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The emergence of problems with boys' intimate organs sometimes causes anxiety in parents. Their medical names sound very disturbing at times, but luckily they usually end in fear. We answer questions that appeared in letters to our editorial office.
Intimate problemsboys -testicular hydrocele , wandering testicle, foreskin, but also a strange way of urinatingurine - it worries young parents. Which ailments require a surgeon's intervention and which ones require thorough care at home.
Wodniak of the testicle
A testicle swimmer at this age is nothing to worry about. Some boys are born with him. This is when the testicle is in the right place and is surrounded by fluid that passes from the abdominal cavity. The fluid makes the scrotum enlarged and tense. For now, there is no cause for concern, because in the vast majority of cases, the hydrocele absorbs itself within a few or several months, without causing any problem. You just need to observe whether the hydrocele is diminishing. If not, in 2-3. From the age of 18, an operation is necessary to prevent the fluid from compressing the testicle. Fortunately, such situations are really rare.
Wandering testicle
Both boys' testicles are normally in the scrotum. This is because during their development during pregnancy, they descend from the abdomen to the scrotum, as if held by a string, which is called the spermatic cord (it is the vas deferens along with the blood vessels). In order for the testicle to descend into the scrotum, the seminal cord must be of sufficient length. A wandering testicle is a situation where the testicle is sometimes in the scrotum and sometimes retracts into the inguinal canal, which descended into the scrotum. The retraction of the testicle may bring about a touch on the inside of the thigh. This triggers a muscle reflex that brings the testicle inward. The testis usually also retracts in cool environments and returns to the scrotum in a warm bath. You have to observe such a state, because the situation can correct itself. Mere wandering of the testicle is not an indication for any surgery. When the boy is around one year old, he should be examined by a pediatric surgeon or urologist. Thereafter, if the nucleus continues to wander, such consultations should be held at least once a year. The wandering nucleolus cannot be confused with the undescended nucleus, that iscryptic.
Peeling off the peel
Definitely not. In boys of infancy, the skin surrounding the penis, i.e. the foreskin, is physiologically glued. And that means this is a perfectly normal situation. In addition, at this age the foreskin is long and its opening (i.e. the hole in the foreskin through which urine flows out) is narrow and inflexible. Nevertheless, babies pee freely and without any difficulty. Attempts to pull the foreskin back, even while washing it, do not have any rational justification. Not only that, they can become a source of problems. Incompetent stretching of the skin can lead to cracking, minor injuries and, as a result, scarring. Only such maneuvers can cause real problems, e.g. phimosis.
Spontaneous detachment of the foreskin. When a surgeon's help is needed
On this issue, doctors' opinions are often quite divergent. However, everyone definitely recognizes that up to the age of 3, the foreskin can be stuck to the penis. This is because its tip is tightly glued to the inner plate of the foreskin and there is no point in trying to unstick it by force. In most boys, the foreskin detaches itself, gradually, in the first years of life. After the first birthday, this applies to every second baby, and around 3 years of age - already 80-90 percent. boys. Only when the pre-schooler's foreskin is still glued and the opening of the urethra is not visible, it is worth consulting a surgeon. Most often, however, even then, further observation or the use of special ointments on the narrow opening of the penis is enough.
The pee gets puffed up when peeing
A sticky narrow foreskin is a natural thing for boys in infancy and early life, but there are some exceptions to this rule. If you pee your foreskin and it blows up like a balloon, it is too narrow and makes it difficult to urinate. Then, under the foreskin, the remnants of urine can accumulate, in which bacteria multiply perfectly (especially since the diaper is warm and humid). From here it is already a step towards recurrent urinary tract infections or inflammation. In such a situation (which fortunately happens exceptionally), the help of a surgeon or pediatric urologist may be necessary. This will avoid the hassle and stress of getting infected.
One testicle missing
When a doctor determines that a testicle is missing in an infant's scrotum, this is only observed for a few months at first. The kernel has a chance to come off by itself. If this does not happen after a few months, the child must be examined by a pediatric surgeon or urologist. The specialist will assess the situation, perform an ultrasound that will assess the position of the testicle. When the chances of hisindependent descent into the scrotum are small, usually the procedure is to bring the testicle to the right place. This is necessary because the testicle left in the abdominal cavity simply stops working. The belly is too warm for the testicle. This may contribute to the boy becoming infertile in adulthood. In addition, the testicle left in the abdomen is at risk of developing more serious diseases. Hormone treatment instead of surgery is used less and less and only in a few centers. The effectiveness of such a procedure is too low, as it is only 15 to 50 percent. In addition, hormonal treatment can be used when the testicle is close to the scrotum, and this therapy excludes high seating of the testicle in the abdomen. The baby gets an injection of hormones every 3-4 days on average for several weeks.
The tip of the pee is red and swollen
Probably inflamed, eg from soap or poop irritation. In this situation, it is necessary to change diapers more often. Each time they are changed, it is best to wash the boy's intimate surroundings under warm, running water. It is worth giving up the use of wet wipes for a few days, because they can exacerbate inflammation, even if nothing bad has happened after using them. In summer, it is better to give up wearing a body and a romper or shorts on a diaper, because the baby's bum gets too hot with so many layers covering it. Externally, rivanol can be used. It is enough to buy a ready-made solution in a pharmacy or dissolve a rivanol tablet in water, and then several times a day for 1-2 minutes, immerse the child's penis in a glass of rivanol or dip a gauze pad in its solution and put it on the penis. Improvement should occur after 1-2 days. If the inflammation persists after this time, a visit to the doctor is necessary. The pediatrician's advice is also necessary immediately, when the penis appears red, and the baby has a fever or diarrhea or even worse. These may be symptoms of inflammation of the urinary system. It is then necessary to test the urine and more decisive treatment.
ImportantConsult the pediatrician when:
- you do not feel one or both testicles in your scrotum
- my son's scrotum is very asymmetrical, swollen and tight
- boy cries during the daily intimate toilet
- the penis is swollen and red
- your foreskin blows up like a balloon when you pee
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