Consultant Paediatric Urologist Surgeon
How common is it?
Surprisingly, all boys are born with a tight foreskin, however the foreskin starts opening up with age. Complications Some boys with a tight foreskin may develop balanitis (infection) at a later age. Rarely this may result in scarring with resultant difficulty in passing urine. Non-operative treatment As long as the clinician can rule out BXO by clinical examination, it should be possible to treat some tight foreskins with steroid creams, the success rate is approximately 40-50%. Circumcision A circumcision surgery may be performed for religious or medical reasons. It may be done under local anesthesia, or under a light GA. Hypospadias Treatment In this condition, the patient passes urine from a hole which is situated further down the penile shaft, rather than on the tip of the penis. In the more severe cases, the penis may also be bent (chordee). Hypospadias surgery can be technically very exacting, and complication rates can be high particularly in those centers which do few operations a year. The surgery can be done in 1 or stages, anytime between the ages of 9 months to 2 years. If a child already has had 1 or more failed repairs before, then pre-operative treatment with testosterone may be beneficial. Warning: Graphic Surgery Content
Specialist Consultant Gastrointestinal Doctor
Constipation has almost reached epidemic proportions in the West, and the main reason appears to a deficient diet. Therefore the simplest measures involve increasing the intake of fresh fruits, salads and vegetables and ensuring an adequate fluid intake.
Pulses, lentils, rice, pasta, cereals like wheatabix and shredded wheat are all rich in fibre, Prune juice and bioyogurt are also helpful. Laxatives may be tried under medical supervision, more resistant cases may require enemas. If all else fails, an anal dilation under anaesthesia may work wonders. Rarely, the diagnosis of Hirschsprung's disease may be considered in cases of very severe constipation starting in the first few months of life. Here, the innervation of the rectum may be abnormal, treatment involves a major surgery. |
Mr Devesh MisraAn experienced, expert paediatric surgeon in London, UK. He has special interest in Newborn Babies (neonatal) & Children Surgery, GI surgery & Paediatric Urology. An experienced pediatric surgeon LondonTreatments for urology conditions, circumcision, tight foreskin, balanitis, undescended testes, hypospadia, constipation etc.
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