers into the preputial sac and spreading them each time to a greater distance. The effectiveness of stretching methods is 75%.
Surgical
Surgical treatments for phimosis are now rarely used and only in cases where there was no effect from other methods. Approved surgery- three longitudinal cuts with transverse stitching. Surgical treatment of phimosis in children is performed by separating the adhesions of the preputial sac using a metal probe and a gauze tupfer. With cicatricial changes in the foreskin, its partial (along the border of fibrous changes) or (rarely) complete circular excision (circumcision) is performed. In some cases, instead of circumcision, another operation is performed - according to Schloffer. Under local anesthesia, a zigzag incision is made in the foreskin and the edges are re-sutured in the place where the zig turns into a zag. As a result, the foreskin is completely preserved, but its opening expands (at the level of the coronary sulcus at the junction of the inner and outer sheets of the foreskin, both sheets are cut perpendicular to each other and re-sutured in the transverse direction. Anesthesia is local, by laying 2% lidocaine ointment in the preputial sac ). The whole operation takes 10 minutes, it is carried out, like circumcision, in a polyclinic. The wound heals within 4-6 days. This operation is also good because the head remains covered, and therefore there are no unpleasant sensations, as in ordinary life as well as during sexual intercourse.

Acquired phimosis is most often the result of primary balanoposthitis, focal scleroderma of the foreskin, and poor personal hygiene. In adults suffering from phimosis, friction is accompanied by pain, which over time reduces sexual desire and may contribute to the development of sexual disorders. At the first sexual intercourse or a spontaneous full erection, the head is often pinched in the narrowed ring of the foreskin - paraphimosis, requiring urgent surgical care. With combined diseases of phimosis and chronic balanoposthitis, cancer of the glans penis can develop.

If there is an infringement of the head, you can try to return the foreskin to its place without surgery. To do this, the head is generously lubricated with a lubricant (vaseline, baby oil, etc.), the hands are folded under the head so that it is higher than the index and middle fingers slightly squeezing the barrel. The thumbs rest on the head and try to push it into the opening of the foreskin. The whole movement is very reminiscent of a figure being shown to a penis. If it was not possible to return the head to its place within 30-60 minutes, you must URGENTLY seek medical help! Every minute of delay is fraught with great trouble.

CAUTION: There are reports that external irritants and other environmental factors can cause constriction of the foreskin. One such irritant is the chemicals in a bubble bath.

Illustrated encyclopedic dictionary of sexological terms and concepts
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The genital organs perform a urinary and reproductive function, which is why their health is so important. Inflammation of the foreskin in boys occurs in different ages and, despite the fact that the disease does not pose a great threat, it gives the child significant discomfort.

What causes inflammation of the foreskin?

Such a phenomenon is referred to medical term"balanoposthitis". With him inflammatory process extends to the glans penis and foreskin. In childhood, the disease is diagnosed in 6% of boys, mainly in children 4 years old.

The statistics is explained by the fact that in children under 5 years old, physiological phimosis is observed, that is, the head of the penis is not exposed, the tissue is motionless. After six months, the boy develops a lubricant - smegma, which reduces friction between the penis and the tissues surrounding it. Violation of the production of such a secret leads to irritation and inflammation. Other reasons include:

• inadequate hygiene;
• using diapers that are not the right size;
• wearing tight underwear;
• high sugar content in the urine (mainly in diabetics);
• the use of aggressive laundry detergents;
• frequent use of soaps or gels for intimate hygiene with various fragrances.

In a separate group, it is worth highlighting infections that affect smegma and cause inflammation. Pathogenic organisms include:

• coli;
• staphylococci;
• streptococci;
• fungi of any kind.

In rare cases, balanoposthitis becomes a complication of other pathologies. Depending on the causes and nature of inflammation, there are several types of the disease.

Symptoms and types of the disease

The term "balanoposthitis" consists of two parts, in the same way there is a division of the types of the disease. Balanitis is a condition when only the head of the penis is swollen, fasting is an inflammatory process that affects only the foreskin. More often, the process extends to both parts, and the doctor diagnoses “balanoposthitis”.

According to the duration of the course, 2 types of balanoposthitis are distinguished: acute and chronic. At acute form inflammation lasts no more than 3 months, in other cases it is a chronic disease.

In turn, the acute course is classified into the following types:

• simple ( characteristics- thinning of the penis, burning and discomfort);
• erosive (ulcers appear on the head);
• gangrenous (ulcers contain pus, fever is possible).

The latter is the most dangerous form. If the inflammation does not go away for months, then it subsides, then it arises with renewed vigor - we are talking about a chronic type of disease. It can take two forms. In the first case, small frequent ulcers appear that do not go away for a long time, in the second case, bloody wounds and characteristic discharge are observed.

Usually, it is not possible to cure the chronic form of the disease to the end, and after several relapses, a decision is made to surgical intervention. The boy will be circumcised, after which the balanoposthitis will disappear.

You can determine the presence of the disease by its symptoms. Common signs include:

• red skin around the penis;
• the penis is swollen and inflamed;
• the condition of the skin has changed;
• there was a feeling of itching and burning, pain.

As the disease progresses, you may experience:

• erosion and ulcers;
• pus from wounds;
• enlarged lymph nodes in the groin.

Sometimes a rash, diaper rash, abscesses and mechanical damage appear on the mucous membrane of the penis (more in the article:). The temperature may rise. If we are talking about a baby, then against the background of redness of the penis, the baby becomes restless and capricious. Urination and touching the organ will cause him pain.

What is the danger of the disease?

Despite the fact that the inflammation is localized, without complex treatment it can cause a number of complications:

1. spread of infection to the urinary system;
2. phimosis scarring, i.e. the head of the penis cannot be exposed;
3. decreased sensitivity of the penis, which will negatively affect sexual life in adulthood;
4. the appearance of peptic ulcer;
5. paraphimosis - pathological infringement of the glans penis.

Treatment of balanoposthitis in children at home

Usually, treatment prognosis is always favorable, with timely diagnosis, it is easy to get rid of the disease. In young boys, inflammation often resolves on its own, but this does not mean that when symptoms appear, you should postpone a visit to the doctor. Treatment comes down to proper care, drug therapy and folk remedies.

The first and most important thing is to teach the child to take care of himself properly. In infants, this hygiene is carried out by the mother. Important rules:

• hygiene must be carried out daily, the genitals are washed with warm water without detergents, additional care is carried out after each toilet;
• panties are changed every day, it is important to observe the size of the linen, diapers are changed at least 1 time in 3-4 hours;
• after water procedures, it is important to wipe the body dry.

Medicines

Medicines can help speed up the healing process. They are prescribed by the attending physician, in this case it is a pediatric urologist or surgeon. The therapy is based on topical creams and ointments.

Commonly prescribed drugs include:

1. anti-inflammatory ointments, such as Prednisolone, Hydrocortisol;
2. antiseptics: Miramistin, Levomekol, Synthomycin (we recommend reading:);
3. regenerating preparations: Sudocrem, creams and ointments with zinc, preparations based on dexpanthenol (Bepanten, D-panthenol) (see also:);
4. antifungal ointments: Lamisil, Lamikon and Clotrimazole.

Ointments are prescribed depending on the form of the disease and the cause of its occurrence. Many drugs have strict age restrictions, however, for funds such as Levomekol, the minimum age of the patient is not indicated, therefore, consultation with a specialist is required. Your doctor may also recommend combination medications.

If the focus of inflammation is very sore, it is possible to use antipyretics and painkillers, such as ibuprofen or paracetamol. Augmentin is used in the presence of abscesses; for disinfection, the affected areas are treated with Chlorhexidine.

An important point in the treatment of edema of the foreskin are baths. They can be made with the addition of pharmaceuticals or based on herbs. The former include a solution of furacilin and a weak solution of potassium permanganate.

ethnoscience

Various herbs will help treat the problem, they will soothe the tissues, promote their healing, and have an antiseptic effect. All baths are prepared from a proportion of 1 tbsp. l. dried flowers in 200 ml of boiling water. In this case, you do not need to prepare a whole bath, a small capacity is enough. Often used:

• chamomile - a well-known antiseptic, also soothes, relieves itching and burning;
• sage - valuable for its healing properties;
• calendula - heals wounds and has a powerful anti-inflammatory effect;
• oak bark - relieves swelling.

The bath should have a temperature of 37-38˚. For babies, the duration of the procedure is 10-15 minutes, for older boys, you can extend the time to 30 minutes.

Chamomile can also be used in the form of compresses - to prepare the mass, take flowers and boiling water in a 1: 1 ratio, put the gruel in gauze and apply to the sore spot for several minutes. The procedure is carried out 2 times a day.

Disease prevention

Prevention of balanoposthitis is proper care. It is important for the mother of a newborn to know that:

• you can not open the foreskin of the penis;
• you need to wash the baby with each diaper change or as needed (we recommend reading:);
• only need to handle the member warm clean water without the use of detergents;
• it is important to choose the right size of the diaper and underwear;
• underwear should be only from natural fabrics;
• once a week, it is necessary to thoroughly wash all the folds of the organ so that dirt does not accumulate there.

The famous pediatrician O.E. Komarovsky believes that phimosis, which is not the cause of problems with urination, can be observed up to adolescence. If the phenomenon is accompanied by swelling, itching, or the boy's foreskin just turned red, then it is important to show the child to a specialist in time. Remember that in the matter of children's health, the main thing is timely treatment.

Having noticed accumulations of smegma in a boy, they most often sound the alarm and commit rash actions. Such behavior can harm the health of both the boy and the adult man. White discharge on the head of the penis is not always a threat to health. In boys, this is normal. Do not take any action without consulting a doctor.

In no case do not try to squeeze smegma out of places covered with tissue that has not yet come off. This will not only give no positive result, subject to such manipulations, the sensitive tissue of the penis will immediately become inflamed, which will be accompanied by pain and the risk of developing other diseases. Even if the doctor advised you to carry out such procedures, it is better to find a more qualified specialist.

Take preventive measures on your own. Maintain meticulous but not excessive hygiene. Follow general condition health, as the weakening of the immune system contributes to the development various diseases, including the genitourinary system.

General information about smegma

Smegma is a greasy physiological secretion of the glands of the glans penis, which is mixed with exfoliated epithelial cells and moisture. The secretions accumulate under the foreskin and are washed away with a stream of urine. The main secret of the fluid is produced by the glands that are located at the base of the head of the penis on the coronal sulcus. Their composition moisturizes the head and facilitates the sliding of the skin.

In appearance, smegma is whitish in color, has a sharp pungent odor. The secretions themselves are easily removed from the surface of the penis. The fluid may also cover the head of the penis. It is observed normally in both men and boys. However, a large accumulation of this secret can lead to the development of an infectious process in the form of urethritis and even balanoposthitis (inflammation of the head of the organ).

Most of this fluid is formed during sexual activity. common cause accumulation of a secret under the foreskin is its narrowing - phimosis, which is detected both in a small child and in adolescence.

Smegma can be confused with a number of pathological secretions.

1. Curdled discharge in thrush. With a fungal infection of the mucous membrane, a white curdled secret is collected under the skin. Thrush is accompanied by burning and pain in the groin. This condition is rarely seen in boys.
2. Purulent discharge in gonorrhea, chlamydia. They are discharged from the urethra, have an unpleasant odor and a grayish color.

Also, an excess of lubrication can be triggered by papillomatosis - the formation of mushroom-like outgrowths on the head of the organ.

Methods of treatment

Excessive accumulation of fluid contributes to the formation of inflammatory processes and pain in the groin. However, getting rid of excess lubricant is quite simple. The treatment consists in regular genital hygiene, for this it is important to know how to properly care for the penis.

• With inflammation of the head, special antiseptics are used to treat it. In case of ineffectiveness of their use, antibiotics and ointments are used.
• In sexually active men, any pain in the genital area, as well as accumulation of discharge, should be diagnosed and differentiated from genital candidiasis and other sexually transmitted diseases.
• For men, it is also important to maintain the hygienic state of the penis.

Treatment in children

In a child, an excess amount of smegma accumulates most often due to phimosis. Under the narrowed flesh, fluid is collected that cannot be fully excreted with urine. Such an accumulation of secretion is a favorable substrate for the development of inflammatory infectious processes, therefore, treatment in a child includes the following steps.

• Elimination of phimosis or anomalies in the development of the head of the penis. To correct the pathology, conservative methods are used (baths, steaming, etc.), but most often it is surgical treatment. Boys undergo an operation, the essence of which is to circumcise the foreskin.
• Sanitation of the organ head. To do this, use regular washing with antiseptics until the inflammation disappears.
• Regular proper hygiene of the genitals in boys. It consists in teaching the child hygienic procedures in the form of daily washings with warm water and soap of the entire organ and the head in particular.

A small child may not notice the appearance of such a lubricant, however, parents should carefully monitor his health and the normal state of all organs.

The presence of smegma not only in men, but also in a child is normal. A person should be alerted by the fact that the amount of secretion has increased dramatically, there is pain or burning in the groin area at rest or when urinating. This is an occasion to consult a doctor to rule out sexually transmitted diseases, especially when there is a change in color and the appearance of an unpleasant odor.

It is important not to delay visiting the hospital in order to avoid complications. It is required to carry out regular prevention and monitor the condition, cleanliness and health of the genitals.

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Physiological features

According to the interpretation of the term from Greek, smegma is nothing more than “sebum”. A secret accumulates under the foreskin sebaceous glands(preputial glands), moisture, dead epithelial cells. In the absence of daily hygiene procedures, a whitish coating in men who have not undergone circumcision accumulates in the prepuce sac and can cause inflammation.

Composition of secretions:

1. Fats.
2. Specific non-pathogenic microflora (it includes mycobacteria smegma, which have the ability to assimilate fats).
3. Pheromones.
4. bactericidal substances.

The reason for the greatest accumulation of smegma is the period of the highest sexual activity in men (16–25 years), and as they grow older, the production of “sebum” decreases. In old age, smegma is practically not released, but this is not a reason to skip hygiene procedures.

What happens when a whitish plaque is in the preputial sacs for a long time? Stagnation is especially dangerous with phimosis, as well as ignoring the need for daily showering. If smegma is not removed, this can cause the development of balanitis, balanoposthitis, and with a systematic lack of hygiene of the genital organs, there is a high risk of developing precancerous pathologies (penile papilloma, etc.).

) or penis cancer. In addition, the "old" smegma has a very unpleasant and pungent odor, which is felt by others, and turns from whitish to yellowish-greenish.

However, the presence of smegma in uncircumcised men is necessary, it is a natural lubricant that allows the prepuce to easily glide over the head of the penis.

Differential Diagnosis

The accumulation of smegma can be easily confused with some pathological conditions. That is why, with excessive release of a whitish plaque or a pungent odor, you should consult a urologist as soon as possible in order to prescribe treatment in time.

The reason for such discharges may be:

1. Thrush. With a fungal infection, characteristic “grains” accumulate under the foreskin, resembling low-fat cottage cheese. Accompanied by pain in the groin and burning (rare in boys).
2. Chlamydia. Gonorrhea. The discharge is purulent, with an unpleasant odor and a grayish color, discharged from the urethra, but accumulated in the preputial sac.

Both of these pathological conditions require immediate therapy. If the treatment was ignored, there is a risk of developing complications with the application of irreversible phenomena to the male reproductive system.

Children's version of "sebum"

The cause of the accumulation of smegma under the foreskin in boys is most often phimosis. Phimosis is a narrowing of the prepuce that prevents the head of the phallus from being exposed properly. As a result, hygiene procedures are difficult or completely impossible, and the release of smegma and its subsequent accumulation under the foreskin becomes an excellent substrate for the development of inflammatory and infectious processes.

Treatment of smegma stagnation in a child must be carried out without fail, for this a number of standard methods are used:

• Elimination of anomalies in the development of the head of the phallus or phimosis in newborns. Sometimes prescribed conservative treatment(steaming, baths, etc.), but most often it is possible to get rid of the pathology with the help of circumcision.
• Sanitation of the head of the penis in boys. If smegma accumulated for a long time and provoked an inflammatory process, regular rinsing with antiseptic solutions is necessary until a complete cure.
• Daily hygiene procedures. Teaching the basics of personal hygiene with childhood- an indispensable attribute of the education of future men. Daily water procedures using warm water and mild soap prevent the development of inflammatory processes under the foreskin.

In general, smegma in boys, as well as in adolescents and men, is a natural phenomenon. The mothers of boys or a man should be alerted by an excessive accumulation of smegma even with regular ablutions, the occurrence of sharp pain and burning in the groin, aggravated by urination.

What should adults do?

How to treat men? If smegma accumulates in excessive amounts, then the risk of developing inflammatory processes (balanitis, balanoposthitis) increases, an unpleasant burning sensation, pain in the groin area appears.

It is better to prevent the accumulation of smegma, otherwise the treatment of complications is long and not entirely pleasant. To prevent inflammatory processes under the foreskin and on the head of the penis, you need to carry out simple manipulations:

• Regular hygiene of the genitals.
• If necessary, use antiseptics.

Antibiotics (tablets, ointments, etc.) are required in advanced cases. Men who live a regular sexual life should be alert to any change in well-being, as well as abundant discharge in the genital area, burning, pain and itching.

Preventive actions

Is smegma so dangerous, and can there be troubles associated with its excessive release? In order not to carry out long-term treatment complications provoked by smegma stagnation, it is important, starting from childhood, to regularly carry out hygiene procedures, and in the presence of phimosis, eliminate it.

Like any natural excretion of the body, smegma, which serves as a lubricant for the head of the phallus, must be removed. Otherwise, when accumulated, it begins to act on delicate skin as an irritant, which causes inflammation.

Usually, smegma causes more trouble for boys who have phimosis or teenagers who are not taught the basics of hygiene or completely ignore them. In youth, this is fraught with the development of infectious processes, especially during early sexual activity, and the occurrence of pathologies of the genitourinary organs. But with proper care of intimate organs from birth, smegma does not cause any trouble to boys or men.

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How to get rid of smegma?

As we noted above, a small volume of the substance in question is required in order to facilitate the sliding of the glans penis.

1. If smegma begins to accumulate in the cavity, it can provoke the development of balanoposthitis (inflammation of the foreskin).
2. With this disease, this part of the penis swells, becoming covered with painful cracks.
3. In addition to all of the above, an excess amount of smegma can lead to papillomatosis (the formation of small "mushroom-like" outgrowths on the head), as well as cancer.
4. To avoid these ailments, doctors recommend daily thoroughly wash off the fat-like substance.

5. According to statistics, in states characterized by a high level of personal hygiene, oncological diseases of the penis practically do not occur.

In turn, in backward countries, where men do not take good care of themselves, this kind of cancer is a common ailment.

Smegma or candidiasis?

Let us draw your attention to the fact that white plaque on the penis is not always smegma. In men, this kind of discharge may indicate the presence of candidiasis.

The causative agent of this disease is a fungus of the genus Candida. The main cause of infection in this case is sexual contact with a woman suffering from vaginal thrush. In rare situations, candidiasis moves from nearby foci. An even less likely cause of infection with candidiasis is from dirty hands or linen.

Symptoms of candidiasis:

• sensations of itching on the head of the penis;
• redness, swelling;
• the occurrence of erosion;
• discomfort when the head comes into contact with clothing;
• white coating;
• discomfort during urination, sexual intercourse;
• decrease in immunity.

Only a doctor can distinguish candidiasis from smegma!

Sometimes parents of future men note with horror that a whitish discharge with a specific smell began to appear on the baby's penis (namely, the head). This is smegma. As we said above, the formation of this substance is an absolutely natural and natural process that takes place in all mammals.

The development of smegmalitis, phimosis and other troubles in infants

If a child accumulates a large amount of smegma between the sheets of the foreskin, pathogenic microorganisms begin to multiply in this environment. As a result, the foreskin becomes inflamed, the head is red. Gradually, this can lead to smegmalitis.

1. In situations where children have phimosis in parallel, parents should definitely consult a doctor who will help relieve the baby from discomfort.
2. In order to more clearly understand the essence of the problems that have arisen, let us explain that at birth in boys, the head and foreskin are a single soldered tissue, which gradually begins to separate.
3. The epithelium, dying at the same time, is the infantile smegma, which sometimes brings young mothers to a pre-infarction state.
4. Thus, infantile smegma and the fat-like substance of adult males have nothing in common.

As for babies, parents in this case should not be alarmed by the selection itself. white color, and accompanying symptoms, in particular inflation skin penis when urinating, swelling of the foreskin, its redness.

Treatment and preventive measures for infant smegma

If you find the above symptoms in your child, you should not try to open the head area yourself. These actions can lead not only to severe pain and unpleasant sensations after, but also bleeding, as well as fusion of the flesh. The surgeon will perform all the necessary manipulations accurately, safely and quickly. Infants in this situation may not feel pain at all. After the procedure in question, the mother should wash the baby's penis every time after urination.

Her one option to get rid of the problem is circumcision, that is, circumcision of the skin of the foreskin. Many medical workers have long come to the conclusion that this procedure is very beneficial for the health of men. However, today circumstance is usually perceived as a national custom, the culture of the family where the baby is growing up.

So that children do not have intimate problems, it is necessary to take care of his penis from birth. For these purposes, it is not necessary to purchase any special means (antiseptics, perfume compositions). You just need to wash the baby with ordinary baby soap. With the growth and maturation of the child, parents should tell him how to properly take care of himself, how to maintain personal hygiene.

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The accumulation of smegma in men photo

In a newborn boy, the skin of the foreskin, as a rule, is fused with the glans penis by means of epithelial adhesions (synechia), which prevent or completely exclude the free removal of the glans. Such a temporary anatomical structure is called physiological phimosis and is the norm for boys early age. Gradually, in the process of penis growth, the head pushes the foreskin apart, the synechia slowly separates and the head opens.

This process can continue until the onset of puberty (puberty) in the development of the boy and does not require treatment. It happens that in young boys a small tumor-like formation of a yellowish color is visible through the thin skin of the foreskin.

1. it smegma- a mass of curdled consistency, consisting of desquamated epidermis of the skin and secretions of the sebaceous glands. The fusion of the head with the foreskin closes the preputial space, which reduces the likelihood of infection and inflammation.
2. Sometimes smegma, which is produced in boys from a very early age, can accumulate in the preputial space, limited by synechiae, in the form of a tumor-like, dense formation, which frightens parents.

3. Smegma is rarely infected and, gradually softening, is independently evacuated from the space of the foreskin. When large accumulation of smegma minimal medical assistance is possible. In this case, a thin special probe separates the synechia that prevents the discharge of the secret.
4. Newborn boys are characterized by complete closure of the head by the foreskin. In only 10% of children, the glans penis is completely or partially open in the first year of life.

Sometimes parents notice that the child's foreskin swells during urination, which is most often, if not pathological changes from the foreskin, fits into the concept of the norm and does not harm the child. The foreskin swells due to a mismatch between the flow of urine and the opening of the foreskin, but this usually does not result in residual urine in the bladder or hydronephrosis. However, in this case, the boy should be consulted by a specialist.

Mandatory medical examination

Immediately after the birth of the child (preferably in the first week of life), he should be examined by a doctor dealing with male issues. reproductive system, - andrologist. In the future, it is necessary to regularly undergo dispensary examinations, especially during the onset of puberty. If it is impossible to contact an andrologist, the boy should be examined by a urologist (or pediatric surgeon).

• At this stage of life, proper hygienic care is limited to daily bathing of the child and washing after the act of defecation.
• It is better to use baby soap or special baby shampoos for this. Daily use of bactericidal (germ-killing) detergents is contraindicated.
• In this case, the normal human microbiological environment that is replaced by pathogenic (disease-causing) microorganisms.
• In the future, as the child grows, during bathing, a gradual shifting of the skin of the penis and exposure of the head is possible.

The procedure should be performed very carefully, without causing the slightest pain to the child. Immediately after the toilet of the head, the foreskin must be returned to its place in order to avoid the development of paraphimosis. It should be remembered that the area of ​​the glans penis contains a large number of pain receptors, and gross manipulations on the penis can lead a little boy to mental trauma and cause a long-term fear of a man in a white coat.
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The formation of smegma in boys

Smegma formation is observed in all mammals. In order not to frighten young mothers, smegma is also called “sebum”. If it is released in small quantities, you should not worry, but there are some exceptions. Smegma in boys is produced from birth, but during puberty this process accelerates.

What troubles can a small man meet? In the case when the amount of smegma in boys is higher than normal, various bacteria can begin to multiply in them. The head of the penis begins to redden and become inflamed.

Abundant accumulations of smegma can give rise to such a disease as smegmalitis.

If a newborn has phimosis, then you need to contact a qualified specialist as soon as possible. Phimosis is a condition of a newborn child in which the leaves of the foreskin seem to be glued to the head of the penis. By itself, this is by no means an abnormality, but in combination with the copious emission of smegma, this is not a completely healthy event. He will prescribe treatment and solve the problem of smegma accumulation.

To understand the source of this problem, mom needs to remember that before the birth of the child, the head with the foreskin was a single whole. And only from the moment the baby is born, they begin to slowly separate from each other. During this separation, the cells die, and it is they who represent the very smegma that brings to nervous breakdown young mothers.

Little by little, quite naturally, it comes out of the hole. Infant smegma is not related to adult smegma. It may take decades before the final completion of the tissue separation process. It should be understood that this is completely natural and does not require any kind of medical intervention.

Treatment of stagnation of smegma

How to treat smegma stasis in boys? If the symptoms described above appear, you should not try to open the head of the penis yourself. Self-treatment attempts this disease can lead to adverse effects such as bleeding and subsequent fusion of the flesh.

A competent surgeon will perform the procedure quickly and, most importantly, safely. Small child he won’t even feel anything, and older children will immediately forget about the pain. Mom after all these manipulations will have to wash the baby's penis every day after each trip to the toilet for several days.

In extreme cases, circumcision can be done.
Most doctors consider circumcision to be very beneficial for men's health, but today such procedures are carried out mainly in connection with national customs.

Preventive actions

• to avoid problems in the intimate part, the boy's hygiene must be taken care of from the first day of his life;
• some special means are not required for this, it is enough to use baby soap and water;
• no need to go out of your way and invent something intricate;
• no need to use perfumes and antiseptics;
• the boy must understand that taking care of the penis is as important as brushing his teeth, and this should develop into a habit.

Often it is the neglect of the genitals that causes multiple troubles, including the accumulation of smegma. Subject to simple hygiene rules, smegma does not pose the slightest danger to the boy's health. It looks like a transparent whitish discharge. It is imperative to realize that it is not the smegma itself that is dangerous, but its stagnation.

Smegma has positive properties. When the foreskin separates from the glans, it does not cause pain precisely because smegma softens this process by moisturizing the foreskin. Such white discharge is absolutely normal in both young boys and adult men.

It is necessary to mention once again the undesirable independent actions of parents who are trying to move the foreskin themselves. This should be addressed Special attention, since independent actions can cause serious inflammation.

In no case should you lose your head at the sight of white discharge from a baby. Unreasonable manipulation of the penis is not a good decision.

The main task of caring parents is to monitor the implementation of the rules of personal hygiene of their child. If they are violated, active reproduction of microflora can begin. Serious diseases such as balanitis and balanoposthitis may occur. And then all this can lead to penile cancer.

After all, smegma contains not only a fat-like substance, but also dead epithelial cells. This whole complex, also containing urine droplets, is an excellent breeding ground for various bacteria.

All of the above allows us to formulate a fairly clear conclusion: to observe the rules of personal hygiene from an early age.

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PHYSIOLOGICAL ROLE

Smegma is normal, has a number properties that ensure the normal functioning of the male penis.

Main:

• facilitating the process of sliding the head of the penis;
• prevention of the occurrence of microtraumas, cracks at the exit of the head from the foreskin;
• an obstacle to the development of local infections, due to the bactericidal components that make up its composition.

Normally smegma looks like white coating at the base of the head, may have a smooth or curdled texture, as well as a spicy smell comparable to the aromas of savory cheeses.

Stagnation

When smegma stagnates, dense accumulations are formed, which can calcify and harden. The result is white plaques called smegmolites. . When an infection is attached, the color of the smegma changes, more often to yellow or green, and the smell becomes unpleasant and pungent.

Overcrowding smegma occurs when:

• non-compliance with personal hygiene;
• narrowing of the foreskin (phimosis);
• diseases that are sexually transmitted if specific balanoposthitis (or balanitis) develops.

Whether proper care of your body is enough or whether a doctor's consultation is required depends on the specific situation.

WHAT DOES SMEGMA STAKE AND HOW TO PREVENT IT?

Against the background of smegma stagnation, attachment and reproduction are possible.
microbial flora, which contributes to the occurrence of inflammation of the external genitalia, as well as the development of neoplasms - benign (papillomas) and malignant (cancer).

The narrowing of the foreskin makes it difficult to expose the glans penis. It can be physiological (observed in boys up to 7 years of age), due to gluing of the epithelial lining of the head of the penis with the inner layer of the foreskin. In this case, it is necessary to carefully and carefully observe the hygiene of the genital organs, avoiding injury. Special treatment is not required unless a secondary inflammatory reaction develops.

In guys 16-17 years old, as well as in adult men, phimosis is a sign of pathology, it needs to be consulted by a urologist. The reason for the development of the disease determines the individual appointment by the doctor of one or another method of correction (not necessarily surgical) in each case.

Smegma with long-term phimosis becomes more viscous. Its stagnation in the preputial sac (fold of the foreskin) can lead to the multiplication of banal microbial flora (staphylococcus aureus, E. coli, streptococcus) or fungi, and to the development of inflammatory processes. Most often - balanitis (inflammation of the glans penis) and balanoposthitis, when, along with the head of the penis, inflammatory changes develop in the inner layer of the foreskin.

With a number diseases sexually transmitted diseases (STDs), a specific inflammation of the organs of the reproductive system occurs, accompanied by an increase in the production of smegma and congestion, leading to an increase in its density and a change in smell.
The most common:

• gonorrhea;
• chlamydia;
• ureaplasmosis;
• fungal infections;
• viral (herpetic, cytomegalovirus, papillomavirus) infections.

Doctors also consider chronic smegma stasis to be one of the suggestive factors in the development of penis tumors. Along with cancer, the occurrence of precancerous formations, as well as local malignant tumors, is possible:

• pointed kandiloma, papillomas;
• Bowen's disease;
• erythroplasia of Queyra.

These processes require not only a consultation with a urologist, but also with an oncologist!
For the prevention of congestion, it is necessary:

• personal hygiene;
• wearing underwear that prevents compression and overheating of the external genital organs.

Hygiene procedures are great importance and to maintain male strength, as well as ensure the health of the genitourinary system, preventing the development of many diseases. It is necessary to wash the external genitalia regularly (twice a day), using warm water and products with an alkaline pH (preferably on plant-based), observe intimate hygiene before and after sexual contact, wear comfortable underwear.

By having these skills from a young age, boys will be able to avoid many problems with their male health in the future.

Smegma in men photo

As one of the physiological fluids, smegma itself does not need treatment, it has protective properties and helps the male reproductive system to function normally. Therefore, the question "how to get rid of smegma?" meaningless.

It is necessary to distinguish between the normal production of smegma and infectious processes, in which a white coating also appears on the penis. Only diseases that change the properties and amount of secreted smegma are subject to treatment.

Most often it is:

First of all, it is necessary to exclude the defeat of the fungal flora, for the development of which characteristically:

• the appearance of curdled plaque;
• itching, discomfort in the genital area;
• cramps when urinating;
• pain, swelling of the head of the penis.

With STDs, along with common symptoms(general weakness, headaches and muscle pain, loss of appetite, sometimes - elevated temperature body) reveal specific signs related to the route of transmission and the site of infection.

Main manifestations:

• burning, pain in the lower abdomen, as well as along the urethra when emptying the bladder;
• discharge from the penis;
• plaque, swelling, rash on the penis;
• pain, discharge, rash in the throat (often in the tonsils), in the rectum.

If you are likely to contract a sexually transmitted infection, you should consult a dermatovenereologist.

If there is a suspicion of tumor formation, then attention should be paid to the possible structural restructuring of the penis (tissue compaction or violation of their integrity), as well as the presence of common signs of tumor intoxication:

• weight loss;
• malaise, general weakness;
• poor appetite or sudden changes in taste preferences;
• periodic (towards evening) increase in body temperature up to 37.5 ° C.

With such manifestations, it is necessary to consult an oncologist as soon as possible.
CONCLUSION

Thus, smegma is a physiological phenomenon that does not require the use of therapeutic agents. However, if hygiene is not observed and against the background of certain conditions leading to its stagnation, it is possible to change its properties, as well as the addition of an infection. In this case, you need to contact a doctor who diagnoses the disease and selects a treatment based on individual characteristics.

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How to remove smegma?

With a slight smegma men have no reason to fight it. It is necessary to engage in treatment when the oily secret is produced in excess. The fact is that in large quantities it can provoke balanoposthitis, which is an inflammatory lesion of the foreskin. This disease is manifested by swelling of the glans penis and its cracking.

Also excess smegma can provoke papillomatosis - the formation of mushroom-like outgrowths on the head of the penis. If desired, a man can easily get rid of smegma. To do this, you just need to pay due attention to the hygiene of the penis.

According to statistics, in men who observe personal hygiene, diseases of the penis are a rarity. But for those representatives of the stronger sex who are negligent about personal hygiene, such diseases are common.

What can be confused with smegma?

Often, a white coating on the head of the penis is mistaken for smegma, but in fact this is candidiasis. The fact is that this disease is also manifested by a white coating.

Unlike smegma, candidiasis is caused not by bacteria, but by fungi. A man gets this disease most often from a woman who has untreated thrush.

However, in some cases, dirty hands and underwear can be the source of the disease.

Symptoms of candidiasis:

• Itching of the penis.
• Redness of the head and its swelling.
• Foci of erosion on the skin.
• White, foul-smelling coating.
• Itching during urination and sexual intercourse.
• Decreased immune responses.

It should be noted that a man cannot independently distinguish smegma from candidiasis. This can only be done using laboratory research prescribed by the doctor.

Sometimes women are horrified to discover his sons have a whitish discharge on the head of the penis. There is nothing to be afraid. Smegma is normal in men under the age of 30. For her own reassurance, a woman can show the child to a doctor.

Smegma in babies

In the event that the baby between the foreskin and the head of the penis accumulates a large amount of oily white secretion, then there is a possibility of developing inflammation - smegmalitis. If the inflammatory process develops against the background of phimosis, then the woman must definitely show the child to the doctor. Only a doctor can save the baby from the problem.

1. Toddlers foreskin and the head of the penis are soldered into one. Their separation occurs gradually and is accompanied by the formation a large number infantile smegma, which has nothing to do with male smegma.
2. parents should alert not the oily secret itself, but the symptoms that accompany its appearance: swelling, swelling of the skin around the head when urinating, redness of the foreskin. They indicate the development of diseases.
3. If a the disease was discovered in an infant and is accompanied by symptoms of inflammation, then you should not even try to separate the foreskin from the head of the penis yourself. This may cause severe pain The child has. This should be done by an experienced surgeon. He will do everything very quickly and with minimal damage. Most importantly, it will ensure the safety of this procedure.
4. In many countries in order to prevent diseases caused by smegma resort to circumcision - circumcision of the foreskin. In Russia, many doctors also believe that this procedure will have a positive impact on the health of a man in the future. However, so far circumcision in our country is perceived only at the level of national custom.

So that a man there were no problems with the penis, it must be taught from an early age to the hygiene of intimate places.

urolog.guru

When there is reason to worry

If too much smegma has accumulated, its amount sharply exceeds the norm, it is just right for parents to sound the alarm. In this case, microorganisms can multiply in the smegma. As a result, inflammation of the foreskin and redness of the head occur. Excessive smegma in a child can develop into smegmalitis. Only a doctor can help to cope with this situation, show how to properly remove the accumulation of smegma in boys, and tell you what needs to be done so that this does not happen again in the future.

Proper hygiene from birth is the key to future health!
Smegma in men is completely different from smegma in babies and little boys, they have nothing in common.

It is very important to understand and realize that the release of smegma is a natural process that does not require treatment at all. Such discharge is the result of the separation of the tissues of the penis. Sometimes such a separation can drag on for several years.

The following conditions may be cause for concern:

1. When a boy's penis swells when urinating
2. The foreskin is swollen or red

If you notice these symptoms, see your doctor. They indicate that the inflammatory process has begun and infections and bacteria began to multiply in the smegma. This focus needs to be urgently eliminated, and only a doctor can do this.

Possible therapeutic and preventive measures

If your baby has abnormal discharge, you should not try to get rid of them yourself. Self-medication in this case can cause bleeding, pain, fusion of the flesh.

• Only surgeons can correctly and safely eliminate smegma, alleviate the condition of the baby and return everything to its place. After the discharge is removed by the doctor, the child will need to flush the penis for several days after each urination. How to do this - the doctor will tell.
• Another treatment option is to use circulation. In other words, the doctor may suggest removing the boy's foreskin. The final decision in this matter, of course, is made by the parents.
• In order to avoid the development of smegmalitis in the future, it is necessary from birth to properly care for the boy's genitals, to fulfill all hygiene requirements, using ordinary baby soap and water. Any additional measures there is no prevention.
• If the discharge began to accumulate in a teenager, most likely he neglects the rules of personal hygiene. It is for this reason that infections often develop, lesions of the genitourinary system and genital organs in particular occur.

Follow all the rules, carefully monitor the cleanliness of the external genitalia little man and you won't have to face any major problems. Health to you and your child!

tvoyaurologia.

en

What pathological secretions are confused with?

The cause of a large accumulation of smegma may be the narrowing of the foreskin (phimosis). This disease often occurs in children under the age of six. White discharge can alert the mother of the child, and only an experienced doctor can determine their nature.

Smegma is easily confused with other pathogenic secretions:

1. A white discharge of a curdled appearance indicates the presence of thrush. This fungal infection covers not only the foreskin, but the entire head. The disease is accompanied by unpleasant and painful sensations, burning and itching. This condition is most common in men who are active sexual life, and is rarely seen in young children.
2. Purulent discharge is associated with gonorrhea or chlamydia. They are accompanied by an unpleasant odor and, unlike smegma, have a grayish tint.

Treatment in men

With an abundant accumulation of smegma in a man, an inflammatory process develops on the head and in the foreskin area, which is accompanied by redness and pain in the groin. You can get rid of abundant secretions only by observing the daily hygiene of the penis.

If, nevertheless, pathogenic bacteria caused inflammation of the glans penis, then the doctor prescribes antiseptic solutions to the man. With these means, a man treats the affected area of ​​\u200b\u200bthe penis. If the drug did not have the desired effect, then antibiotics are used in the form of tablets or ointments.

All funds should be prescribed by the attending physician; without his appointment, you should not self-medicate, because. this may lead to negative consequences and cause disease complications.

Before prescribing treatment, the doctor establishes a diagnosis of the disease in order to exclude the presence of genital infections.

Treatment in boys

In a child, smegma accumulates most often due to phimosis - this is a condition when the foreskin narrows, covering the head of the penis, without the possibility of full disclosure. At the same time, smegma is not completely washed off during urination and is a beneficial environment for the development of infection.

Treat abundant accumulation of smegma in children in stages:

1. First eliminate the state of phimosis. For this, baths, steaming can be used, but most often the problem is solved surgical method: perform circumcision of the foreskin.
2. Remove the inflammatory process by washing with antiseptic agents.
3. Carry out regular and proper hygienic treatment of the child's genitals.

The release of smegma is a normal phenomenon that is observed in both a child and an adult man. However, if the amount of secretion secreted has increased, there are pains in the groin area and during urination, then you should immediately consult a doctor. This will allow diagnosing the source of the disease state and prescribing proper treatment. If phimosis in a child is not treated in a timely manner, then complications arise in the form of balanoposthitis, lesions of the urethra, and even oncological diseases.

aurolog.ru

Smegmalitis, phimosis and other troubles of little men

If the accumulation of smegma in a child between the leaves of the foreskin exceeds the norm, then pathogenic microorganisms can multiply in it. The foreskin becomes inflamed, the head turns red. So the accumulation of smegma in boys turns into smegmalitis. If at the same time the child also has phimosis, then the situation requires urgent intervention by a doctor who will tell you how to remove the smegma and save the baby from discomfort.

To understand the essence of the problem, the mother needs to know that before the birth of the baby, the head and foreskin developed as a single soldered tissue. Only after the birth of the boy, they begin to gradually separate. The cells that die during separation are the same infantile smegma that brings mothers to a pre-infarction state. It is gradually excreted through the hole in a natural way. It is worth noting that infantile smegma has nothing in common with an adult. It can take up to ten years until the tissues are completely separated. It is important to realize that this is normal, does not require intervention, let alone treatment.

Parents should be alerted not by smegma itself, but by other symptoms, which include:

• swelling of the skin on the penis when urinating
• swelling of the foreskin or its redness.

In this case, smegma stagnation is a breeding ground for infection and must be eliminated.

Treatment and prevention

If the symptoms described above occur, it is not worth making independent attempts to open the head. Such treatment of smegma stagnation in boys can lead not only to sharp pain, but also to bleeding with subsequent fusion of the flesh. The surgeon will perform this manipulation safely, quickly and efficiently. The baby may not feel it at all, and older children quickly forget about the pain. After this procedure, the mother will have to wash the child's penis for several more days after each urination.

Another way is circumcision of the foreskin (circumcision). Doctors have long come to the conclusion that this is very useful for men's health procedure, but modern world circumcision is connected, rather, with the national customs and culture of the family in which the child grows up.

https://womanadvice.ru/smegma-u-malchikov

How to care

Parents who try to wash their child as often and as cleanly as possible are advised by doctors not to overdo it. Until the moment when the foreskin can separate, the boy's penis should only be washed with plain water and nothing more. It is not even necessary to slightly pull the foreskin, it will open when the time comes. If smegma accumulates behind the foreskin (it looks like a white curdled substance), do not worry and try to wash it completely with all your might. Smegma in boys is a normal manifestation of the work of the glands, it is easily washed off under running water and this is quite enough.

When to go to the doctor and to what

If physiological phimosis is the norm, then what is the pathology? If a boy suddenly begins to complain that it hurts or is unpleasant for him to write, if his parents see that urine does not come out in a jet, that during urination the skin of the foreskin swells with a ball, redness, swelling or purulent discharge appear on the penis - this is an occasion immediately visit a doctor. Ideally, contact a urologist (these are doctors who deal with the genitourinary organs), and if not, then a surgeon. A qualified urologist will always act in the interests of the child and will not prescribe him unnecessary traumatic manipulations. First, the doctor will always offer conservative treatment - to remove the inflammatory process, then soften and stretch the foreskin. And only if the boy really has serious changes leading to a violation of urine excretion, and conservative treatment is ineffective, the doctor will begin surgical treatment.

Look for good doctor, do not rush to agree to a surgical manipulation or operation until you are sure that conservative methods of treatment do not work. Fortunately, in most cases, a small patient manages to avoid unpleasant procedures, since this vast majority is not a manifestation of pathology.

https://mamadeti.ru/article/pediatrics/boy-problems/

A bit of physiology

• Little men are born with skin fold, completely covering the head of the penis - an elongated and narrowed foreskin.
• Depending on the individual length of this fold, the likelihood of stagnation of urine drops in it varies greatly, so the risk of inflammation of the foreskin is also individual.
• On the inner surface of the foreskin are located sebaceous glands, the secret of which forms a special lubricant - smegma.

If the mother does not wash the baby, but only changes his diapers, believing that evening bathing is enough for hygiene, the smegma stagnates and even begins to decompose, causing persistent inflammation, which sooner or later leads to two typical diseases - secondary phimosis and balanoposthitis.

Outside, balanoposthitis is manifested by redness and swelling of the foreskin, but even earlier, the baby's urination begins to be accompanied by anxiety and crying, groaning, and mothers observe a certain peculiarity: first, the foreskin swells like a small ball, and then this ball is slowly emptied by a thin stream of urine.

Possible options

Avoiding these troubles is easy and simple: you need to regularly (with each diaper change!) Rinse the “diaper zone” with soapy water (for boys, washing is done from front to back) and dry thoroughly. This is usually sufficient.

According to the undocumented impressions of pediatric urologists from district polyclinics, little boys (the first three years of life) are more often brought to them than girls.

If the boy does not external signs inflammation of the foreskin and urination brings him pleasure and relief - just wash it regularly with soapy water, rinse and dry it well, and really don’t touch anything (do not carry out “no pulling, steaming, instillation, training and development,” says Dr. Komarovsky, popular today ).

But there are exceptions: some boys have a non-standard length of the foreskin (too short or long), with a large amount of smegma formed ... No luck! In this case, you need to consult a pediatric urologist, because it is possible that a boy with this feature will need a small health care, and his parents - full-time training in some skills and methods of hygienic care for the foreskin.

http://www.aif.ru/health/children/15983

Episodic balanoposthitis occurs in most boys with uncut foreskin without significant pathologies: a small inflammatory process can suddenly occur in the penis, but quickly pass.

Reference. Avitaminosis and hypothermia are additional factors for the development of complications of balanoposthitis.

Reasons for the transition of the disease to the chronic stage

urological disease in chronic stage can last for months or years. Despite moderate or even mild inflammation, this condition of the child is not associated with a threat to his life or genitals.

The foreskin is slightly edematous, has a slight redness, there are white deposits on it, which are easily removed mechanically. The nuance is that exacerbations (relapses) are periodically recorded, which have signs of an acute form.

Factors of the appearance of chronic balanoposthitis in a child:

• improper treatment of acute balanoposthitis;
• insufficient hygiene of the intimate area;
• development of local dermatitis and eczema;
• accession of a secondary infection;
• wearing too tight underwear.

Poor quality soaps, powders, shampoos, ointments and other cosmetics can also interfere with the cure for inflammation.

You should also carefully choose underwear: cheap synthetic options can saturate the dermis with harmful compounds and worsen the condition of the child's genitals.

Reference. Availability diabetes and psoriasis increase the risks of the transition of the disease to a chronic studio.

The timing of the cure for the disease

Acute balanoposthitis caused by the accumulation of smegma is eliminated the fastest - the disease disappears after 5-7 days.

To eliminate inflammation, antimicrobial ointments are applied, and the head is washed with soap and water 3 times a day. The presence of a fungus in the intimate area slows down the pace of treatment: the complete elimination of a pathogenic microorganism can take up to a month or longer.

If a course of antibiotic therapy is added to the ointment, then the treatment time is reduced to two weeks (not prescribed in infancy). The ability to remove the head from under the foreskin allows you to use the aeration method using a hygienic silicone nozzle. The procedure allows you to quickly remove inflammation and prevent the recurrence of inflammation when using the ring for prophylactic purposes.

In the chronic form of balanoposthitis, exacerbations last from one to two weeks. In this case, it is possible to completely get rid of the disease only by a surgical method, however, if preventive measures are observed, sometimes conservative treatment techniques can be dispensed with.

For antibacterial therapy, antiseptics are used: Chlorhexidine, Furacilin, Hydrogen Peroxide. Sedentary baths with chamomile and calendula bring a positive effect. Potassium permanganate also has a bactericidal effect.

Individual factors and cure rate:

• the presence or absence of an infectious factor;
• the degree of damage and the type of balanoposthitis;
• the presence of physiological changes - or a short frenulum;
• condition immune system patient.

If balanoposthitis is accompanied by phimosis, then in most cases surgery is indicated (exacerbations often torment the child, relapses continue for several weeks).

Relief occurs immediately after circumcision of the foreskin: the inflamed tissue is removed, and the open head is easier to process with antiseptic ointments and solutions.

After the operation, the inflammation completely subsides after 3-7 days. An alternative option is associated with conservative therapy: special exercises performed with the fingers or Glansha's instrument can help with stretching the ring of the preputial sac.

In this case, the removal of inflammation directly depends on the ability to fully open the head and freely carry out hygiene procedures.

Conclusion

The child - due to lack of knowledge - is not able to take care of his own health, so parents must engage in the hygiene of their son's genitals until a certain age. And only as they grow older, the child should be instilled with the habit of regularly removing pollution in the intimate area on their own.

If there are already suspicions of balanoposthitis, then you should urgently contact a urologist to prevent the risk of dangerous complications.