Penile disorders (Phimosis) (Assesment findings and Symptoms (Assesment…
Penile disorders (Phimosis)
Occurs when the penile foreskin (prepuce) is constricted over the glands, making retraction difficult and impossible.
Occurs in uncircumcised males.
May be congenital or acquired.
The prepuce or foreskin goes into the spasm and constricts over the glans.
The prepuce constricted cannot be rectractable.
Thus the area under it cannot be cleaned.
Leading to the formation of smegma and later infection.
Assesment findings and Symptoms
Assesment reveals the following:
Tenderness of the glans.
Pulurent discharge around the opening.
Extreme pain experienced due to the constriction of the opening.
Last resort if ever the medical management fails.
Surgical excision of the foreskin (circumcision) may be performed.
Effective genital hygiene is essential to prevent infection.
The foreskin must be pulled back and the area washed with warm water and soap.
After cleaning the foreskin must be gently returned to its normal position.
The technique must be repeated until inflammatory sigs subsides and the foreskin glides smoothly.
Prescribed broad spectrum anti biotics to prevent infection.
Analgesics should be administered to control pain.
Effective genital hygiene is essential to prevent Phimosis.
Patients must be given information essential about sexually transmitted infections (STI's) and the relationship between HIV and STI's and how these can be prevented.