Synechia in boys is a common phenomenon, which is considered a variant of the physiological norm. In most cases, the fusion of the glans penis with the foreskin goes away on its own when the child reaches 7 years of age. However, in a number of situations in boys, the natural separation of the tissues of the genital organs does not occur, as a result of which forced breeding of synechiae is required. What does this phenomenon look like, what should the penis normally be like, what methods can be used to eliminate this problem?
A boy has synechia: is it normal or a reason to visit a doctor?
Synechia is a normal physiological phenomenon that occurs in children of both sexes, so you should not sound the alarm if the boy’s head of the penis is fused with the foreskin (prepuce).
Experts recommend closely monitoring the baby’s development, since this phenomenon, in the presence of certain factors, can acquire the status of a pathology over time. To prevent this, every parent should be able to distinguish physiological synechiae in a boy from pathological ones.
Physiological adhesions
Normally, up to 3 years of age, the head of the penis should be completely covered by the foreskin. You cannot move it away yourself - this can cause harm to the baby. There is a widespread belief that by periodically moving the foreskin, you can train it, as a result of which, after a certain period of time, the process of natural exposure of the head of the penis will occur much easier. However, this is completely untrue.
In most cases, synechia does not cause any discomfort to the boy and does not manifest itself at all. Hyperemia, itching, swelling and other signs of an infectious process are detected only in case of complications requiring treatment. For clarity, the photograph below shows what a boy’s penis normally looks like at an early age.
Pathological synechiae
If the head of the penis has fused to the foreskin as a result of mechanical damage, this process will be accompanied by severe redness and pain in the groin area. In this case, purulent or cheesy discharge often appears. When synechia occurs, retraction of the foreskin is difficult, the head of the penis is partially or completely closed. If this phenomenon is detected, you should not make a diagnosis yourself. The presence of growth can only be determined by a doctor. In the photo below you can see what the fusion of the head of the penis with the foreskin looks like in boys.
Symptoms of synechiae in boys
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Synechia in boys is usually visible to the naked eye (see also:). The accretion usually occurs from the coronal sulcus of the penis to the urethra. In addition, the following symptoms may be present:
Such signs indicate that, against the background of fusion of the glans penis with the foreskin, an infectious process has begun. If these symptoms appear, you need to show your child to a pediatrician as soon as possible.
Diagnostic measures
To make a diagnosis, it is enough for a doctor to conduct a visual examination of a small patient (we recommend reading:). To confirm the pathological process, the baby is prescribed additional examinations:
- general urine test to exclude urethritis;
- clinical blood test - performed when body temperature rises, in most cases indicating the development of an infectious process;
- examination of a smear from the urethra;
- ultrasound examination of the genitourinary system - penis, scrotum, bladder, kidneys.
During diagnosis, consultation with a urologist is required. If necessary, the small patient is examined by a surgeon. A treatment regimen is developed only after an accurate diagnosis has been made.
When is specialist intervention necessary?
Usually, fusion of the head of the penis with the foreskin does not require special measures. With age, synechiae disappears on its own. In some cases, this process lasts until the beginning of puberty. During adolescence, due to the increased formation of hormones, the skin of the penis becomes elastic, as a result of which the head of the penis is easily released from the flesh. In addition, the release is facilitated by erections that appear as the boy grows older.
In these cases, medical intervention is not required. However, there are situations when it is impossible to do without the participation of a specialist. Mandatory treatment requires symptoms such as pain and discomfort during urination, redness of the head of the penis, signs of an infectious process, and age over 15 years. Experts note that if there is any suspicion of pathological synechiae, the child should be shown to a pediatrician. The decision on the need for treatment is made solely by the doctor.
Treatment methods for pathological synechiae
Treatment methods depend on the patient's age and severity of the disease. In most cases, synechiae are separated using conservative methods. If there is slight fusion of the glans penis with the prepuce, the problem can be eliminated at home. In severe situations, surgical intervention is used to remove synechiae.
Conservative therapy
Conservative therapy, in addition to the use of medications, is based on massage of the foreskin. It makes sense to carry it out at home until the age of 6–7 years. The procedure for self-removal of synechiae is not difficult. To do this, the child is placed in a container with warm water. After 30–40 minutes, the steamed prepuce should be carefully pulled back, trying to expose the head of the penis. If the baby complains of pain, you need to stop the manipulation immediately.
Along with this, the child is prescribed local drug treatment, which includes the following drugs:
- antiseptic solution Miramistin;
- Hydrocortisone ointment;
- Contractubex gel.
Ointments, creams and gels are applied to the head of the penis or foreskin. The movements must be as careful as possible, otherwise the baby’s genitals may be damaged. The duration of drug use is determined by the doctor in each specific case.
Surgery
The question of the need for surgical separation of synechiae in boys is decided by a urologist. The operation is prescribed for children over 3 years of age and in the presence of certain indications, for example, the traumatic or infectious nature of the fusion, as well as the lack of results from conservative treatment.
The purpose of surgery is to excise all existing adhesions and release the glans penis from the foreskin. The features of the operation include the following points:
- the child has no scars after surgical removal of synechiae;
- the need to use local anti-inflammatory or wound-healing drugs at the postoperative stage;
- The operation is most often prescribed for teenage children;
- surgery is performed under local anesthesia;
- surgical removal of the fusion of the head of the penis with the prepuce is the basis for an annual examination by a urologist.
Postoperative care at home
After the operation, parents need to closely monitor the condition of the boy’s penis. To speed up healing and prevent re-growth within 7-10 days, you need to apply a special ointment to the head of the penis and foreskin. The prescription of medications for topical use is individual.
- daily cleansing of the genital organ under running water;
- regular treatment of the penis and prepuce with antibacterial drugs (Erythromycin, Levomekol, Miramistin);
- local baths with decoctions of medicinal herbs (calendula, chamomile, mint).
The duration of such procedures is determined by the doctor in each specific case. It is strictly forbidden to change medications and treatment periods - this can lead to serious consequences. If the rehabilitation period is delayed or complications develop, you need to contact a specialist to adjust the therapy. In such cases, as a rule, the boy is prescribed a course of antibacterial drugs.
Daily hygiene – prevention of pathology
- daily washing of the baby and cleansing the intimate area during the day if necessary;
- teaching a boy from early childhood to personal hygiene;
- avoiding long-term wearing of diapers;
- regular ventilation of the child’s genitals;
- use of individual personal hygiene items;
- timely treatment of diseases of the genitourinary system.
Compliance with the listed rules will help protect the baby from fusion of the front part of the penis with the prepuce. If this does happen, you should in any case show the child to the pediatrician. The specialist will assess the severity of the problem and, if necessary, prescribe effective treatment. It must be remembered that it is easier to prevent any disease than to subsequently treat it for a long time and painfully.
Most boys have a defect in the penis called synechiae. The lack of information about this issue provokes in parents an unreasonable fear for the life of the baby. In order to dispel fears and myths about such a phenomenon, we will look in detail at the essence of the problem, what synechiae looks like, the reasons for its occurrence and ways to eliminate children.
Description
Synechia in simple words - these are adhesions of the foreskin on its inner side with the head of the penis. Such “sticking” is considered natural and is not perceived in medical circles as a diagnosis in the case when the situation resolves with age without the intervention of a urologist or surgeon.
This defect is usually observed from the groove of the crown of the head of the penis to the urethra; adhesions interfere with the movement of the foreskin and exposure of the head. 
As we grow older, under the influence of spontaneous erections and the substance secreted by the sebaceous glands located under the fused areas, the skin becomes softer, gains the ability to stretch, and the adhesions separate on their own. If this does not happen before the age of three, you should contact a specialist.
Did you know? The material for skin grafting in complex cases of injury is the circumcised foreskin. From flesh taken from one patient, specialists involved in regeneration can “grow” up to 23,000 square meters. transplant material. Such developments are carried out by the company Organogenesis.
Main types
Distinguish two types of adhesions in children: balanoposthitis and physiological phimosis.
In the first case, the child experiences painful sensations, and when the head is partially exposed, inflammation processes are observed. This situation requires medical intervention.
Synechia of the foreskin, the cause of which was mechanical trauma in boys, is called “physiological phimosis.” Such a defect is usually considered normal, and under favorable circumstances it does not require treatment and goes away on its own.
What is the danger?
Both types (the first - without treatment, the second can develop into pathology) carry with them a number of complications in adulthood:
- genital;
- fungal infections;
- paraphimosis;
- chronic inflammation of the prostate gland;
- inflammation in the urinary tract and bladder;
- syphilis;
- malignant tumors of the penis.
Causes of synechia of the foreskin
The reasons for this phenomenon have not been fully studied, but doctors have made some observations and conclusions. So, the reasons that cause adhesions are the following:
- Penetration of infection due to violation of hygiene rules.
- - one of the manifestations of reactions to any irritant may be the formation of thin scars holding back the boy’s foreskin.
- Infection in the womb (even a common one must be taken into account and treated on time).
- Infection during the passage of the birth canal (due to changes, inflammation often occurs, the same).
- Accidental injuries.
- Overflowing diaper.
Important! A child of any gender should not be kept in a diaper too often and for a long time; this is bad for the health of the skin and blood circulation in the genitals. It is better to use diapers when necessary, for example, during a walk.
According to urologists, synechiae that does not go away with age is the body’s response to any infection. By forming adhesions, the body protects the genital organ and urethra from the penetration of pathogenic microorganisms and bacteria that cause a number of diseases of the genitourinary system.
How to identify: signs and symptoms
The fact that the head of the child’s penis does not fully open can and should be noticed by the parents themselves. however, there are a number of symptoms that aggravate this pathology:
- the baby constantly scratches the genitals;
- the head and flesh around swell;
- going to the toilet becomes painful for the baby;
- discharge is noticed on the underwear or on the penis itself.
Diagnosis of the disease
Parents sound the alarm if at the age of three the boy’s head is partially closed, and at the age of six - if it does not open at all. 
The first visual examination and questioning of parents and the child about his feelings gives the doctor a picture of what is happening. If the situation is complicated by signs of inflammatory processes, additional examination is carried out:
- – blood, urine, urethral smears;
- Ultrasound (the entire genitourinary system of the child is examined).
Treatment
Normally, in children, partial opening of the foreskin occurs at the age of three, and complete exposure of the penis occurs at the age of six. Other situations are a reason to consult a doctor.
No obvious symptoms
If the problem is not accompanied by infection and pain in the boy, the doctor suggests stretching the skin of the foreskin to the parents. The manipulation consists of light, stretching, and a gentle attempt to move the flesh away.
The main procedure should be carried out in a hospital setting, but parents at home can (after receiving detailed instructions) stretch the skin while bathing, but remember that the child should not experience any pain. Typically, the course of such therapy lasts up to three to four months.
Did you know? In addition to the rudimentary tail, lost by humanity during evolution, men have “lost” another element of the body. Studying primates, scientists came to the conclusion that bone was previously present in the male organ. Most monkeys have it, and it is also present in other animals inside the body, pushing out the sexual organ when mating is necessary.
With pronounced symptoms
In a more problematic situation surgery is performed. It is advisable to perform such an operation before the onset of puberty, because at the age of 11-15 years the hormonal background of adolescents is restructured, and there is a risk of possible complications due to inflammatory processes.
Preoperative preparation consists of massage sessions and ointment therapy.
The operation itself is performed under local anesthesia in a hospital setting, sometimes with the help of a probe.
Postoperative period characterized by the prevention of relapse: the patient adheres to the rules of hygiene, treats the operated area with an ointment that has an anti-inflammatory and healing effect. The recovery period lasts about ten days.
Important! If there is infection, redness and swelling of the head of the penis or the organ itself, surgery is performed only after the disease has completely disappeared.
Prevention of synechia
To prevent the child’s foreskin, which has grown to the head, from developing into a pathology requiring treatment, Parents must know and follow the following rules:
- Personal hygiene of intimate organs (explain to older people the importance of procedures).
- If there is a problem, you should not aggravate it by persistent attempts to push the flesh away - this can cause injury, pain to the child and pinch the head of the penis (the male genital organ is full of nerve endings).
- When bathing, try not to let water get into the space between the inside of the foreskin and the glans.
- The child should not be in a diaper or other type of diapers all the time, especially if they are full.
- When choosing underwear, make sure that it is spacious; the material of the underwear is preferably natural, “breathable”, for example, cotton.
Young children are especially dependent on their parents, so their health and personal hygiene at this time are also the concern of mom and dad. As already mentioned, most children are born with synechiae, and there is no need to be alarmed ahead of time. If you maintain your baby’s intimate cleanliness, regularly see a pediatrician, and, if necessary, other specialists, then health problems will be avoided.
Parents, as a rule, begin to panic when they notice adhesions on the penis of their baby. In this case, there is no danger, since there is physiological phimosis of the foreskin (that is, its narrowing). But if you see signs of inflammation, irritation, redness, then you need to take certain measures, since adhesions can lead to the foreskin fusing to the glans.
With proper care of the baby's genitals in infancy, subject to all hygiene rules, as well as non-interference in physiological processes, adhesions usually disappear on their own and then the child does not have any problems. According to statistics, by the age of three, this phenomenon has already passed in 50% of boys, and by the beginning of puberty, adhesions remain in approximately 10% of children.
Synechiae (these are the same adhesions on the penis that we talked about) are the fusion of the inner part of the foreskin with the head of the penis. This is a completely normal physiological phenomenon. Fragile adhesions perform a protective function for the child, that is, they prevent the early exit of the head. The protective function is to prevent infections from entering the internal cavity of the head, thereby preventing various inflammations.
Causes of adhesions
Why do adhesions, even after puberty, not disappear? No clear explanation for this phenomenon has yet been identified.
- For example, genetic characteristics can play an important role - this is a lack of connective tissue in the body of a man or teenager. As a rule, in this case, a man has not only synechiae, but also other problems: cardiovascular diseases, flat feet and other abnormalities.
- Also, if the head is not exposed for a long time, this may be caused by diseases of the genitourinary tract. As we said, the reason for this is improper hygiene of the penis, as a result of which pathogenic microorganisms enter the genitourinary tract and provoke inflammation.
- It is worth paying attention to the fact that the opposite effect can also occur. When the foreskin fuses with the head, smegma accumulates in the cavity between them. It can also provoke inflammation, various infections, cause pain, swelling and swelling.
- The cause of fusion is also considered to be intrauterine abnormalities, when infections enter the mother’s body and provoke excessive formation of synechiae, which subsequently leads to more serious problems, because the boy’s body alone cannot cope with this type of abnormality.
- It is impossible not to mention all kinds of allergic reactions, when their various manifestations, for example, ulcers, scabs, contribute to the fact that adhesions cannot be separated.
Fusion of the glans and foreskin in boys
For boys, synechiae in medicine is a completely natural phenomenon up to a certain age. By six months, the head is exposed in about 20% of babies, and in 70%, the foreskin is separated from the head by the age of three.
If the exposure of the child’s head did not occur until the age of 7, then this is completely normal, because physiology is purely individual. A deviation is considered if after seven years the synechiae still do not disappear. Acute pathology is considered to be cases when synechia remains in mature young men (16-17 years old). In this case, the intervention of specialists is necessary.
In adolescents, under normal conditions, adhesions disappear under the influence of enzymes. A significant sign in this case will be sudden erections, when these same enzymes are released, which destroy the adhesions between the foreskin and the head. Synechiae are weak and unstable, so enzymes can eliminate them without much difficulty.
There are precedents when, regardless of how old the child is, medical intervention is required to remove synechiae. This is due to a complication called balanoposthitis - that is, inflammation of the cavity between the foreskin and the head of the penis. In this cavity, smegma accumulates in the form of curdled discharge, which is a favorable environment for the proliferation of bacteria.
If a child experiences pain when urinating, he has swelling of the head, all kinds of redness, then synechiae must be eliminated, but this must be done only in medical institutions. Self-removal of synechiae leads to even greater problems.
Fusion of the foreskin in adult men
Adhesions in men lead to abnormalities called phimosis. Phimosis is a narrowing of the skin of the foreskin, if complete exposure of the head is difficult and causes discomfort. Phimosis is divided into stages. Fusion of the foreskin begins in small areas, and then spreads to the entire head if the necessary measures are not taken in time. In this case, exposure of the head provokes pain and skin damage.
Most men have no idea how to deal with phimosis. They begin to independently try to separate the foreskin from the glans, not realizing that they can only make things worse for their genitals. Improper separation of adhesions can lead to paraphimosis, a disease in which the blood flow is compressed, as a result of which the cells of the penis begin to die. Therefore, at the first signs of phimosis in men, you should definitely make an appointment with a urologist. Such increments can only be removed surgically or with a laser.
Symptoms and treatment of synechiae
Synechiae are not always accompanied by any symptoms. The disease can pass without any visible sensations of discomfort or pain. It depends on the degree of fusion, on the cause, and also on the location where the fusion occurred. For example, near the urethra, fusion is accompanied by pain and painful urination.
Other symptoms:
- Enlargement of the head of the penis
- The appearance of ulcers
- Itching in the head area
- Various inflammations and redness on the penis and more
Treatment for synechiae consists of dividing them. If before the child is seven years old, this problem does not bother him, there are no signs of inflammation or complicated urination, then there is no need for treatment. However, after reaching this age, the risk of infections increases.
The separation of synechiae is performed by a urologist in a hospital. The procedure does not take much time. As a rule, it is performed using a special probe or by the hands of a doctor. The urologist simply removes the foreskin with a quick movement without further consequences.
It is worth noting that the separation is performed under anesthesia, since the penis is a rather sensitive organ, and the child can simply receive a painful shock or psychological trauma. However, local anesthesia does not always provide 100% pain relief. The child feels pain and this can lead to complications. The boy may develop a psychopathic complex, which can subsequently lead to erectile dysfunction.
After the operation, the head is lubricated with a special ointment for about 10 days to prevent the formation of new synechiae.
However, it is worth noting that the separation of adhesions can occur without surgical intervention by stretching. This is a rather lengthy and conservative procedure, but no less effective. With this method, the child can recover completely in a few months.
Possible complications during skin fusion with the head
After the operation, it is necessary to follow strict hygiene and toilet rules, especially in the first week. It is necessary to correctly place special ointments under the foreskin to prevent further fusion from forming.
Often, synechiae does not cause any special complications, but during the inflammatory process they can develop into diseases such as:
- Phimosis and paraphimosis
- Balanoposthitis
- Penile condyloma
- Prostatitis
- Urinary tract infections
- Syphilis
- Oncology
Prevention of synechiae
Parents need to know a few simple rules to avoid problems with the foreskin fused to the head:
- Every day, rinse the genital organ with running warm water, and it is not necessary to retract the foreskin;
- Under no circumstances should you try to expose the head yourself;
- The baby needs to change his diaper at least five times a day;
- Give your baby frequent air baths;
- Do not wear a diaper in hot weather to prevent overheating of the genitals;
- Choose underwear made from natural materials that will not be too tight on the genitals.
Synechia, in simple words, is adhesions of the foreskin on its inner side with the head of the penis. Such “sticking” is considered natural and is not perceived in medical circles as a diagnosis in the case when the situation resolves with age without the intervention of a urologist or surgeon.
This defect is usually observed from the groove of the crown of the head of the penis to the urethra; adhesions interfere with the movement of the foreskin and exposure of the head.
As we grow older, under the influence of spontaneous erections and the substance secreted by the sebaceous glands located under the fused areas, the skin becomes softer, gains the ability to stretch, and the adhesions separate on their own. If this does not happen before the age of three, you should contact a specialist.
Main types
There are two types of adhesions in children: balanoposthitis and physiological phimosis.
In the first case, the child experiences painful sensations, and when the head is partially exposed, inflammation processes are observed. This situation requires medical intervention.
Synechia of the foreskin, the cause of which was mechanical trauma in boys, is called “physiological phimosis.” Such a defect is usually considered normal, and under favorable circumstances it does not require treatment and goes away on its own.
What is the danger?
Both types (the first - without treatment, the second can develop into pathology) carry with them a number of complications in adulthood:
- genital herpes ;
- fungal infections;
- paraphimosis;
- chronic inflammation of the prostate gland;
- inflammation in the urinary tract and bladder;
- syphilis;
- malignant tumors of the penis.
Adhesions, or synechiae, is a condition when areas of fusion of the foreskin and the glans are identified on the male penis. Adhesions, when severe, prevent the head from being exposed and continue from the urethral opening to the coronary groove.
Adhesions are not always considered a pathology. In boys, they are normally present at birth to protect the head from infection and damage. Later, by the age of 3, the synechiae gradually begin to resolve, and the head gradually moves out from behind the foreskin. When the body is fully functioning, by the age of 6-11 years the head may be completely exposed, but sometimes this does not happen. This phenomenon is already recognized as pathological and can be observed even in adult men.
According to the international classification ICD-10, synechiae have code No. 47 (excessive foreskin, phimosis and paraphimosis).
The photo shows the development of the foreskin in boys
Synechia: causes of occurrence
The reasons for this phenomenon have not been fully studied, but doctors have made some observations and conclusions. So, the reasons that cause adhesions are the following:
- Penetration of infection due to violation of hygiene rules.
- Allergy - one of the manifestations of reactions to any irritant may be the formation of thin scars holding back the boy’s foreskin.
- Infection in the mother's womb (even ordinary expectant mother has runny nose should be taken into account and treated in time).
- Infection during the passage of the birth canal (in pregnant women due to changes in hormonal levels There are often inflammations, such as thrush).
- Accidental injuries.
- Overflowing diaper.
According to urologists, synechiae that does not go away with age is the body’s response to any infection. By forming adhesions, the body protects the genital organ and urethra from the penetration of pathogenic microorganisms and bacteria that cause a number of diseases of the genitourinary system.
Synechiae in boys themselves is a natural phenomenon: in this way the body tries to protect itself from various infections that can enter through the genitourinary system. At the same time, as boys grow older, they begin to secrete smegma, the components of which soften the adhesions. In turn, spontaneous erections contribute to the natural stretching of the foreskin and dilation of synechia.
Partial exposure of the head of the penis in boys under the age of 3 years and complete exposure at the age of 6 years is considered normal. If this does not happen, you should consult a pediatrician or pediatric urologist (in some cases, fusion of the foreskin is observed even in boys aged 12–15 years).
The reasons for the persistence of adhesions in older age are not fully understood, but it is generally accepted that these can be various types of infections affecting the genitourinary system or the head of the penis. The infection provokes the body to activate defense mechanisms, which include synechiae. In this case, the infection can enter the child’s body in two main ways:
- transmitted from mother to fetus if the pregnancy had complications and the mother was a carrier of the infection;
- through contact and household contact: with inappropriate personal hygiene, including when visiting public places such as bathhouses, swimming pools, gyms, etc.
- In some cases, the cause of this problem may also be an allergic reaction, especially if it manifests itself as irritation and redness of the skin, including in the intimate area.
Synechia: consequences
If synechiae does not disappear in due time, this can lead to serious consequences for the boy’s health:
- development of the inflammatory process: synechiae usually complicate the process of intimate hygiene, and the accumulation of smegma can cause inflammation. One of the most serious inflammations in this case is considered to be balanitis, or balanoposthitis - inflammation of the foreskin on the inside, which can spread to the head of the penis, and also easily become chronic. In addition, any infections of this kind without appropriate treatment tend to spread to other pelvic organs, leading to even more serious consequences;
- phimosis, or narrow foreskin: With phimosis, the flesh can become rough and wrinkled, making it difficult to expose the glans, which can subsequently lead to serious problems in your personal life, including with male fertility. Most often, phimosis requires excision of the foreskin;
Synechiae in boys are formed as a natural defense and are a unique response of the body to the ingress of a pathological pathogen. The main factors that lead to the formation of synechiae of the foreskin include infectious and inflammatory agents.
The causes of physiological synechiae are clear - nature provides for the prevention of the development of inflammatory diseases of the urethra and other organs of the genitourinary system in children. But why do some boys experience partial exposure of the head by the age of 3, and complete exposure by the age of 7, while in others the problem persists even into adolescence?
The reasons may be the following:
- Injuries, various manipulations with the head of the penis. For example, a crude attempt to remove the head at an early age almost always leads to the appearance of places where the foreskin grows. Scars can also form during circumcision or cutting of the foreskin, and most often they persist until adulthood.
- Past infections. If a child or adult has suffered tuberculosis, syphilis, or a number of other pathologies, the process may end with the appearance of adhesions.
- Burns after irradiation, radiation, exposure to chemicals, thermal burns. In this case, the synechiae are large and difficult to treat.
In men, the most common cause of synechiae in adulthood is infectious diseases and injuries. Occasionally, the pathology is provoked by severe allergic reactions and serious hormonal imbalances.
Clinical picture
Outside of the development of the inflammatory process, the child is not bothered by any clinical manifestations. If there is no complete fusion of the foreskin, which prevents normal urination, then symptoms can only be noticed upon examination. Externally, synechiae look like white-gray cords located around the head of the penis. In this case, it is not possible to expose the head by moving the foreskin.
There are often “pockets” in place of which the foreskin moves away from the head (in a child this may mean the beginning of independent separation of the adhesions). Often, smegma accumulates in such “pockets” - white discharge that dries and forms hard pieces.
Synechiae in adult men look similar, and traumatic adhesions can be thick, irregular in shape, resembling scars.
If a child or adult develops an inflammatory process, which happens due to the development of infection in a confined space under the commissure, the symptoms will be as follows:
- Swelling of the upper part of the penis;
- Redness of the head;
- Stinging, burning when urinating;
- Pain even at rest, sometimes sharp;
- Discharge with pus;
- Urine coming out drop by drop.
In men, erection becomes difficult and very painful, and sexual life is seriously affected.
Types of synechiae of the foreskin
Synechiae of the foreskin are localized in the space from the coronary groove of the head to the urethral canal. Synechia in boys is a specific protection that reduces the risk of developing infectious and inflammatory complications of the preputial sac. According to numerous observations of pediatric surgeons, not all three-year-old children can partially or completely expose the head of the penis without pain or discomfort. This pathological condition occurs in almost half of boys.
There are cases when there is partial exposure of the head of the penis, as a result of which inflammatory processes can develop in it. Clinically, this condition is manifested by pain of varying intensity, localized on the head of the penis. This condition is called balanoposthitis and requires appropriate mandatory therapy.
Synechia of the foreskin, which was formed as a result of mechanical trauma, is called physiological phimosis. This condition for boys is a variant of the norm and does not belong to a type of pathological process. Synechiae of the foreskin is usually diagnosed in boys at the age of seven.
Prevention of the development of synechiae in boys
Today, a large number of newborn boys experience synechiae of the foreskin. In infants, this condition is considered a variant of the norm and preventive measures are aimed exclusively at preventing the development of inflammatory processes. When performing hygienic washing of the external genitalia with warm water, it is very important to ensure that water does not get into the preputial sac.
Parents are obliged to prevent their son from walking around in an overfilled diaper for a long time. Pediatric surgeons advise changing a boy’s diapers every six hours, and after 30 minutes the child needs to have air baths to prevent the development of inflammation and irritation on the external genitalia.
Parents need to be more careful when choosing a boy's clothes. The child's underwear must be made of natural cotton fabric. It should also be loose (should not rub, rub, squeeze or pull on the baby’s genitals).
The fact that the head of the child’s penis does not fully open can and should be noticed by the parents themselves, but there are a number of other symptoms that aggravate this pathology:
- the baby constantly scratches the genitals;
- the head and flesh around swell;
- going to the toilet becomes painful for the baby;
- discharge is noticed on the underwear or on the penis itself.
These symptoms already indicate an infection; you cannot do without a urologist.
Synechia: symptoms
Most often, synechiae can be detected with the naked eye, primarily by parents, of course. Fusion usually occurs from the coronal groove of the penis to the urethra. In addition, since the consequence of synechia is often inflammation, additional symptoms of this disease can be considered:
- swelling of the glans penis and the foreskin itself;
- severe itching in the intimate area;
- redness of tissues, the appearance of small wounds (most often a consequence of itching and attempts to get rid of it);
- discharge from the urethra;
- pain when urinating or difficulty urinating.
The appearance of the described manifestations may indicate that, against the background of synechiae, the spread of infection has begun, which requires timely intervention by a specialist.
If parents notice that at the age of 3 years or more a boy has problems with exposure of the head of the penis (at first partial, and by 6 years full), it is necessary to make an appointment with a pediatrician or pediatric urologist to avoid the development of complications.
Initial appointment
An initial appointment with a doctor involves interviewing both the little patient and his parents, as well as a thorough visual examination. Most often, diagnosing synechia is not particularly difficult, and the presence of a problem is determined by a specialist already at the examination stage.
However, if inflammation has already begun to develop against the background of synechia, the following may also be prescribed as an additional diagnosis:
- tests of blood, urine and discharge from the urethra, allowing you to make a diagnosis and establish the stage of inflammation and the causative agent of the infection;
- Ultrasound of the genitourinary system: prescribed at the discretion of the doctor if there is a suspicion that the inflammation could have spread or caused changes in certain organs.
The treatment regimen for synechia of the foreskin in a boy largely depends on the age of the child. The most common method of removing adhesions is surgery, which can take place if the patient is over 12 years of age. Separation of synechiae of the foreskin in boys is done under local anesthesia; sometimes adhesions are removed using a probe.
After the procedure, special anti-inflammatory ointments are used, selected by the doctor individually, to speed up tissue restoration and prevent the reappearance of adhesions. Typically, the recovery period can last about 10 days. During this period, special attention must be paid to personal hygiene.
If inflammation occurs against the background of the fusion of the foreskin and the head of the penis, then surgical intervention can be performed no earlier than the infection disappears, swelling and pain subside (antibiotics and other drugs may be prescribed for this, depending on the causative agent of the infection, as well as painkillers ). The duration of treatment in this case is individual and depends on the general condition of the little patient’s body.
If the child has not yet reached the age of 12 years, the doctor may recommend conservative methods of treating synechia. Parents may be asked to gently manipulate the skin of the foreskin while bathing in warm water, gently stretching and partially retracting it. In this case, the child should under no circumstances experience pain or other discomfort, so such manipulations should be carried out only after preliminary consultation with a specialist. Typically, the desired effect with such exposure can be achieved within a few months.
Since synechiae in itself is not considered a disease, it is hardly possible to talk about any special preventive measures in this case. In any case, the main measures to prevent problems of the genitourinary system in children are:
- careful personal hygiene to avoid infection. This applies both to young children, whose condition is monitored by their parents, and to older children, to whom the importance of hygiene procedures should be explained. Moreover, in the case of synechia and other problems of this kind in boys, parents should be very careful while bathing so as not to accidentally harm the child. Trying too hard to retract the foreskin can result in pinching of the penis;
- If, at the age of over 3 years, there are problems with exposing the head of the penis or signs of inflammation occur, it is necessary to consult a specialist as quickly as possible for advice and possible treatment. The sooner synechiae of the foreskin in boys is diagnosed, the easier it will be to both treat this problem conservatively, without surgical intervention, and to get rid of the serious consequences of this disease, which it can cause.
You can make an appointment with a specialist at the Energo Medical Center either by phone or using a special form for patients on the clinic’s website. We will help you take care of your child's health!
Synechia in boys is determined by the following key symptoms:
- Swelling of the penis;
- Pathological discharge from the penis of a purulent nature;
- Pain in the penis area;
- Hyperemia of the penis;
- Pain when urinating;
- Difficulty exposing the head of the penis.
How to identify: signs and symptoms
Parents sound the alarm if at the age of three the boy’s head is partially closed, and at the age of six - if it does not open at all.
The first visual examination and questioning of parents and the child about his feelings gives the doctor a picture of what is happening. If the situation is complicated by signs of inflammatory processes, additional examination is carried out:
- tests - blood, urine, urethral smears;
- Ultrasound (the entire genitourinary system of the child is examined).
It is not difficult to identify synechiae in a boy. The final diagnosis of synechia of the foreskin is made on the basis of complaints and an objective examination of the child by a pediatric surgeon or urologist.
Synechiae can be diagnosed by the attending pediatrician or surgeon.
During the examination of the child, a separate detailed examination of the penis is performed. The doctor specifically exposes the head to see how freely this process can take place.
Also, the pediatrician takes into account the age of the child. If adhesions are found in a one-year-old child, then this process is not considered pathological.
However, if the boy has reached the age of three, and even worse, if the child’s age is gradually approaching 15-17 years, then the doctor will advise you to consult a surgeon.
Treatment
Normally, in children, partial opening of the foreskin occurs at the age of three, and complete exposure of the penis occurs at the age of six. Other situations are a reason to consult a doctor.
No obvious symptoms
If the problem is not accompanied by infection and pain in the boy, the doctor suggests stretching the skin of the foreskin to the parents. The manipulation consists of a light massage, stretching, and a gentle attempt to move the flesh away.
The main procedure should be carried out in a hospital setting, but parents at home can (after receiving detailed instructions) stretch the skin while bathing, but remember that the child should not experience any pain. Typically, the course of such therapy lasts up to three to four months.
With pronounced symptoms
In more problematic situations, surgical intervention is performed. It is advisable to perform such an operation before the onset of puberty, because at the age of 11-15 years the hormonal background of adolescents is restructured, and there is a risk of possible complications due to inflammatory processes.
Preoperative preparation consists of physiotherapeutic procedures, massage sessions and ointment therapy.
The operation itself is performed under local anesthesia in a hospital setting, sometimes with the help of a probe.
The postoperative period is characterized by the prevention of relapse: the patient adheres to the rules of hygiene, treats the operated area with an ointment that has an anti-inflammatory and healing effect. The recovery period lasts about ten days.
Doctors say that if synechiae of the foreskin is not clinically manifested (no pain, difficulty urinating or swelling of the penis), then the penis should not be touched at all. Also, experts do not recommend that parents independently develop the boy’s reproductive organ, wash it, pull it back, or train it.
Self-medication by parents can have the opposite effect, which can have negative consequences for the child’s health. It is necessary to adhere only to the doctor’s recommendations and observe all the rules of personal hygiene. For example, only wash the boy’s external genitalia with warm water. In this case, soap should be used no more than once every few days.
Appropriate treatment for synechiae of the foreskin is prescribed only if such a clinical manifestation of this disease as difficulty urinating is observed.
Usually, synechiae in a boy resolves on its own by the age of seven. If the adhesions do not resolve on their own, the boy is prescribed surgical treatment to cut the synechiae of the foreskin of the genital organ, which is performed in a hospital setting. It is better to perform this surgical treatment no later than seven years, since after this age period the boy begins to undergo hormonal changes and the risk of developing inflammatory processes increases.
The surgical treatment for cutting synechiae of the foreskin is very simple. To perform this manipulation, a specialist does not even need special surgical instruments. In rare cases, the doctor may use a special probe. Before starting this manipulation, the head of the penis is locally anesthetized, since this part of the penis contains a large number of nerve endings and is very sensitive.
In the postoperative period, experts recommend performing special hygiene procedures to prevent re-fusion and the occurrence of synechiae of the foreskin. Daily hygiene procedures include high-quality care of the genital organ for a week after the operation.
As mentioned above, in most boys, adhesions on the penis go away without any intervention from parents and doctors. However, there are special cases associated with extremely pronounced synechiae.
In such cases, the entire surface of the foreskin fuses with the head, or pronounced balanoposthitis is observed. In these two cases, synechiae must be treated.
The most commonly used surgical methods for breeding synechiae.
As a rule, breeding of synechiae in boys is carried out under local anesthesia. Before the operation, the child must undergo several sessions of massage and physiotherapy.
Then various ointment applications are applied to the head of the penis, which help reduce pain during the separation of synechiae.
Moreover, such manipulations help to make the separation more qualitative, since in medical practice there are often cases when adhesions grow together again and the procedure needs to be done again.
In addition, with the use of ointments and physical therapy, the risk of seriously injuring children's genital organs is reduced.
After the operation, parents should carefully monitor the condition of the baby’s penis.
The doctor will recommend applying special ointments to the head of the penis for the next ten days. With their help, the healing of small wounds will occur even faster, and the risk of adhesions fusing again will be reduced to almost zero, since it will create a thin layer that will successfully protect the skin of the foreskin from this harmful process.
After the course of treatment with the ointment has been completed, you can make an appointment again with the pediatrician so that he can assess how the child’s penis is healing.
By 6-7 years, if there is no improvement, the urologist will recommend dividing synechiae at home. The method is as follows:
- Pour warm water into the bath and place the child in the water.
- After 40 minutes, begin to separate the adhesions without leaving the water (gently pull back the skin of the foreskin, trying to expose the head).
- Perform procedures 1-3 times a week.
- The process of separation of adhesions may take 3-5 months.
In most cases, you can get rid of trouble this way. If there are no results, the urologist will perform the procedure in the medical office. A special cream is applied to the skin, and an hour later (after softening the adhesions), the synechiae are quickly diluted.
Indications for surgical separation of synechiae are age over 12 years (in adults, the problem is treated only with surgery), the presence of cicatricial phimosis, and the presence of frequent inflammatory reactions. Synechiae are usually operated on under local anesthesia, and occasionally under general anesthesia.
After the operation, it is important to monitor genital hygiene, wash the head of the penis daily, and apply antibacterial ointments (Levomekol, Erythromycin and others). According to the doctor's recommendation, you will need to take baths with chamomile until the skin heals (3-7 days).
If a man or boy has an active inflammatory process, separation is carried out only after it subsides. To treat inflammation, baths and irrigation of the head of the penis with Miramistin and Chlorhexidine are prescribed. In some cases, Hydrocortisone is injected with a syringe without a needle (for severe inflammation).
Usually, special treatment for synechia of the foreskin is not required, since they gradually separate naturally and open the exit to the head, which usually happens as the boy grows. This process can continue until the beginning of puberty.
During adolescence, thanks to the active production of hormones, the skin of the penis becomes more extensible, acquires elasticity and ceases to create an obstacle for the glans to exit. The elimination of adhesions is also facilitated by spontaneously occurring erections that begin as we grow older.
The separation of synechiae usually occurs spontaneously; various factors contribute to this:
- sudden erections that may occur in boys;
- prepuce;
- enzymes produced by the sebaceous glands.
The degree of adhesions and their length vary in each specific case. In some patients, subtle adhesions may extend to the coronary sulcus and even the urethra.
In urological practice, there are often cases when, when the head has not opened, due to existing accumulations of smegma, an inflammatory process begins, which can be accompanied not only by redness of the foreskin and the head itself, but also by significant swelling, as well as discharge from the prepuce ring.
In this case, the child experiences pain when urinating. This phenomenon is called balanoposthitis, and to eliminate it and successfully treat it, it is necessary to remove the accumulated smegma and purulent formations, and then use special ointments locally, but only a doctor should carry out such a procedure.
Balanoposthitis is considered a pathological condition, which, on the one hand, has a positive aspect in terms of physiology - when the formed smegma is eliminated, the synechia of the foreskin is usually eliminated (resorption).
But with frequent relapses, the effect can be the opposite - instead of resorption, with improper care, thin adhesions of the foreskin may degenerate into scar formations, which will subsequently lead to the appearance of phimosis. Read more about phimosis in boys →
Removal of synechiae surgically
There is no exact age when the head can independently free itself from adhesions. On average, this occurs at the age of 6-8 years. The help of surgeons is usually resorted to in case of formation of cicatricial phimosis or frequently recurring inflammation. Synechiae are removed surgically even if they have not resolved on their own by the age of 12 years. The operation is performed using local anesthesia.
Surgical treatment of synechiae of the foreskin
Until recently, in the tactics of pediatric urology, it was considered necessary to remove smegma, separate adhesions, and release the glans penis. Such manipulations began to be performed on boys at an early age - up to one year. These procedures were motivated by the need for hygiene of the boys’ genitals and the prevention of inflammatory processes in the foreskin. Parents' reviews of this procedure indicate that, despite persistent treatment at home, the result was short-lived.
Almost always the injuries to the foreskin had to be treated. They occurred when boys tried to free the head of the penis even after a warm bath. Reviews from doctors recommending this treatment note an increase in fungal diseases of the foreskin. The cause of fungal skin lesions is the result of frequent use of antibacterial agents. Treatment options:
- Currently, all pediatric andrologists-urologists claim that there is no need for medical interventions in boys if there are no complaints. Pediatric urologists oppose attempts to treat something that does not require treatment. Their reviews are categorical: physiological synechiae will disappear on their own if there are no inflammatory processes, and the child has sufficient physical development and good immunity.
- If a boy has an injury to his foreskin while trying to free the head of the penis, it is necessary to achieve healing of the wound in the most gentle way within 7–10 days. It is suggested to use chamomile baths and treat the injury site with an antiseptic solution (Miramistin). Then, using a syringe without a needle, hydrocortisone ointment (or cream) is injected into the preputial sac, which prevents the development of rough scars during healing.
These manipulations are carried out 3-4 times a day for the first 2-3 days, then twice a day. Usually, a child cannot urinate painlessly if the preputial area is injured; the penis looks swollen. The child should be encouraged to urinate in a bathtub with warm water. Then repeat all treatment procedures.
- If there is another reason for the development of synechiae (severe injuries, burns, frequent inflammation of the foreskin), treatment is prescribed by a doctor after examination and additional examinations. If possible, the causes contributing to the development of the inflammatory process are eliminated. Sometimes systemic medications are used for this purpose (for example, antibiotics, depending on the sensitivity of the pathogen). Hydrocortisone cream is used topically to prevent synechiae from hardening. The cream is used to lubricate synechiae. If possible, the cream is injected into the preputial sac, preventing further development of scars.
- Severe cicatricial changes in the foreskin that interfere with the process of free urination can be treated surgically at any age. The release of the glans penis is carried out upon reaching 11–15 years of age. At the same time, at this age there is little need for such a procedure.
Possible consequences
As a rule, synechiae of the foreskin does not have a negative effect on the body, but if the inflammatory process is not treated in a timely manner, the following complications may develop:
- Balanoposthitis;
- Genital herpes;
- Damage to the penis by fungi of the genus Candida (penile condylomas);
- Paraphimosis;
- Chronic inflammation of the prostate gland;
- Inflammatory processes in the urinary tract and bladder;
- Syphilis;
- Malignant neoplasm of the penis.
Thus, if even minor manifestations of the inflammatory process occur, parents should immediately show the child to a pediatric surgeon. You should not delay the consultation so that no complications develop.
In children without daily hygiene and lack of timely separation of adhesions, balanoposthitis most often occurs - inflammation of the head with the foreskin. The reason is the accumulation of smegma and the active reproduction of infection in it. The consequences of balanoposthitis can be severe swelling, pain, and the transition of the pathology to a chronic recurrent form.
In adolescents and men, synechiae that are not removed in time often cause the appearance of cicatricial phimosis. Due to the narrowing of the foreskin, the head is not exposed, normal sexual life becomes impossible. Treatment is only surgical (removal of the foreskin). More serious complications may include pinching of the head and the formation of tumors (smegma is carcinogenic and should not be allowed to accumulate under the skin).
Prevention of synechia
To prevent the foreskin attached to the head from developing into a pathology in the child that requires treatment, parents must know and follow the following rules:
- Personal hygiene of intimate organs (explain to older people the importance of procedures).
- If there is a problem, you should not aggravate it by persistent attempts to push the flesh away - this can cause injury, pain to the child and pinch the head of the penis (the male genital organ is full of nerve endings).
- When bathing, try not to let water get into the space between the inside of the foreskin and the glans.
- The child should not be in a diaper or other type of diapers all the time, especially if they are full.
- When choosing underwear, make sure that it is spacious; the material of the underwear is preferably natural, “breathable”, for example, cotton.
Young children are especially dependent on their parents, so their health and personal hygiene at this time are also the concern of mom and dad. As already mentioned, most children are born with synechiae, and there is no need to be alarmed ahead of time. If you maintain your baby’s intimate cleanliness, regularly see a pediatrician, and, if necessary, other specialists, then health problems will be avoided.
Measures to prevent synechiae include regular hygiene of the genital organs in children, avoidance of injuries to the foreskin, and timely visits to a urologist or andrologist if there are problems.
Synechia is a condition where the foreskin and glans are fused together and prevent exposure of the glans. Synechiae in children are adhesions that initially perform a protective function, preventing infections from entering the child’s body. This condition itself is considered natural and is diagnosed in a very large number of newborns. However, if the adhesions that prevent the exposure of the head of the penis do not disappear by puberty, this can lead to serious consequences for the boy’s health, so it is necessary to consult a specialist.
Medical Center "Energo" is a clinic that provides a wide range of services to adults and children. The treatment regimen in the clinic is selected taking into account the individual characteristics of each patient and the specific course of the disease.
Synechia: causes of occurrence
Synechiae in boys themselves is a natural phenomenon: in this way the body tries to protect itself from various infections that can enter through the genitourinary system. At the same time, as boys grow older, they begin to secrete smegma, the components of which soften the adhesions. In turn, spontaneous erections contribute to the natural stretching of the foreskin and dilation of synechia. Partial exposure of the head of the penis in boys under the age of 3 years and complete exposure at the age of 6 years is considered normal. If this does not happen, you should consult a pediatrician or pediatric urologist (in some cases, fusion of the foreskin is observed even in boys aged 12–15 years).
The reasons for the persistence of adhesions in older age are not fully understood, but it is generally accepted that these can be various types of infections affecting the genitourinary system or the head of the penis. The infection provokes the body to activate defense mechanisms, which include synechiae. In this case, the infection can enter the child’s body in two main ways:
- transmitted from mother to fetus if the pregnancy had complications and the mother was a carrier of the infection;
- through contact and household contact: with inappropriate personal hygiene, including when visiting public places such as bathhouses, swimming pools, gyms, etc.
- In some cases, the cause of this problem may also be an allergic reaction, especially if it manifests itself as irritation and redness of the skin, including in the intimate area.
Synechia: consequences
If synechiae does not disappear in due time, this can lead to serious consequences for the boy’s health:
- development of the inflammatory process: synechiae usually complicate the process of intimate hygiene, and the accumulation of smegma can cause inflammation. One of the most serious inflammations in this case is considered to be balanitis, or balanoposthitis - inflammation of the foreskin on the inside, which can spread to the head of the penis, and also easily become chronic. In addition, any infections of this kind without appropriate treatment tend to spread to other pelvic organs, leading to even more serious consequences;
- phimosis, or narrow foreskin: With phimosis, the flesh can become rough and wrinkled, making it difficult to expose the glans, which can subsequently lead to serious problems in your personal life, including with male fertility. Most often, phimosis requires excision of the foreskin;
Synechia: symptoms
Most often, synechiae can be detected with the naked eye, primarily by parents, of course. Fusion usually occurs from the coronal groove of the penis to the urethra. In addition, since the consequence of synechia is often inflammation, additional symptoms of this disease can be considered:
- swelling of the glans penis and the foreskin itself;
- severe itching in the intimate area;
- redness of tissues, the appearance of small wounds (most often a consequence of itching and attempts to get rid of it);
- discharge from the urethra;
- pain when urinating or difficulty urinating.
The appearance of the described manifestations may indicate that, against the background of synechiae, the spread of infection has begun, which requires timely intervention by a specialist.
If parents notice that at the age of 3 years or more a boy has problems with exposure of the head of the penis (at first partial, and by 6 years full), it is necessary to make an appointment with a pediatrician or pediatric urologist to avoid the development of complications.
Initial appointment
An initial appointment with a doctor involves interviewing both the little patient and his parents, as well as a thorough visual examination. Most often, diagnosing synechia is not particularly difficult, and the presence of a problem is determined by a specialist already at the examination stage.
However, if inflammation has already begun to develop against the background of synechia, the following may also be prescribed as an additional diagnosis:
- tests of blood, urine and discharge from the urethra, allowing you to make a diagnosis and establish the stage of inflammation and the causative agent of the infection;
- Ultrasound of the genitourinary system: prescribed at the discretion of the doctor if there is a suspicion that the inflammation could have spread or caused changes in certain organs.
The treatment regimen for synechia of the foreskin in a boy largely depends on the age of the child. The most common method of removing adhesions is surgery, which can take place if the patient is over 12 years of age. Separation of synechiae of the foreskin in boys is done under local anesthesia; sometimes adhesions are removed using a probe. After the procedure, special anti-inflammatory ointments are used, selected by the doctor individually, to speed up tissue restoration and prevent the reappearance of adhesions. Typically, the recovery period can last about 10 days. During this period, special attention must be paid to personal hygiene.
If inflammation occurs against the background of the fusion of the foreskin and the head of the penis, then surgical intervention can be performed no earlier than the infection disappears, swelling and pain subside (antibiotics and other drugs may be prescribed for this, depending on the causative agent of the infection, as well as painkillers ). The duration of treatment in this case is individual and depends on the general condition of the little patient’s body.
If the child has not yet reached the age of 12 years, the doctor may recommend conservative methods of treating synechia. Parents may be asked to gently manipulate the skin of the foreskin while bathing in warm water, gently stretching and partially retracting it. In this case, the child should under no circumstances experience pain or other discomfort, so such manipulations should be carried out only after preliminary consultation with a specialist. Typically, the desired effect with such exposure can be achieved within a few months.
Since synechiae in itself is not considered a disease, it is hardly possible to talk about any special preventive measures in this case. In any case, the main measures to prevent problems of the genitourinary system in children are:
- careful personal hygiene to avoid infection. This applies both to young children, whose condition is monitored by their parents, and to older children, to whom the importance of hygiene procedures should be explained. Moreover, in the case of synechia and other problems of this kind in boys, parents should be very careful while bathing so as not to accidentally harm the child. Trying too hard to retract the foreskin can result in pinching of the penis;
- If, at the age of over 3 years, there are problems with exposing the head of the penis or signs of inflammation occur, it is necessary to consult a specialist as quickly as possible for advice and possible treatment. The sooner synechiae of the foreskin in boys is diagnosed, the easier it will be to both treat this problem conservatively, without surgical intervention, and to get rid of the serious consequences of this disease, which it can cause.
You can make an appointment with a specialist at the Energo Medical Center either by phone or by using a special form for patients on the clinic’s website. We will help you take care of your child's health!