Gracely-Kilgore K A
Nurse Pract. 1984 May;9(5):22-4.
A penile or prepuce adhesion can occur after a circumcision if the remaining skin is not retracted after the circumcision has healed. When a circumcision is done, tissue which would normally be intact is split. Unless proper care is taken, the epithelium of the inner prepuce at the point where the foreskin was removed can reattach to the epithelium of the glans. The result of this is a penile adhesion. Usually the adhesions can be released by simple retraction. Sometimes, however, the fusion is so complete that simple retraction will not work, and the child must be referred to a urologist. Another problem is that smegma or bacteria can collect under the adhesion if it covers the preputial cavity and cause infection. Professionals must look for this problem, and parents must be taught how to care for the normal circumcised penis so that penile adhesions do not develop. This article discusses the formation and identification of penile adhesions, the process by which adhesions can be released, when a referral to a urologist is necessary and the proper care for the circumcised penis.
如果包皮环切术后愈合时剩余皮肤未回缩，可能会发生阴茎粘连或包皮粘连。进行包皮环切术时，原本完整的组织会被切开。除非采取适当护理措施，否则切除包皮处的内包皮上皮会重新附着于龟头的上皮。其结果就是阴茎粘连。通常，粘连可通过简单的回缩来松解。然而，有时融合非常完全，简单的回缩不起作用，此时必须将患儿转诊给泌尿科医生。另一个问题是，如果粘连覆盖了包皮腔，包皮垢或细菌可能会在粘连下积聚并导致感染。专业人员必须留意这个问题，并且必须教导家长如何护理正常的包皮环切术后阴茎，以防止阴茎粘连的发生。本文讨论了阴茎粘连的形成与识别、粘连松解的过程、何时需要转诊给泌尿科医生以及对包皮环切术后阴茎的正确护理。
