White plaque on the boy's head. The main causes and symptoms of inflammation of the glans penis in boys. Exacerbation of a delicate illness in boys: characteristics of chronic and acute balanoposthitis A boy has a lump under the skin on his weenie

Phimosis occurs in approximately 2% of men. There are congenital and acquired phimosis. In children of the first years of life, this condition is physiological. As the penis grows and erections appear, the head gradually becomes free, which is impossible with a narrowed and scarred foreskin. In children with severe narrowing, difficulty urinating, thinning of the urine stream, and swelling of the foreskin may be observed. ...

Pseudophimosis

The narrowing of the foreskin in boys can occur before the end of puberty. This is a completely normal condition and is not phimosis. In the experience of non-circumcising nations, this narrowing rarely requires treatment. Direct expansion usually occurs as one gets older. Complete resolution of the foreskin constriction 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.

Treatment of phimosis
Medication
Lubricating the foreskin with steroids promotes normal growth and expansion of the foreskin. It should be remembered that narrowed foreskins usually expand without treatment. Methodology: lubricating 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
Gradually stretching the foreskin by regularly pulling it onto the head of the penis (but not too actively!) until it becomes painful. This 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 apart each time to a greater distance. The effectiveness of stretching methods is 75%.
Surgical
Surgical methods for treating phimosis are now rarely used and only in cases where there was no effect from other methods. The approved surgical treatment is three longitudinal incisions with transverse suturing. Surgical treatment of phimosis in children is carried out by separating the adhesions of the preputial sac using a metal probe and a gauze pad. In case of cicatricial changes in the foreskin, 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 sutured again 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 internal and external leaves of the foreskin, both leaves are cut perpendicular to each other and stitched again in the transverse direction. Anesthesia is local, placing 2% lidocaine ointment in the preputial sac ). The entire operation takes 10 minutes and is carried out, like circumcision, in a clinic. The wound heals within 4-6 days. This operation is also good because the head remains covered, and therefore there are no unpleasant sensations, both in everyday life and during sexual intercourse.

Acquired phimosis is most often a consequence 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 libido and can contribute to the development of sexual disorders. During the first sexual intercourse or spontaneous full erection, the head is often pinched in the narrowed ring of the foreskin - paraphimosis, which requires urgent surgical help. With combined diseases of phimosis and chronic balanoposthitis, cancer of the glans penis can develop.

If the glans is pinched, you can try to return the foreskin to its place without surgery. To do this, the head is generously lubricated with lubricant (vaseline, baby oil, etc.), hands are folded under the head so that it is higher than the index and middle fingers slightly squeezing the barrel. Thumbs rest against the head and try to push it into the opening of the foreskin. The whole movement is very reminiscent of a fig 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 big troubles.

WARNING: There have been reports that external irritants and other environmental factors may cause narrowing of the foreskin. One such irritant is the chemicals contained in a bubble bath.

Illustrated encyclopedic Dictionary sexological terms and concepts
http://www.neuro.net.ru/bibliot/b003/sx20015.htmll

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

Reference. Vitamin deficiency 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 may 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 swollen, has slight redness, and has white deposits on it that are easily removed mechanically. The nuance is that exacerbations (relapses) are periodically recorded, which have signs of an acute form.

Factors for the appearance of chronic balanoposthitis in a child:

• Not correct treatment acute balanoposthitis;
• insufficient hygiene of the intimate area;
• development of local dermatitis and eczema;
• addition of a secondary infection;
• wearing underwear that is too tight.

Low-quality soaps, powders, shampoos, ointments and other cosmetics can also interfere with healing from 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. The presence of diabetes mellitus and psoriasis increases the risk of the disease becoming chronic.

Time to cure the disease

Acute balanoposthitis, caused by the accumulation of smegma, is eliminated the fastest - the disease goes away in 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 fungus in the intimate area slows down the pace of treatment: complete elimination of the pathogenic microorganism may take a month or longer.

If a course of antibiotic therapy is added to the ointment, the treatment period 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 relieve inflammation and prevent the re-development of inflammation when using the ring for preventive purposes.

In the chronic form of balanoposthitis, exacerbations last from one to two weeks. IN in this case The only way to completely get rid of the disease is through surgery; however, if preventative measures are taken, it is sometimes possible to get by with conservative treatment techniques.

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

Individual factors and healing rate:

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

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

Relief occurs immediately after circumcision of the foreskin: inflamed tissue is eliminated, and the exposed head is easier to treat with antiseptic ointments and solutions.

After surgery, inflammation completely subsides within 3–7 days. Alternative option associated with conservative therapy: special exercises performed with the fingers or the Glanshy 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 carry out the procedure without hindrance. hygiene procedures.

Conclusion

The child - due to lack of knowledge - is not able to take care of his own health, so parents must take care of the hygiene of their son’s genital organs until a certain age. And only as the child grows older should he instill the habit of regularly removing dirt from the intimate area on his own.

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

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

Under no circumstances try to squeeze out smegma from areas covered by tissue that has not yet separated. Not only will this not give any positive result, but the sensitive tissue of the penis exposed to such manipulation will immediately become inflamed, which will be accompanied by pain and the risk of developing other diseases. Even if your doctor advised you to carry out such procedures, it is better to find a more qualified specialist.

Take only preventive measures yourself. Maintain good but not excessive hygiene. Monitor your general health, as a weakened immune system contributes to the development of a variety of diseases, including genitourinary system.

General information about smegma

Smegma is an ointment-like physiological secretion of the glands of the glans penis, which is mixed with exfoliated epithelial cells and moisture. Discharge accumulates under the foreskin and is washed away by a stream of urine. The main fluid secretion is produced by glands that are located at the base of the head of the penis on the coronary groove. Their composition moisturizes the head and facilitates the sliding of the skin.

Smegma is whitish in appearance and has a sharp pungent odor. The discharge itself is 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 secretion 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 all this fluid is formed during sexual activity. Common cause The accumulation of secretions 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 discharges.

1. Curdled discharge due to thrush. When there is a fungal infection of the mucous membrane, a white cheesy secretion collects under the skin. Thrush is accompanied by burning and pain in the groin area. This condition is rarely observed in boys.
2. Purulent discharge from gonorrhea, chlamydia. They are discharged from the urethra, have an unpleasant odor and a grayish color.

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

Treatment options

Excessive fluid accumulation contributes to the formation of inflammatory processes and pain in the groin area. However, getting rid of excess grease is quite easy. Treatment consists of regular genital hygiene; for this it is important to know how to properly care for the penis.

• When the head is inflamed, special antiseptics are used to treat it. If their use is ineffective, 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 sexual candidiasis and other sexually transmitted diseases.
• It is also important for men to maintain the hygienic condition of the genital organ.

Treatment in children

In a child, an excess amount of smegma accumulates most often due to phimosis. Fluid collects under the narrowed flesh, which cannot be fully excreted along with urine. This 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 abnormal development of the head of the penis. To correct pathology, conservative methods are used (baths, steaming, etc.), but most often this 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 rinsing with antiseptics until the inflammation disappears.
• Regular proper hygiene of the genital organs in boys. It consists of teaching the child hygiene procedures in the form of daily washing warm water with soap for 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 condition of all organs.

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

It is important not to delay visiting the hospital to avoid complications. It is necessary to carry out regular preventive maintenance 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.” Under the foreskin, the secretion of the sebaceous glands (preputial glands), moisture, and dead epithelial cells accumulate. 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 inflammatory processes.

Composition of the discharge:

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

The reason for the greatest accumulation of smegma is the period of maximum 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 whitish plaque remains in the preputial sacs for a long time? Stagnation is especially dangerous with phimosis, as well as if you ignore 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 papillomas, etc.

) or penile cancer. In addition, “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 slide easily along the head of the penis.

Differential diagnosis

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

The cause of similar discharge may be:

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

Both of these pathological conditions require immediate treatment. If treatment is ignored, there is a risk of complications causing irreversible effects to the male reproductive system.

Children's version of "sebum"

The cause of accumulation of smegma under the foreskin in boys is most often phimosis. Phimosis is a narrowing of the prepuce that does not allow the head of the phallus to be properly exposed. As a result, hygienic 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 stagnation of smegma in a child must be carried out; for this, a number of standard techniques are used:

• Elimination of abnormalities 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 has accumulated for a long time and provoked an inflammatory process, regular rinsing with antiseptic solutions is necessary until it is completely cured.
• Daily hygiene procedures. Teaching the basics of personal hygiene from childhood is an indispensable attribute of raising future men. Everyday water treatments using warm water and mild soap helps 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. Mothers of boys or men should be alerted to excessive accumulation of smegma, even with regular ablutions, and the occurrence of sharp pain and burning in the groin, which intensifies with urination.

What should adults do?

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

It is better to prevent the accumulation of smegma, otherwise the treatment of complications will be 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 genital hygiene.
• If necessary, use antiseptics.

Antibiotics (tablets, ointments, etc.) are required in advanced cases. Men who have regular sexual intercourse should be alerted to any change in well-being, as well as heavy discharge in the genital area, burning, pain and itching.

Preventive actions

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

Like any natural body secretions, 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 inflammatory processes.

Usually, smegma causes more trouble for boys who have phimosis or adolescents who have not been taught the basics of hygiene or who 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 boys or men any trouble.

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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” growths on the head), as well as cancer.
4. To avoid these ailments, doctors recommend thoroughly washing off the fat-like substance every day.

5. According to statistics, in countries characterized by a high level of personal hygiene, cancer of the penis practically does not occur.

In turn, in backward countries where men take poor care of themselves, this kind of cancer is a common ailment.

Smegma or candidiasis?

Please note that a white coating 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 is sexual contact with a woman suffering from vaginal thrush. In rare situations, candidiasis moves from a number of located foci. An even less likely cause of candidiasis infection is from dirty hands or laundry.

Symptoms of candidiasis:

• itching sensation 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;
• decreased immunity.

Only a doctor can distinguish candidiasis from smegma!

Sometimes parents of future men note with horror that a whitish discharge with a specific odor begins 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 occurs in all mammals.

Development of smegmalitis, phimosis and other troubles in infants

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

1. In situations where children simultaneously have phimosis, parents should definitely consult a doctor who will help relieve the baby from discomfort.
2. To more clearly understand the essence of the problem that has arisen, let us explain that at birth in boys, the head and foreskin are a single welded tissue that gradually begins to separate.
3. The epithelium that dies off is infant smegma, which sometimes brings young mothers to a pre-infarction state.
4. Thus, infant smegma and the fat-like substance of adult men have nothing in common.

As for babies, parents in this case should be alarmed not by the white discharge itself, but by the accompanying symptoms, in particular the swelling of the skin of the penis during urination, swelling of the foreskin, and 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 on your own. These actions can lead not only to sharp pain and unpleasant sensations afterwards, but also to bleeding, as well as fusion of the flesh. The surgeon will do all the necessary manipulations carefully, safely and quickly. Babies in such a situation may not feel any pain at all. After the procedure in question, the mother should wash the baby’s penis every time after urination.

Her only option for getting rid of the problem is circumcision, that is, cutting off the skin of the foreskin. Many medical workers They have long come to the conclusion that this procedure is very beneficial for a man’s health. However, today, circulation, as a rule, is perceived as a national custom, the culture of the family where the baby grows up.

To prevent children from having intimate problems, it is necessary to take care of their penis from birth. For these purposes, you do not need to purchase any special products (antiseptics, perfume compositions). You just need to wash the baby with regular baby soap. As the child grows and matures, parents should tell him how to properly take care of himself and how to maintain personal hygiene.

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Accumulation of smegma in men photo

In a newborn boy, the skin of the foreskin is usually fused to the head of the penis through epithelial adhesions (synechiae), which prevent or completely eliminate the free removal of the head. This temporary anatomical structure is called physiological phimosis and is the norm for young boys. Gradually, as the penis grows, the glans spreads the foreskin, a slow separation of the synechiae occurs and the glans opens.

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

1. This 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 the development of 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, independently evacuates from the space of the foreskin. When large accumulation of smegma minimum possible medical assistance. In this case, a thin special probe is used to separate the synechiae, which prevents the discharge of secretions.
4. For newborn boys, the head is completely covered by the foreskin. Only 10% of children have the glans penis fully or partially open in the first year of life.

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

Mandatory medical examination

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

• At this stage of life, proper hygiene care is limited to daily bathing of the child and washing after 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 microbiological environment inherent to humans is disrupted, which is replaced by pathogenic ( causing diseases) microorganisms.
• In the future, as the child grows, during bathing the skin of the penis may gradually shift and the glans may be exposed.

The procedure should be performed very carefully, without causing the slightest pain to the child. Immediately after toileting the head, the foreskin should be returned to its place 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 rough manipulation of the penis can lead to little boy to mental trauma and long-term fear of the man in the white coat.
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Smegma formation in boys

All mammals exhibit the formation of smegma. In order not to scare young mothers, smegma is also called “sebum”. If it is released in small quantities, there is no need to worry, but there are some exceptions. Smegma in boys is produced from birth, but during puberty this process accelerates.

What troubles can a little man encounter? 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 turn red and become inflamed.

Abundant accumulations of smegma can give rise to a disease such 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 baby in which the leaves of the foreskin seem to be glued to the head of the penis. In itself, this is by no means a deviation, but in combination with the abundant secretion 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, mommy needs to remember that before the birth of the child, the head and foreskin were 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 they are the very smegma that drives young mothers to a nervous breakdown.

Little by little it comes out of the hole quite naturally. Infant smegma is in no way related to adult smegma. Decades may pass before the tissue separation process is finally completed. It should be understood that this is completely natural and does not require any medical intervention.

Treatment of stagnation of smegma

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

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

As a last resort, circumcision can be done.
Most doctors consider circumcision to be very beneficial for men's health, but these days such procedures are performed mainly only 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;
• You don’t need any special means for this; just use baby soap and water;
• there is no need to go out of your way and invent anything 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 become a habit.

Often it is neglect of the genitals that causes multiple problems, including the accumulation of smegma. Subject to simple rules hygiene, smegma does not pose the slightest danger to the boy’s health. She looks like 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 is separated from the glans, it does not cause pain precisely because smegma softens this process, moisturizing the foreskin. This type of white discharge is completely normal in both little boys and adult men.

It is necessary to mention once again the unwanted independent actions of parents who try to push back the foreskin themselves. Particular attention should be paid to this, since independent actions can cause serious inflammation.

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

The main task of caring parents is to ensure that their child follows the rules of personal hygiene. If they are violated, active reproduction of microflora may begin. There may be such serious illnesses, like balanitis and balanoposthitis. And then all this can lead to penile cancer.

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

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

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PHYSIOLOGICAL ROLE

Smegma is secreted normally and has a number of properties, ensuring the normal functioning of the male penis.

Basic:

• facilitating the process of sliding the head of the penis;
• prevention of microtraumas and cracks when the head emerges from the foreskin;
• preventing the development of local infections, thanks to the bactericidal components included in its composition.

Normally, smegma looks like a white coating at the base of the head, can have a homogeneous or curdled consistency, as well as a spicy odor 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 occurs, the color of the smegma changes, more often to yellow or green, and the smell becomes unpleasant and pungent.

Excessive accumulation smegma occurs when:

• lack of 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 you need to consult a doctor depends on your specific situation.

WHAT DOES SMEGMAL STAGNATION LEAD TO AND HOW TO PREVENT IT?

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

The narrowing of the foreskin makes it difficult to expose the head of the penis. It can be physiological (observed in boys up to 7 years of age), caused by 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. No special treatment is required unless a secondary inflammatory reaction develops.

In boys 16-17 years old, as well as in adult men, phimosis is a sign of pathology and requires consultation with a urologist. The reason for the development of the disease determines the doctor’s individual prescription of one or another correction method (not necessarily surgical) in each specific case.

With long-term phimosis, smegma becomes more viscous. Its stagnation in the preputial sac (fold of the foreskin) can lead to the proliferation of banal microbial flora (staphylococcus, 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 stagnation, leading to an increase in its density and a change in odor.
The most common:

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

Doctors also consider chronic stagnation of smegma to be one of the predisposing factors in the development of penile tumors. Along with cancer, precancerous formations, as well as local malignant tumors, may occur:

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

These processes require not only consultation with a urologist, but also with an oncologist!
To prevent congestion it is necessary:

• maintaining personal hygiene;
• wearing underwear that prevents compression and overheating of the external genitalia.

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

With these skills, starting from a young age, boys will be able to avoid many problems with their men's health in future.

Smegma in men photo

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

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

The most common are:

First of all, it is necessary to exclude damage by fungal flora, for the development of which typical:

• the appearance of a cheesy coating;
• itching, discomfort in the genital area;
• pain when urinating;
• pain, swelling of the head of the penis.

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

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 (usually in the tonsil area), in the rectal area.

If there is a possibility of contracting a sexually transmitted infection, you should consult a dermatovenerologist.

If there is a suspicion of tumor formation, then you should pay attention to possible structural changes in the penis (tissue compaction or disruption of their integrity), as well as the presence common features tumor intoxication:

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

In case of 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, its properties may change, as well as infection. In this case, you need to consult a doctor who will diagnose the disease and select treatment taking into account individual characteristics.

menquestions.ru

How to remove smegma?

For minor smegma It makes no sense for men to fight it. It is necessary to engage in treatment when the oily secretion 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 manifests itself as swelling of the head of the penis and its cracking.

Also excess smegma can provoke papillomatosis - the formation of mushroom-like growths 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 penile hygiene.

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

What can smegma be confused with?

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

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

However, in some cases, the source of the disease may be dirty hands and laundry.

Symptoms of candidiasis:

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

It should be noted that a man cannot independently distinguish smegma from candidiasis. This can only be done with the help of laboratory tests prescribed by a doctor.

Sometimes women they discover with horror my sons have a whitish discharge on the head of the penis. There is nothing to be afraid of. Smegma is normal in men under 30 years of age. To reassure herself, a woman can show her child to a doctor.

Smegma in babies

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

1. In babies foreskin and the head of the penis are welded into one piece. Their separation occurs gradually and is accompanied by the formation of a large amount of infant smegma, which has nothing in common with smegma in men.
2. Parents should be alarming not the oily secretion itself, but the symptoms accompanying its appearance: swelling, swelling of the skin around the head when urinating, redness of the foreskin. They indicate the development of diseases.
3. If the disease was discovered in an infant and is accompanied by symptoms of inflammation, you should not even try to separate the foreskin from the head of the penis on your own. This can cause severe pain in the child. This should be done by an experienced surgeon. He will do everything very quickly and with minimal damage. What is most important is to ensure the safety of this procedure.
4. In many countries for prevention purposes For diseases caused by smegma, they resort to circumcision - circumcision of the foreskin. In Russia, many doctors also believe that this procedure will have a positive effect on the man’s health in the future. However, circumcision in our country is still perceived only at the level of national custom.

So that a man there were no problems with the penis, he needs to be taught intimate hygiene from an early age.

urolog.guru

When there are reasons to worry

If too much smegma has accumulated, its amount sharply exceeds the norm, it’s time 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 glans occurs. Excessive smegma in a child can develop into smegmalitis. Only a doctor can help cope with this situation, show how to properly remove the accumulation of smegma in boys, and tell you what needs to be done to prevent this from happening again.

Proper hygiene from birth is the key to future health!
Smegma in men is completely different from smegma in infants 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 separation of the tissues of the genital organ. Sometimes such separation can drag on for several years.

The following conditions may be cause for concern:

1. When a boy's penis inflates when he urinates
2. The foreskin becomes swollen or red

If you notice these symptoms, consult your doctor. They indicate that the inflammatory process has begun and infections and bacteria have begun to multiply in the smegma. This outbreak needs to be eliminated urgently, 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 it yourself. Self-medication in this case can cause bleeding, pain, and accretion of flesh.

• Only surgeons can correctly and safely eliminate smegma, alleviate the baby’s condition and return everything to its place. After the doctor removes the discharge, the child will need to rinse the penis after each urination for several days. The doctor will tell you how to do this.
• Another treatment option is to use circulation. In other words, the doctor may suggest removing the boy's foreskin. Accept final decision in this matter, of course, parents.
• In order to avoid the development of smegmalitis in the future, you need to properly care for the boy’s genitals from birth, fulfill all hygiene requirements, using regular baby soap and water. There are no additional preventive measures.
• If discharge begins to accumulate in a teenager, most likely he neglects the rules of personal hygiene. It is for this reason that infections often develop and damage to the genitourinary system and genital organs in particular occurs.

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.

ru

What pathological discharges are they confused with?

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

Smegma is easily confused with other pathogenic secretions:

1. White, curd-like discharge indicates the presence of thrush. This fungal infection covers not only the foreskin, but also the entire head. The disease is accompanied by unpleasant and painful sensations, burning and itching. This condition most often occurs in sexually active men and is rarely observed in young children.
2. Purulent discharge accompanies 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. Get rid of heavy discharge It is possible only by observing daily hygiene of the genital organ.

If, however, pathogenic bacteria cause inflammation of the glans penis, then the doctor prescribes antiseptic solutions to the man. With these products, a man treats the affected area of ​​the genital organ. If the drug does not have the desired effect, then antibiotics are used in the form of tablets or ointments.

All medications must be prescribed by the attending physician; without his prescription, you should not self-medicate, because this could lead to negative consequences and cause complications of the disease.

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

Treatment for 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 opening. At the same time, smegma is not completely washed off when urinating and is a favorable environment for the development of infection.

Heavy accumulation of smegma in children is treated in stages:

1. First, the condition of phimosis is eliminated. For this, baths and steaming can be used, but most often the problem is solved surgically: circumcision of the foreskin is performed.
2. Relieve the inflammatory process by washing with antiseptic agents.
3. Carry out regular and proper hygienic treatment of the child’s genital organ.

The release of smegma is a normal phenomenon that is observed in both children and adult men. However, if the amount of secretion increased, pain appeared in the groin area and when urinating, you should immediately consult a doctor. This will allow you to diagnose the source of the painful condition and prescribe the correct treatment. If phimosis in a child is not treated in a timely manner, complications arise in the form of balanoposthitis, damage to 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 and the head turns red. So the accumulation of smegma in boys turns into smegmalitis. If the child also experiences phimosis, the situation requires the urgent intervention of a doctor who will tell you how to remove the smegma and relieve the baby of discomfort.

To understand the essence of the problem, the mother needs to know that before the baby was born, the head and foreskin developed as a single welded tissue. Only after the boy is born do they begin to gradually separate. The cells that die during separation are the same infant smegma that brings mothers to a pre-infarction state. It is gradually removed through the hole naturally. It is worth noting that infant smegma has nothing in common with adult smegma. It may take ten years for the tissue to completely separate. It is important to realize that this is normal and does not require intervention, much less treatment.

It is not the smegma itself that should alarm parents, but other symptoms, which include:

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

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

Treatment and prevention

If the symptoms described above occur, you should not attempt to open the head on your own. Such treatment of stagnation of smegma in boys can lead not only to severe pain, but also to bleeding with subsequent fusion of the flesh. The surgeon will perform this manipulation safely, quickly and efficiently. A baby may not feel this at all, but older children quickly forget about the pain. After this procedure, the mother will need to rinse the child’s penis for several more days after each urination.

Another method is circumcision of the foreskin (circumization). Doctors have long come to the conclusion that this is a very useful procedure for men’s health, 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

For parents who try to wash their child as often and cleanly as possible, doctors advise not to overdo it. Until the moment when the foreskin can be separated, the boy’s penis only needs to be washed with plain water and nothing more. You don’t even need to pull back the foreskin slightly; it will open when the time comes. If smegma accumulates behind the foreskin (it looks like a white cheesy substance), do not worry and try your best to wash it completely. Smegma in boys is a normal manifestation of the functioning of the glands; it is easily washed off under running water and this is quite enough.

When to go to the doctor and which one

If physiological phimosis is the norm, then what is pathology? If a boy suddenly begins to complain that it is painful or unpleasant for him to pee, if the parents see that urine does not come out in a stream, that during urination the skin of the foreskin swells into a ball, redness, swelling or purulent discharge appears on the penis - this is a reason to immediately visit a doctor. Ideally, contact a urologist (these are doctors who specifically deal with the genitourinary organs), and if he is not there, then see a surgeon. A qualified urologist will always act based on the interests of the child and will not prescribe unnecessary traumatic manipulations. First, the doctor will always suggest conservative treatment - to relieve the inflammatory process, then soften and stretch the foreskin. And only if the boy really has serious changes leading to impaired urine output, and conservative treatment is ineffective, will the doctor begin surgical treatment.

Look for a good doctor, don’t rush to agree to surgical manipulation or surgery until you are sure that conservative treatments are not working. Fortunately, in most cases, the little patient manages to avoid unpleasant procedures, since the vast majority are not a manifestation of pathology.

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

A little physiology

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

If the mother does not wash the baby, but only changes his diapers, believing that an evening bath 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.

Externally, balanoposthitis manifests itself as redness and swelling of the foreskin, but even earlier, the baby’s urination begins to be accompanied by restlessness and crying-groaning, and mothers observe a certain peculiarity: first, the foreskin swells up like a small ball, and then this ball is slowly emptied with a thin stream of urine.

Possible options

Avoiding these troubles is easy and simple: you need to regularly (every time you change diapers!) rinse the “diaper area” with soapy water (for boys, wash from front to back) and dry thoroughly. This is usually enough.

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

If the boy doesn't have external signs inflammation of the foreskin and urination brings him pleasure and relief - just wash it regularly with soapy water, rinse well and dry, and really don’t touch anything (do not do “any pulling, steaming, instillation, training or development,” says today’s popular doctor Komarovsky ).

But there are exceptions: some boys have a non-standard foreskin length (too short or long), with a large amount of smegma formed... No luck! In this case, a consultation with a pediatric urologist is needed, because it is possible that a boy with this feature will need a little medical help, and his parents will need face-to-face training in some skills and techniques. hygiene care behind the foreskin.

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

It happens that parents are faced with such a problem as inflammation of the foreskin in their child. This disease is called balanoposthitis. It happens both in infants and in older boys. Balanoposthitis is not a dangerous disease, but it does cause some discomfort and inconvenience.

Why does balanoposthitis occur?

For a newborn, the condition when the head of the penis is fused to the foreskin (phimosis) is quite natural and lasts up to one and a half years. As they grow, the distance between them increases and a cavity appears, which is gradually filled with smegma. These are desquamated epithelial cells and sebaceous gland secretions.

As the boy grows, the cavity expands and periodically cleans itself, but the child does not require treatment. The state of physiological phimosis can be observed up to the age of five. During urination, urine enters the cavity, and if the natural course of cleansing is disrupted, an inflammatory process may occur. In this case, you need specialist consultation and appropriate treatment.

The occurrence of balanoposthitis can occur for the following reasons:

• violation of hygiene rules;
• formation of constrictions in the cavity;
• deposition of urine salts;
• maceration of the skin of the penis with underwear;
• hypothermia;
• endocrine diseases, obesity, vitamin deficiencies.

Accumulated smegma is a beneficial environment for the growth of pathogenic microorganisms and the development of inflammation.

Classification and diagnosis

Depending on the symptoms, the disease can be acute, chronic, or specific. The acute process is more typical for children; In adults, chronic balanoposthitis with periodic exacerbations is more common.

Acute balanoposthitis can be simple, purulent, allergic, erosive and necrotic. Treatment is prescribed depending on the type. The chronic inflammatory process of the glans penis in a boy differs in its duration. The process may periodically subside, but scars and long-term non-healing cracks remain.

A type of specific balanoposthitis can be caused by certain pathogenic microorganisms:

• tuberculosis bacillus;
• chlamydia and gonococci;
• herpes virus;
• causative agents of syphilis.

Such balanoposthitis is rare. The risk group includes children whose mothers are sick with these diseases. In infants, the disease can develop as a result of intrauterine infection or during childbirth.

To diagnose simple balanoposthitis, explanations from the parents or complaints from the child are sufficient. The doctor examines the head of the boy's penis. If the course of the disease becomes persistent, blood and urine tests are prescribed, and sugar levels are determined. They inoculate the discharge from the inflamed tissue for microflora and susceptibility to antibiotics.

Symptoms of the disease

Signs of balanoposthitis sometimes occur in complete well-being. The child experiences discomfort and itching of the glans penis. Redness and some swelling occur, and later the boy may have difficulty urinating.

Urinary retention in children occurs for two reasons. Due to swelling at the end of the penis, the urethra is blocked. Or when the baby experiences pain and burning, he himself delays the process. Symptoms are observed for 5 days, then self-cleaning occurs.

If purulent balanoposthitis occurs, other signs are present:

• discharge of pus from under the foreskin;
• an increase in temperature appears;
• lethargy, weakness of the child;
• inflammation of the inguinal lymph nodes.

If appropriate treatment is not provided in time, the stage of physiological phimosis becomes pathological, and scars form. In children, the disease becomes chronic. It is unacceptable to use antibiotics on your own, especially if the infection is caused by fungi; consultation with a pediatric surgeon is necessary.

Home treatment

Uncomplicated, simple balanoposthitis in the early stages, after consultation with a specialist, is treated at home; hospital treatment is not required. To relieve symptoms of the disease, perform the following steps:

• baths with chamomile decoction, a weak solution of potassium permanganate or furatsilin;
• applying gauze pads with antiseptic;
• the use of special medicinal powders.

A small child can be placed in a basin with the prepared solution. For older children, a bath for the glans penis can be made using a small container. Procedures in the first days are carried out frequently, every 2 hours. Before going to bed, you can apply gauze soaked in antiseptic or antibacterial ointment. Before using the powder, the liquid from the head of the penis must be thoroughly blotted, then treated with powder with talc-tannin.

If balanoposthitis is allergic, you need to find and eliminate the source of the allergy, and local treatment carried out by the same means.

The allergen may be in the urine, then you need to exclude allergenic foods and give more liquid. The reaction can be to washing powder, soap, new diapers, bed linen, clothing dye and much more.

Drug treatment

Inflammatory diseases with the release of pus are dangerous because they can cause tissue necrosis. Levomekol ointment has a good antimicrobial effect. It is applied in the form of applications. When the procedure is difficult to carry out, the ointment is administered using a syringe. You can use these antibacterial agents, like Sintomycin, Miramistin.

If a pathogen is isolated during culture, the drugs Biseptol, Nitroxoline, and antibiotics to which the microbe is sensitive are prescribed. If necessary, add: prednisolone, hydrocortisone. Panthenol, Bepanten, Sudocrem creams are used topically to protect the glans penis.

If the inflammation is of a fungal nature, treatment is carried out with Clotrimazole, Lamikon, Lamisil, Fluconazole. If a boy has a fever and pain, add paracetamol and ibuprofen.

In children with purulent balanoposthitis, the doctor separates the adhesions that have arisen between the foreskin and the head, removes the purulent contents and treats them with an antiseptic. With long-term chronic inflammation, the foreskin is completely excised.

Possible complications

Simple forms in children are easy to treat. An advanced disease can cause the transformation of physiological phimosis into a pathological state. In this case, boys do not have the possibility of the usual outflow of urine due to the closed opening of the urethra. The problem can only be eliminated by circumcision under general or local anesthesia of the foreskin.

Ulcerative and hypertrophic balanoposthitis is characterized by severe pain, redness, long-term non-healing wounds and ulcers. This can lead to curvature and deformation of the head of the penis, which can traumatize the boy’s psyche. An unresolved problem can lead to blood poisoning. Complications of balanoposthitis can include urinary tract infections, such as pyelonephritis, cystitis, and urethritis. The chronic form of the disease can cause cancer or gangrene of the penis.

Prevention of balanoposthitis

It is important to detect balanoposthitis in time, taking into account the causes and main signs of the disease. Seeking help and starting treatment on time will yield results; complications are rare. Balanoposthitis can be prevented. There are some recommendations for this:

• strictly observe the boy’s hygiene rules;
• exclude unnecessary touching of the child’s genitals, so as not to injure or cause infection;
• Wash your genitals daily and after bowel movements without soap;
• change diapers for babies in a timely manner, while providing air baths;
• select diapers and panties made of soft fabric and without rough seams according to age;
• do not push back the foreskin of the penis.

In order to prevent the disease, it is necessary to develop in the boy the habit of daily care of the genitals. At an older age, children should be taught to use the shower and remove excess smegma on their own, and change their underwear daily.

Balanitis is a fairly common disease, which is an inflammation of the head of the male genital organ. Most often it affects boys under 5 years of age. The disease can affect only this part of the penis or the inner side of the foreskin, which is defined as posthitis. If suppuration simultaneously affects both of these areas, then balanoposthitis is diagnosed.

The disease can negatively affect the sexual activity of a mature man and his ability to fertilize. A spermogram will help you obtain all the information to identify infertility and eliminate causes of concern.

Signals of a possible problem

The painful condition does not appear immediately. The child gradually develops the following symptoms:

• decreased feeling of hunger, decreased appetite;
• increase in body temperature up to 38 degrees;
• pain, burning, redness in the area of ​​the penis;
• problem of urinary incontinence (enuresis);
• lack of sleep, weakness, irritability;
• inflammation of the lymph nodes in the groin area.

Within 5-6 days, signs of the disease can intensively increase and lead to acute balanoposthitis. The child's temperature rises, redness, pain when urinating, discharge and swelling of the tissues of the foreskin appear.

Often the acute form occurs as a response to an infectious disease or in case of neglect of personal hygiene rules.

If proper treatment is not started in a timely manner, the disease will become chronic and may result in major male problems in the future. Therefore, the situation should not be left to chance and self-medication, but rather get professional help, take the necessary tests: blood, spermogram (for adult men), urine.

Sometimes a child may develop purulent balanoposthitis. It is characterized by redness of the skin, swelling of the head of the penis, and itching. The boy feels pain when urinating, accompanied by purulent discharge with a specific odor.

The root of the disease

Balanitis or inflammation of the glans penis often flares up due to various microorganisms. Typically, the disease affects those males who do not take good care of the hygiene of their genitals.

The main reason for problems with the penis is the secretion of a special lubricant (smegma) by the urethra and skin glands. It collects under the foreskin and, when suppurating in the urethra, aggravates the situation, increasing irritation and inflammatory reactions.

In a healthy boy, this substance on the organ has the appearance of a curdled mass, consisting of secretions of the glands of the skin, on the mucous membrane of the penis. However, when the composition of smegma includes secretions of sebaceous and sweat glands, the risk of microbial damage to the tissues of the penis increases.

The lubricant is concentrated in the skin fold of the foreskin, which reduces the protective properties of the skin. As a result, infection occurs and intensive proliferation of microbes begins. Sometimes, to make sure that there is no accumulation of bacteria that threaten the fertilization process in the area of ​​the head of the penis, men are prescribed a spermogram.

The disease can also develop in a child with skin lesions on the penis or local reactions to any chemical compounds. Often these are the results of improper self-medication or wearing poor-quality, tight underwear, which leads to rubbing of the head and foreskin.

Inflammatory processes are possible with primary or secondary balanitis. In the first option, the source of the disease is fungal and bacterial infections, the presence of which can be seen on a spermogram or smear. Harmful microorganisms multiply under the outer layer of skin of the foreskin and lead to severe inflammation of the penis. In such situations, there is only one way out - contact a surgeon to circumcise the foreskin.

Purulent balanoposthitis occurs due to yeast fungi, staphylococci and streptococcal microorganisms.

Diagnosis of the disease

If inflammation is suspected, parents should take the child to a pediatric surgeon or urologist. Often, special instrumental studies are not needed to diagnose the disease. After analyzing the complaints, examining the penis and taking laboratory tests, a conclusion can be made.

A general urine test will help detect leukocytosis and the presence of harmful microbes.

To identify the pathogen, a bacteriological study is carried out. The situation is different when diagnosing the disease in men. To exclude the possibility of developing serious diseases that will affect reproductive function in the future, a spermogram is necessary.

Balanoposthitis brings many sexual problems to males. It affects both a man’s reproductive function and his overall health. Spermogram is considered one of the most important methods in the diagnosis of urological diseases. It helps to obtain information about the possibility of procreation, the presence of inflammatory processes, infections, and bacteria. The data obtained in the spermogram can present a clear picture of the course of the process and show whether there is inflammation of the mucous membrane.

Treatment of balanoposthitis

There are no particular difficulties in treating inflammation of the foreskin. With a good and correct approach, symptoms can be overcome in a few days.

Basically, hygienic baths and antibacterial ointments are used to treat the disease. The most effective remedies are chamomile decoction, which is prepared using the usual method, or furatsilin. You will need to dilute the tablets in boiled water room temperature at the rate of: 2 pieces per 200 grams. Such sitz baths should be taken once a day for a week. Even if the inflammation has passed, treatment should be continued to prevent relapse.

You should not rinse or wash the genital organ with a solution of potassium permanganate; this is not always beneficial, since it has a drying effect. Sometimes liquid ointment is injected into the opening of the foreskin. It is applied to a bandage, gauze, wrapped around the diseased organ and the bandage is left overnight.

During treatment, the patient needs to drink a lot of water. This will ensure active rinsing of the urethra. And after the illness, you need to wash the boy for a month and gently wipe him dry with a soft towel after each visit to the toilet.

In the case of chronic balanoposthitis, such procedures will not be effective, but will only improve the child’s condition for a short time. Therefore, it is very important to take a responsible approach to the treatment of the primary process in order to prevent the further development of a more serious form of the disease.

Preventive action

The development of inflammatory processes on the glans penis is always associated with the lack of adequate prevention. First of all, proper care is necessary. In addition, it is important to follow the basic rules.

Due attention should be paid to the hygiene of the boy's penis. Parents need to wash their child every day. Under no circumstances should you open the head and wash it thoroughly with soap. Such procedures remove the natural protective barrier that protects the mucous membrane of the foreskin from inflammation. Therefore, once a week you can slightly open the outer part and gently pour it over with water diluted with baby bathing foam.

You cannot uncontrollably use disinfectant solutions or antibacterial ointments every day to protect your child from germs.

Men, even with unexpressed symptoms, should check their health by regularly consulting a spermogram, which is prescribed by a doctor.

It is recommended to buy comfortable, high-quality underwear and select the right diapers for babies, changing them regularly. Tightly fitting items disrupt the circulatory system and promote inflammation, so you should give preference to loose underwear to avoid friction with the mucous membrane.

Do not forget about hygienic baths based on herbal infusions.

Urological diseases associated with inflammation of the foreskin are not considered the most terrible problem in the life of a child or an adult man. The main thing is to remember about preventive measures, treat treatment responsibly and not panic. And as soon as you suspect problems with men's health, contact a specialist as soon as possible without self-medicating.

In boys, the area of ​​the foreskin and head of the penis often becomes inflamed. This inflammation is called balanoposthitis. Infants get sick especially often, since the anatomy of a newborn differs from the structure of the genital organs of an adult. Balanoposthitis in a child appears due to insufficient or infrequent washing, infectious diseases, allergies, diabetes, and excess weight. The temperature rises, the head of the penis becomes red and swollen, the boy complains of painful urination.

Causes of balanoposthitis

Balanoposthitis in children is usually caused by bacteria. The causative agents of the inflammatory process are staphylococcal and streptococcal infections, herpes virus, fungal infection (candida) and other microorganisms. Bacteria multiply in the sac between the glans and the foreskin. The surrounding tissues and skin become inflamed, and this is how balanoposthitis begins. The allergic nature of the disease is also possible, in which case the allergen becomes the cause of inflammation.
The causes of inflammation are varied. The following factors can provoke the development of balanoposthitis:

• Insufficient washing. With insufficient hygiene, smegma and urine residues are not washed out from under the skin of the foreskin. In young children, smegma consists for the most part not from the secretions of the foreskin, but from dead epithelial cells. If these secretions are not washed out regularly, then an infection develops in the place where they accumulate, which leads to inflammation.
• Diabetes mellitus and hormonal disorders are common causes of balanoposthitis. High sugar in the urine creates a sweet environment in which bacteria grow quickly.
• Phimosis. In all infants, the head of the penis cannot be opened; it is covered by the foreskin (physiological phimosis). Closed areas of the head promote the accumulation of bacteria.
• Adhesions (synechia) of the foreskin. This anatomical feature all male newborns. As the boy gets older, the adhesions disappear on their own and do not require special treatment. However, synechiae prevents complete cleansing of the head, which can lead to balanoposthitis.
• Washing a boy with soap too often can also be a provoking factor. Soaps and other detergents can irritate the skin if used frequently. In such cases it is possible. Allergies are often caused by leftover detergents on diapers. A newborn boy comes into contact with such underwear with his genitals. This can result in contact dermatitis, and then allergic balanoposthitis. With allergies, redness and rashes are also observed on the skin around the genitals.
• Rarely changing diapers sometimes leads to inflammation. In older boys, balanoposthitis can be triggered by prolonged wearing of tight panties or swimming trunks, especially with rough seams in the front.
• Overweight children are susceptible to balanoposthitis. Obesity impairs metabolism and immunity; in addition, it is more difficult for an overweight child to maintain hygiene.
• Boys suffering from chronic diseases of the genitourinary system often suffer from inflammation of the head and foreskin.
• Lack of vitamins and hypothermia also cause inflammatory diseases.

Washing the boy with soap too often

Balanoposthitis in infants

Balanoposthitis often occurs in infants. This occurs due to the fusion of the head and foreskin.
This physiological feature in infants is considered normal. In infants, the foreskin protects the head. This is observed in 96% of boys at birth. Usually by the age of one and a half years the head begins to become exposed. But for some children this happens much later: at 6 years old, and sometimes at 10 years old. It is also not considered a pathological condition.
Usually the smegma is washed out along with the urine. But it happens that the removal of smegma is disrupted, and then conditions are created for the growth of bacteria and the occurrence of inflammation.
Sometimes parents themselves try to expose the head of the baby’s penis in order to clean the boy. This is very harmful, as it can injure the genitals and cause infection.
Balanoposthitis is very common in childhood, so parents should know the symptoms and treatment of this disease.

Signs of childhood balanoposthitis

First, the child develops balanitis (inflammation of the head), then the inflammation spreads to the foreskin (posthitis). When both inflammations occur simultaneously, it is called balanoposthitis.

How does acute balanoposthitis manifest in children?

Acute balanoposthitis in boys begins unexpectedly, without a hidden period. In the evening I felt normal, but in the morning signs of illness suddenly appeared:

• pain in the penis;
• painful difficulty urinating;
• hyperemia (redness) and swelling of the penis;
• foul-smelling discharge;
• elevated temperature;
• enlarged lymph nodes in the groin;
• bad feeling.

In the photo of a sick child you can see the swelling and redness characteristic of acute balanoposthitis.
While the disease is acute, it can be easily cured with local remedies (baths, ointments) within two to three days. Redness and swelling decrease, general condition improves. In the first days the disease is easily treated. But if treatment was insufficient or absent, and signs of inflammation remain, then balanoposthitis becomes chronic over time.

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How does purulent balanoposthitis manifest in children?

Purulent balanoposthitis in a child is caused by an infection: streptococci, staphylococci or yeast. Clinical manifestations begin suddenly:

• heat;
• sharp pain and burning sensation in the urethra;
• Pus comes out of the penis in clots.

Balanoposthitis of a purulent nature is dangerous due to complications. Sometimes the infection spreads upward path, pyelocystitis and urethritis occur.

Symptoms of chronic balanoposthitis in boys

If the child does not receive treatment or the therapy is insufficient, then the disease takes a chronic course after about 3 weeks. In this case, the following signs are observed:

• Worried about itching in the genital area.
• When urinating, there is pain and burning. The pain is moderate, not as intense as in the acute form.
• Swelling and redness are reduced. The head is covered with plaque.
• Body temperature is not elevated.
• The discharge is constantly coming out.
• Scars and phimosis form.
• Inflammation can progress to urethra and cause urethritis.

Acute balanoposthitis in children is much more common than chronic balanoposthitis. Typically, children under 10 years of age are more likely to be ill in an acute form, while adolescent boys experience a chronic form of the disease. In a chronic course, balanoposthitis can last for months, periods of relief alternate with exacerbations.

Features of balanoposthitis in newborns

The baby cannot speak, and therefore it is sometimes difficult for parents to understand what is bothering him. But it is in newborns that balanoposthitis occurs very often due to their physiological characteristics. Parents should pay attention to the following symptoms:

• the child becomes capricious and cries often;
• the skin on the head of the penis looks reddened, sometimes acquires a bluish color;
• swelling of the head is noticeable;
• rashes and sores appear on the genitals;
• Diaper rash is noticeable in skin folds (powders and creams do not help);
• the child urinates frequently.

Possible complications of balanoposthitis

Advanced balanoposthitis in boys becomes chronic, which can have serious consequences:

• Phimosis may develop - narrowing of the foreskin. And then paraphimosis occurs. With this disease, the head is compressed by the ring of the foreskin. Blueness and swelling appear. This condition requires immediate medical attention.
• The infection can spread to other genitourinary organs and kidneys. This happens especially often with a fungal infection.
• A gangrenous form of the disease may develop, which in the future can lead to gangrene of the penis.
• If the disease is started, it may occur ulcerative form balanoposthitis.
• Untreated balanoposthitis can provoke the development of cancer of the genital organs.
• Advanced inflammation leads to curvature and deformation of the head of the penis.

Diagnosis of balanoposthitis in children

If the symptoms of the disease are pronounced, the pediatrician can make a diagnosis during an external examination. If necessary, the doctor can refer the child to specialists - a urologist or surgeon. Additional tests may be needed:

• urine test for tank culture;
• urine test for leukocytes;
• swab from under the foreskin;
• Ultrasound of the genitourinary organs;
• blood sugar test (if the cause of the disease is diabetes);
• enzyme immunoassay for antibodies to infections.

Urine test for tank culture

These examinations are safe and painless for children. They help to accurately determine the cause of the disease and prescribe treatment.

Treatment methods for balanoposthitis in children

Treatment of balanoposthitis in children is carried out with medications - local (ointments, baths) and antibiotics. Most often, the disease responds well to treatment with local remedies. Ointments and baths work well against inflammation.

Antibiotics have to be used only when the disease is caused by staphylococci or streptococci. If the disease is fungal in nature, penicillin antibiotics are contraindicated. The use of cephalosporin antibiotics will be required. There are also surgical methods of treatment, but they have to be resorted to very rarely.

Local treatment methods

• Baths. For baths, disinfectant and anti-inflammatory solutions are used: chamomile decoction or a solution of Furacilin, Chlorhexidine, Potassium Permanganate. Instead of Chamomile, you can use Sage or Plantain. To prepare a Chamomile decoction, you need to take 2 tablespoons of the mixture and pour a glass of boiling water over them, then put the decoction in a water bath and heat for 15 minutes. Cool the broth before use. To prepare a solution of Furacilin, take 2 tablets per glass of warm water. It is necessary to lower the head of the penis into the prepared solution for 10 minutes, after opening it as far as possible. You need to wash the inflamed area 5-6 times a day.
• Ointments. If baths do not help, then ointments are prescribed. When treating balanoposthitis in children, the following ointments are used - Levomekol, Miramistin, Locacorten, Baneocin. Before using the ointment, wash your child's genitals. You can make a bath with one of the disinfecting solutions. Then you need to put ointment under the foreskin. If it is impossible to open the head, then the ointment should be applied to a bandage and a bandage should be made. The doctor will tell you which ointment to use based on the symptoms and diagnostic results.

Use of internal medicines

If the use of baths and ointments does not lead to an improvement in the condition, or the disease is complex, medications are used. Antibacterial and antifungal therapy may be required:

• Balanoposthitis is treated with cephalosporin antibiotics. The drugs Cephalosin, Cefixin, Ceftriaxone are used. These drugs can act on a wide range of bacteria. If the disease is caused by a fungal infection, the antifungal agent Fluconazole is prescribed. The antimicrobial drug Furagin is also used.
• For pain, nonsteroidal anti-inflammatory drugs are prescribed - Ibuprofen.
• For balanoposthitis of allergic origin, antihistamines are used.
• Antipyretics, vitamins and drugs to strengthen the immune system are used as symptomatic therapy.
• If balanoposthitis is caused by endocrine diseases and obesity, then treatment of the underlying disease and diet are necessary.

Surgical methods of treatment

Sometimes with balanoposthitis it is necessary to perform a simple operation - circumcision of the foreskin. This surgical intervention completely eliminates complications and relapses of the disease. However, the operation is performed in very rare cases. Conservative treatment methods are usually sufficient.
Surgery is required only when balanoposthitis is complicated by narrowing of the foreskin - phimosis. Surgical intervention may also be required for a protracted chronic form of the disease, when drug therapy does not help. Usually operations are easy and without consequences. To carry out such an intervention, you do not need to go to the hospital; it is carried out on an outpatient basis. The operation is not performed in case of severe inflammation, when the disease is acute. Circumcision prevents the risk of complications.

Prevention of balanoposthitis

To prevent the development of balanoposthitis in children, the following rules must be followed:

• Preschool boys need daily washing with boiled clean water without soap.
• Older boys need to be taught daily genital hygiene, including exposing the head and washing out the smegma.
• You should change your underwear daily.
• Newborn babies need to change their diapers when they get dirty. It is also important to choose the right diaper size.
• Hypoallergenic products should be used to care for infants.
• The boy should use only his own towel and never take other people’s personal hygiene items.
• It is necessary to avoid wearing underwear that is too tight. For children, it is better to wear underwear made from natural fabrics, without seams in the front.
• If a child suffers from diabetes or obesity, then a diet and constant medical supervision are necessary. Overweight and obesity are common causes of inflammation. This also applies to children with diseases of the genitourinary system.

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From birth, sexual hygiene of representatives of the stronger half of humanity requires special attention. Otherwise, everything can turn into problems, for example, inflammation of the foreskin. Another name for this disease is balanoposthitis.

Why does inflammation of the foreskin develop in a child?

Most often, balanoposthitis occurs due to manipulation by adults. Inflammation of the foreskin in infants is especially common. The fact is that almost all male babies are born with phimosis - with a narrowed opening of the foreskin. This phenomenon is considered physiological, because over time the head of the penis will be exposed more and more. But some parents rush things too much and open this fold of skin themselves, which is why it is injured.

Other causes of inflammation of the foreskin are improper care of the boy’s genitals. The inner surface of the foreskin produces a special lubricant - smegma. It accumulates, and if it is not removed, it becomes inflamed, which leads to balanoposthitis. In addition, inflammation can occur due to overheating, allergic reactions, and sweating.

The main symptoms of balanoposthitis include the appearance of redness in the area of ​​the head of the penis. It swells a little. The child, as a rule, complains of itching and pain that increases with urination. A purulent or white coating or rash may appear. If no action is taken, balaposthitis can develop into cicatricial phimosis over time.

Inflammation of the foreskin: treatment

Getting rid of the inflammatory process is not difficult. Usually, medicinal baths with antiseptic solutions (potassium permanganate, furatsilina) or herbal decoctions (chamomile, calendula, string) are prescribed. Drinking plenty of fluids to rinse the canal is recommended. Maintaining child hygiene is important. You should wash the foreskin at least twice a day, but do it very carefully and carefully. It is also necessary to change diapers on time, that is, every 2.5-3 hours. The doctor may advise lubricating the head of the boy's penis with antiseptic ointment (for example, levomikol) at night.

If inflammation of the foreskin is caused by an allergic reaction, the child is usually prescribed antihistamines. But at the same time, it is necessary to detect the irritant and get rid of it (inappropriate powder, diapers, diaper crepe).

If the child’s condition does not improve within a few days, antibiotics will most likely be prescribed, since there may be an infection.

For chronic balanoposthitis, circumcision of the foreskin is indicated.

Almost every boy, sooner or later, develops an inflammatory and infectious process in the area of ​​the head and foreskin of the genital organ. This disease is called. The disease can occur in acute (less than 3 months) and chronic form (over 3 months). Boys suffer from this disease in 3 times. more often than adult men, so in children it is especially important to identify the symptoms of balanoposthitis in time and, with the help of a doctor, determine the correct treatment.

Causes of the disease

Location of bacteria

Various microorganisms (bacteria, viruses and fungi) can cause balanoposthitis under certain conditions:

• violation of child care rules (irregular washing, use of soap when washing);
• the use of low-quality detergents for bathing and washing children’s clothes;
• improper use of disposable diapers (size mismatch, infrequent changing);
• tight panties that rub the skin and head of the penis, which contributes to the occurrence of microtraumas with subsequent infection;
• allergic dermatitis to powder or cream;
• imperfect structure of the external genitalia in boys up to school age: narrowed foreskin or physiological phimosis makes it difficult for the baby to carry out hygiene procedures; when adhesions form between the two walls of the skin fold of the foreskin, stagnation of the secretion of special glands (smegma), dead skin cells occurs, and microorganisms that get on them cause inflammation;
• violent attempts to expose the head of the penis;
• : high levels of sugar in the urine are a breeding ground for microorganisms;
• contributes to impaired and decreased immunity, makes it difficult to maintain personal hygiene;
• hypothermia and poor nutrition of the child lead to and thereby facilitate the development of infection.

Symptoms

There are the following types of balanoposthitis: simple, purulent, erosive, gangrenous.

The acute form occurs suddenly and causes anxiety in the child

The acute form of the disease, as a rule, begins suddenly, against the background of complete well-being. In the morning, the child experiences burning and itching in the foreskin area (in older children, and in younger children - anxiety). The child cries when touching the penis and when urinating, sleep is disturbed, and the temperature rises (sometimes to high levels).

The child’s general well-being worsens, and the lymph nodes in the groin area may become enlarged. The foreskin is swollen and red, and urination may be difficult. Bright red eroded areas with a rim of weeping along the periphery are formed - the inflammation has turned into an erosive form. If treatment is not continued, deep ulcerative-necrotic areas will form on a bright red background. These ulcers indicate the transition of the disease to a gangrenous form; they are very painful and take a very long time to heal.

Typically, treatment begins with local procedures: warm baths with furatsilin solution (at the rate of 2 tablets per glass of water) or chamomile decoction (1 tablespoon of flowers pour 250 ml of boiling water) every 2 hours. The bath solution is poured into a jar and lowered an inflamed organ into it. There is no need to retract the foreskin; this causes sharp pain in the boy.

Drug for treatment

After the bath, you can apply a gauze pad with Levomekol ointment - it has both antibacterial and anti-inflammatory effects. Using a syringe without a needle, heated ointment (about 1.5 g) can be carefully injected under the foreskin. You can pour a solution of furatsilin or chlorhexidine into it in the same way to clean and disinfect the cavity. At night, an ointment bandage is applied to the penis.

In case of severe weeping, the doctor may prescribe baths with a slightly pink solution of potassium permanganate, taking into account its disinfectant and drying effect. Typically, treatment results are obtained within 3-4 days.

If the child's general condition is impaired and there is fever, anti-inflammatory drugs are used. In case of severe disease, weakened children, or when there is a threat of infection spreading, antibacterial drugs are prescribed for internal use or by injection. For candidiasis balanoposthitis, Clotrimazole ointment and other antifungal drugs are used.

In the chronic form of the disease, the inflammatory process is practically untreatable. Usually, surgical treatment is performed outside the period of exacerbation under local (in young children - under general) anesthesia - circumcision of the foreskin. Surgical treatment is effective in 100% of cases.

Types of circumcision

Complications of acute balanoposthitis

If left untreated, the disease can lead to the following complications:

• chronicity of the process;
• spread of infection;
• acute urinary retention;
• development of phimosis;
• gangrene of the genital organ;
• deformation of the head of the penis;
• malignant tumors of the genital organ.

Prevention

• Preschool boys should be washed every night (without soap), as well as after defecation;
• Infants change diapers in a timely manner and select them according to size;
• When washing, school-age boys should expose and wash the head of the organ themselves with warm water;
• Boys of all ages use a personal towel for intimate hygiene;
• All boys (and men) should avoid wearing tight underwear.

Which doctor should I contact?

If you suspect the development of balanoposthitis, you can contact a pediatrician or immediately a urologist. If necessary, an examination by a surgeon is scheduled. In addition, if the disease is associated with internal causes, a consultation with an endocrinologist, nutritionist, immunologist, or allergist is prescribed.

The very fact that smegma forms in an infant, a child, and in general throughout almost a man’s entire life should not bother him.

Because the this substance is absolutely normal and its release is a physiological process, then there should not be any inconvenience, with appropriate hygiene.

In contact with

Young parents are often frightened by the first appearance of a specific secretion, and an adult man begins to worry when this secretion accumulates or is produced too actively, from which he notices the head literally completely covered with plaque. This not only does not look aesthetically pleasing, but is also perceived as signal of a problem.

It's important to know that the pathological process will not be detected solely by the release of smegma, but will be supplemented by other symptoms. And it is equally important to understand what this specific secret is male body and what smegma looks like in boys and men.

How does it look and form

By her own smegma is a specific substance secreted by glands located on the foreskin of the penis. It contains fats, pheromones, bactericidal substances and non-pathogenic flora, represented by mycobacteria.

Smegma in boys is produced by these glands, especially during the period of frequent sexual activity, which most often occurs between 17-25 years, while in older people there is almost no secretion of this secretion.

As already mentioned, glands produce this substance; they are called prepuce and are located under the foreskin. They begin to function in infancy and there is relatively little secretion during this period. Gradually volume increases with puberty young man. Regulation of the activity of the glands occurs by the body itself and is gradually balanced.

Smegma is an oily substance, has a whitish tint and a specific odor.

You can see what smegma looks like (photos below).

Smegma in boys

Since it has been indicated that secretion is produced from an early age, it is worth expanding our understanding of what it is. smegma in babies.

It is important to understand that the child’s foreskin remains in a welded state for some time with the head of the penis and their separation from each other is a gradual process.

It is this process that is accompanied by the production of a large amount of secretion, which is not similar to typical male smegma.

For more information about opening the head, watch the video:

Smegma in newborn boys and infants will look like a curd mass, and not an oily substance, as in adulthood, and also it will not have any unpleasant odors. When this substance forms in a child, it is necessary for parents to carefully monitored his intimate hygiene and if any deviations from the norm appear, contact a specialist.

The very fact of the existence of formations in a baby should not frighten parents. They should pay attention to what symptoms accompany its secretion.

There will be warning signs O flow and redness of the penis or its head, as well as the appearance of swelling of the skin around the head when urination occurs.

Below you can see what does smegma look like in boys(photo attached):

Phimosis in a child and the role of the secretion of the preputial glands

It’s worth mentioning right away that there is such a thing as physiological phimosis, this is the very period when the foreskin is fused to the head and the accumulation of smegma in boys during this period is a factor mitigating the process of opening the head. In turn, pathology can already follow one of two options:

• Atrophic, also known as cicatricial phimosis;
• Hypertrophic.

Watch a useful video about phimosis in boys:

In that case, if parents try to expose the head of the child’s penis themselves and an injury occurs, or when the accumulations under the foreskin of a child become inflamed due to lack or improper intimate hygiene, the cicatricial form develops and whitish scars appear in large numbers on the foreskin.

Plays its part accumulation of smegma under the foreskin in boys and with hypertrophic phimosis. This situation usually occurs in children suffering from excess weight . Due to the accumulation of subcutaneous fatty tissue in the abdomen and pubic area, an elongation of the foreskin is observed, which complicates the process of maintaining the child’s personal hygiene and pathogenic microbes enter the smegma, quickly begin to multiply and cause inflammation.

Treatment methods for a child

Parents are faced with a similar question when they note that smegma accumulates in boys - “how to treat this problem, and what is the reason for the accumulation in the child?”

If there is no inflammatory process, then treatment is not required, and ordinary hygiene procedures will be sufficient to maintain the child’s health.

However, with abundant accumulation, with the appearance of the first signs of inflammation, more radical measures are required and you will need to visit a doctor to find out how to treat smegma specifically for their child. Most often, the doctor prescribes special baths, antiseptic solutions for washing the penis and careful hygiene; often experts also suggest surgical intervention in the form of circumcision of the foreskin.

Certainly, there will be no complete cessation of formations, because the glands will not stop functioning, but its quantity will decrease, and the threat of inflammation will decrease.

It often happens that with phimosis the baby's smegma accumulates in the form of a white ball under the foreskin, as in the photo:


In this case you should see a doctor and with a high degree of probability he will indicate to you the need for constant hygiene and gently opening the head while bathing, twice a day. By carrying out this procedure, you allow water to get under the head and “dilute” the smegma. For complete removal deposits, you will need to perform the exercise for several months.

Important do not overdo it, all actions must be careful so as not to provoke complications.

For more information about child hygiene, watch the video:

Video about removing smegma from a boy’s penis:

Smegma in men

In adults the secretion of the glands of the penis has a typical appearance of an oily whitish substance or white coating. It consists not only of the secretion of glands, but also of the epithelium of the penis.

Due to the fact that it is an excellent nutrient medium for bacteria that feed on the fatty acids it contains, formation of an unpleasant odor of this secretion.

With normal health and personal hygiene, smegma will not cause any discomfort. However, with pathological processes associated with its infection, pain, itching and swelling of the head of the penis often develop.

How to get rid of it

In accordance with the unpleasantness of the accumulating substance, both visually and taking into account its specific odor, a reasonable question arises - “how to get rid of smegma in men.” It is impossible to completely stop the production of this secret, so the only thing that can help fight it is careful adherence to intimate hygiene every day.

And if abundant formations accumulate, how to get rid of them? The answer will be similar to the previous one, only taking into account the fact that, most likely, the frequency of visiting the bathroom will need to be increased.

In situations where smegma becomes inflamed, doctor prescribes treatment, often in the form of the use of antiseptic solutions. If the situation is complex, then antibiotics in tablet form or local ones in the form of ointments can also be used.

Self-medication is under no circumstances allowed. Only a specialist will be able to determine what is happening in a man’s body and which drug is suitable for him.

Although the appearance of white matter causes concern and casts doubt on the health of a boy or man, in practice this substance poses no threat.

And with careful attention to your body and maintaining personal hygiene, you can not only avoid the onset of the pathological process, but also reduce the unpleasant visual impression of the appearance of a whitish coating on your manhood.