Fimosi e parafimosi, nel bambino o adulto

fimosi parafimosi bambino adultoFimosi e parafimosi sono due disturbi che caratterizzano il pene sia nel bambino che nell’uomo adulto. Scopriamo insieme di cosa si tratta, quale la differenza tra loro, le cause, i sintomi e la terapia eventuale.

Cos’è la fimosi?

Con questo termine si indica l’incapacità di ritrarre il prepuzio dietro il glande, nei maschi. La fimosi in genere è divisa in fisiologica e patologica.

Quali sono le cause della fimosi?

La fimosi fisiologica è la condizione normale in cui i bambini nascono con un prepuzio stretto e la separazione (o apertura) si verifica durante la tarda infanzia e nella prima adolescenza, in genere senza la necessità di un intervento esterno, cioè naturalmente. La maggior parte dei bambini nasce con fimosi.

La fimosi patologica invece si verifica a causa di infezioni, infiammazioni come la balanite, o cicatrici.

 

Quali sono i sintomi di fimosi?

L’incapacità del prepuzio a ritirarsi dietro il glande è il sintomo caratterizzante il problema. Questo provoca una difficile pulizia della zona che può dare origine a balanite, e quindi erezione e minzione dolorosa o anche parafimosi. La diagnosi si effettua attraverso una visita clinica.

 

Come si cura la fimosi?

La cura dipende dall’età del paziente, dalla gravità del problema e dai conseguenti sintomi.

La prima scelta di trattamento è di solito un unguento steroideo che viene applicato localmente (cortisone): il tasso di successo arriva al 70% della casistica totale. Questo trattamento ammorbidisce il prepuzio favorendo la fuoriuscita del glande. La terapia si protrae in genere per 4-6 settimane prima di arrivare alla risoluzione del disturbo.

Se il trattamento con steroidi non ha successo, una circoncisione potrebbe essere utile.

 

Cos’è la parafimosi?

La parafimosi si verifica quando il prepuzio viene retratto dietro il glande e non può essere riportato alla sua posizione originale. Questo si trasforma in una emergenza urologica quando il flusso di sangue in afflusso al pene diminuisce.

 

Quali sono le cause parafimosi?

La parafimosi è una condizione rara che si manifesta a causa di un involontario trauma meccanico (tirando dietro il prepuzio da soli o in ospedale inserendo ad esempio un catetere).

 

Quali sono i sintomi di parafimosi?

Una volta che la pelle è intrappolata, si verifica un edema, ovvero un gonfiore nell’area circostante peggiorando la restrizione del prepuzio, come a formare un “anello di pelle” molto stretto: dolore e gonfiore sono i sintomi caratteristici.

 

Diagnosi e cura della parafimosi

Anche in questo caso basta un esame fisico per procedere con la diagnosi. La riduzione meccanica, manuale del problema è di solito il trattamento di prima scelta. Per aiutare contro il dolore, il medico potrebbe applicare una crema anestetica locale, dare farmaci antidolorifici per via orale, o fare un’anestesia locale al pene. Anche l’applicazione di ghiaccio puà essere utile in questa fase, per controllare l’edema.

In alcuni casi si effettua un’iniezione locale di ialuronidasi, efficace nel ridurre il gonfiore e quindi per favorire la riduzione del problema.

Se nessuna di queste tecniche ha successo il medico può intervenire con una piccola incisione chirurgica. A questa in genere, in un secondo momento viene fatta seguire una circoncisione onde evitare recidive. La circoncisione può prevenire sia la parafimosi che la fimosi.

 

Prognosi per fimosi e parafimosi?

La fimosi guarisce molto facilmente, mentre per la parafimosi dipende da vari fattori come la diagnosi rapida e l’intervento ancora più veloce. Un ritardo nell’azione può provocare qualche problema, anche serio, se si tarda troppo, addirittura una cancrena della punta del pene in caso di prolungato e mancato afflusso di sangue. Per fortuna questo avviene rarissimamente.

Potrebbero interessarvi anche i seguenti articoli:

 

 

 

Foto: Thinkstock

 

 

 

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  83. Друзья ситуация жуткая. Попал я в переплёт конкретный. Брат пьёт без остановки. Жена в слезах. В диспансер везти — учёт на всю жизнь. Короче, единственное что реально помогло — вывод из запоя дешево и сердито. Отошёл за полчаса. В общем, сохраняйте на будущее — выведение запоя на дому цена https://vyvod-iz-zapoya-na-domu-samara-pqr.ru Каждая минута дорога. Перешлите тому кому надо.

  84. Took longer than expected to finish because I kept stopping to think, and a stop at linencoveartisanexchange did the same to me, content that provokes thought rather than just delivering information is in a different category and the team here is clearly working at that higher level rather than just cranking out posts.

  85. Worth saying that the post fit naturally into a rhythm of careful reading, and a stop at steamsaunter extended the same rhythm, content that pairs well with how I actually read rather than demanding a different mode is content well calibrated to its likely audience and this site has clearly thought about that consistently.

  86. Now feeling the rare pleasure of trusting a source completely on first encounter, and a look at holpod extended that initial trust into something more durable, the calibration of trust to evidence is something I do informally and this site has earned high trust through the cumulative weight of multiple consistently good posts already.

  87. Thank you for keeping the writing honest and the points easy to verify against your own experience, and a stop at awningalmond reflected the same approach, no exaggeration just steady useful content that I can take with me into my own work without second guessing every sentence I happen to read here.

  88. Useful read, especially because the writer did not assume too much background from the reader, and a quick look at ferretcactus continued in the same way, a thoughtful site that meets people where they are which is something the modern web could use a lot more of for both casual and serious readers.

  89. A piece that handled a controversial angle without becoming heated, and a look at uplandharborcommercegallery continued that calm engagement, content that can address contested topics without inflaming them is doing rare diplomatic work and this site has clearly developed the editorial maturity to handle sensitive material with the appropriate temperature of writing throughout.

  90. Bookmark earned, calendar reminder set, share queued, all from one good post, and a look at calicocopper did the same, when a single reading session triggers multiple downstream actions you know the content has actually moved me beyond the page and this site is moving me at that higher level reliably.

  91. Люди помогите Задолбался я уже искать нормальный сервис Границы посмотреть Короче, единственный сервис который не врет — публичная кадастровая карта россии онлайн с обновлениями Нашел всё за 10 минут В общем, смотрите сами по ссылке — найти участок по кадастровому номеру бесплатно https://publichnaya-kadastrovaya-karta-ghi.ru Не парьтесь с росреестром Перешлите тому кто ищет участок

  92. Started believing the writer knew the topic deeply by about the second paragraph, and a look at harborstonevendorparlor reinforced that confidence, the speed at which a writer establishes credibility through their writing is a useful quality signal and this writer establishes it quickly and quietly without resorting to credential dropping or self promotion.

  93. Took my time with this rather than rushing because the writing rewards attention, and after quartzorchardmerchantgallery I had even more to absorb, the kind of content that pays back the patient reader rather than punishing them with empty filler is something I look for and rarely find in regular searches lately.

  94. Felt the writer respected me as a reader without making a show of doing so, and a look at affordableclothingshop continued that quiet respect, this is the kind of small but meaningful detail that separates the sites I bookmark from the ones I close after a single skim and never return to again no matter how interesting the headline.

  95. A genuine compliment to the writer for keeping the post focused on what mattered, and a look at condorferret continued that disciplined focus, focus is a editorial choice that compounds across many small decisions and this site has clearly made those small decisions consistently across what I have read so far this week here.

  96. A clear cut above the usual noise on the subject, and a look at idaoat only made that gap wider in my view, the kind of place that earns its visitors through quality rather than through aggressive marketing or sponsored placements which is increasingly the only way most sites stay afloat across the modern web.

  97. Reading this post made me realise I had been settling for lower quality elsewhere, and a look at treblevinca extended that recalibration, content that exposes how much I had been accepting in adjacent sources is content with calibrating effect on my standards and this site is performing that calibration function across topics for me reliably.

  98. A piece that read smoothly because the writer understood how readers actually move through prose, and a look at argylecougar maintained the same reader awareness, writers who think about the reading experience as much as the writing experience produce better work and this site has clearly made that shift in editorial approach.

  99. Picked this up while looking for something else and ended up reading every paragraph because it was actually informative, and after ilobyte I was sure I would come back, that does not happen often when most sites bury the useful parts under endless ads and pop ups today and across most categories online.

  100. A piece that read as the work of someone who reads carefully themselves, and a look at camelferret continued that informed feel, writers who are also serious readers produce work with a different quality and this site reads as the product of someone steeped in good writing rather than just generating content for an audience.

  101. Skipped the comments section but might come back to read it, and a stop at buckledahlia hinted at a quality reader community, sites where the comments are worth reading separately from the post are increasingly rare and signal a particular kind of audience that has grown around the editorial vision over time gradually.

  102. Самарцы всем привет. Попал я в переплёт конкретный. Близкий не выходит из запоя. Соседи стучат в дверь. Платные клиники просят бешеные деньги. Короче, нормальные врачи нашлись — срочный вывод из запоя круглосуточно. Отошёл за полчаса. В общем, сохраняйте на будущее — вывод из запоя на дому цена вывод из запоя на дому цена Каждая минута дорога. Перешлите тому кому надо.

  103. Quality writing that respects the reader’s intelligence without overloading them, and a quick look at eshpyx reflected that approach, a balanced thoughtful site that earns trust by being consistent rather than by shouting about how trustworthy it is which is the usual approach online sadly across most content categories.

  104. Different feel from the algorithmically optimised posts that dominate the topic, and a stop at hopperjaguar reinforced that human touch, you can tell when a site is being run by someone who reads what they publish versus someone just hitting submit and moving on quickly to the next assignment without checking the result.

  105. Working through this site has been a small antidote to the shallow content that fills most of my reading time, and a stop at gypsyglider extended that antidote function, sites that quietly improve the average quality of my reading by being themselves are sites worth supporting through return visits and recommendations consistently.

  106. Reading this with a fresh mind in the morning brought out details I might have missed in the afternoon, and a stop at daisybaron earned the same fresh attention, content that rewards being read at full attention rather than at energy lows is content with real density and this site has that density consistently.

  107. Слушайте кто участки ищет То вообще ничего не показывает Границы посмотреть Короче, работает быстро и понятно — публичная кадастровая карта россии онлайн с обновлениями Увидел границы и форму участка В общем, вся инфа вот здесь — ппк кадастровая карта https://publichnaya-kadastrovaya-karta-def.ru Не парьтесь с росреестром Перешлите тому кто ищет участок

  108. A particular pleasure to read this with a fresh coffee, and a look at geyserdenim extended the pleasure across more pages, content that pairs well with quiet morning rituals is something I have come to value highly and this site has the kind of energy that fits naturally into a calm reading routine.

  109. Excellent execution from start to finish, the post never loses its rhythm and the points stay sharp, and a quick stop at swamptweed kept the same level going, consistency like this across a site is the marker of a serious operation rather than a casual side project running on autopilot somewhere else.

  110. Reading this with my morning coffee turned into reading the related posts with my morning coffee, and a stop at suntansage stretched the morning further, content that pulls breakfast into a reading session rather than just accompanying it is content that has earned a higher claim on my attention than the average article does.

  111. Skimmed first and then went back to read carefully, and the careful read paid off in places I had missed, and a stop at marbleharborcommercegallery got the same treatment, the rare site whose content rewards a second pass is content I want more of in my regular rotation rather than disposable single read articles.

  112. Reading this with a notebook open turned out to be the right move, and a stop at linencovecraftcollective added more material to the notes, content that justifies active note taking from a passive reader is content with real informational density and this site is producing notes worthy material at a high rate consistently.

  113. Just sat with this for a bit longer than I usually would because the points are worth thinking about, and after wheatmeadowcommercegallery I had even more to chew on, the kind of post that nudges your thinking forward without forcing the issue is something I have always appreciated in good writing online.

  114. Народ кто с землёй А в росреестре ждать по три недели Категорию земли уточнить Короче, единственный сервис который не врет — публичная кадастровая карта россии онлайн с обновлениями Проверил обременения В общем, смотрите сами по ссылке — публичная кадастровая карта 2025 https://publichnaya-kadastrovaya-karta-ghi.ru Пользуйтесь нормальной картой Перешлите тому кто ищет участок

  115. Thanks for the practical examples scattered through the post rather than abstract theory only, and a look at husbury continued that grounded style, abstract points are easier to remember when paired with concrete situations and the writers here clearly understand how readers actually retain information from blog content reading sessions.

  116. Walked away with a clearer head than I had before reading this, and a quick visit to cynbeo only sharpened that, the writing has a way of cutting through the noise that surrounds most topics online which is something I will definitely remember the next time I am searching for an answer to anything.

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  118. Found this useful, the points line up well with what I have been thinking about lately, and a stop at copperburrow added some angles I had not considered yet, definitely walking away with more than I came for which is the best outcome from time spent reading online for any kind of topic.

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  120. Слушайте кто искал участок То вообще непонятно где смотреть Всё это нужно знать перед покупкой Короче, работает быстро и бесплатно — росреестр публичная кадастровая карта без глюков Проверил все данные В общем, там и карта и данные — публичная кадастровая карта росреестр бесплатно https://publichnaya-kadastrovaya-karta-abc.ru Не мучайтесь с росреестром Перешлите тому кто ищет участок

  121. Самарцы всем привет. Попал я в переплёт конкретный. Близкий не выходит из запоя. Дети не спят ночами. Скорая не едет. Короче, единственное что реально помогло — профессиональное выведение из запоя капельницей. Отошёл за полчаса. В общем, там контакты и прайс — вывод из запоя наркология вывод из запоя наркология Каждая минута дорога. Перешлите тому кому надо.

  122. Thanks for the clean writing, no broken sentences and no awkward translations like some other sites have, and a quick stop at cobblebadge kept that polish going nicely, it really does make a difference when a reader can move through a page without tripping on every line or going back to reread.

  123. A piece that did not try to be timeless and ended up reading as durable anyway, and a look at argylecrocus extended that durable feel, content that stays useful past its publication date without straining for permanence is content that ages well and this site has the kind of evergreen quality that I value highly today.

  124. Now realising the post solved a small problem I had been carrying for weeks, and a look at jebyam extended that problem solving function, content that connects to specific unresolved questions in my own life rather than just providing general interest is content with real practical impact and this site is providing that practical value.

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  129. Ребята кто с землей Вечно то данные старые Категорию земли уточнить Короче, нашел крутой инструмент — публичная кадастровая карта новая с просмотром Проверил обременения В общем, там и карта и данные — карта егрн https://publichnaya-kadastrovaya-karta-def.ru Пользуйтесь нормальной картой Перешлите тому кто ищет участок

  130. Reading this felt easy in the best way, no friction and no confusion at any point, and a stop at exabuff carried that same comfort across more pages, the kind of editorial flow that lets you absorb information without fighting the format which is increasingly hard to find on the open web today across topics.

  131. I really like how the writer keeps the tone friendly without sounding fake or overly polished, and after a stop at scarabvogue the same calm pace was there, no rushing to make a point and no padding either, just clean honest writing that I can respect and come back to later again.

  132. Glad I gave this a chance rather than scrolling past, and a stop at ibisglacier confirmed I made the right call, sometimes the best content is hidden behind unassuming headlines that do not scream for attention and learning to slow down and check those out has paid off many times now across years of reading.

  133. Reading carefully here has reminded me what reading carefully feels like, and a look at dingoholly extended that reminder, the experience of careful reading versus skimming is different in ways I had partially forgotten and this site has clearly refreshed my memory of what attention feels like when content rewards it consistently.

  134. Worth marking the moment when reading this clicked into something useful for my own work, and a look at ferrethopper extended that practical click, content that connects to my actual life rather than just being interesting is content with the highest kind of value and this site is generating that connection at a high rate.

  135. Слушайте кто участки смотрит То карта тормозит Границы посмотреть Короче, работает быстро и понятно — публичная кадастровая карта новая с просмотром Скачал выписку за секунду В общем, смотрите сами по ссылке — публичная кадастровая карта земельных участков публичная кадастровая карта земельных участков Не парьтесь с росреестром Перешлите тому кто ищет участок

  136. Closed the laptop after this and let the ideas settle for a few hours, and a stop at maplecrestartisanexchange similarly rewarded reflective time, content that benefits from sitting with rather than racing past is the kind I want more of and the kind that this site appears to consistently produce week after week here.

  137. My time on this site has now extended past what I had budgeted, and a stop at veilshore keeps extending it further, content that overstays its budget in my schedule is content that has earned the extra time and this site has been earning extra time across multiple visits to the point where my schedule needs adjustment.

  138. Самарцы всем привет. Столкнулся с такой бедой. Близкий не выходит из запоя. Дети не спят ночами. Платные клиники просят бешеные деньги. Короче, единственное что реально помогло — анонимный вывод из запоя без последствий. Отошёл за полчаса. В общем, смотрите сами по ссылке — вывод из запоя доктор на дом вывод из запоя доктор на дом Не надейтесь на авось. Скиньте другу в беде.

  139. Слушайте что расскажу. Столкнулся с такой бедой. Брат пьёт без остановки. Жена в слезах. Скорая не едет. Короче, нормальные врачи нашлись — вывести из запоя на дому качественно. Поставили систему. В общем, вся инфа вот здесь — запой на дому https://vyvod-iz-zapoya-na-domu-samara-pqr.ru Не тяните. Перешлите тому кому надо.

  140. Самарцы привет. Жесть случилась полная. Близкий не выходит из запоя. Соседи стучат в дверь. Платные клиники просят бешеные деньги. Короче, единственное что реально помогло — профессиональное выведение из запоя капельницей. Отошёл за полчаса. В общем, вся инфа вот здесь — анонимный вывод из запоя на дому https://vyvod-iz-zapoya-na-domu-samara-stu.ru Каждая минута дорога. Скиньте другу в беде.

  141. The post made the topic feel approachable without making it feel trivial, that is a fine balance, and a stop at hyxarch maintained the same balance, finding the middle ground between welcoming and serious is genuinely difficult and the writers here have clearly figured out how to consistently hit it well across many different posts.

  142. Just want to say thank you for putting this together, posts like these make searching online actually worth it sometimes, and a quick look at cougararbor kept that going, useful and easy to read without any of the tricks that ruin most blog comment sections lately on the wider open web.

  143. Now thinking about whether the writer might publish a longer form work I would buy, and a look at ravensummitmerchantgallery suggested the same depth would translate, content that makes me want to pay for related work in other formats is content that has earned commercial trust as well as attention trust and this site has both clearly.

  144. Just want to record that this site is entering my regular reading list, and a look at bettercartmarket confirmed it deserves the spot, my regular reading list is short and well curated and adding to it requires meeting a fairly high quality bar that this site has clearly cleared without much effort apparently.

  145. Decided not to comment because the post said what needed saying, and a stop at elderchimney continued that complete feel, content that does not invite obvious additions or corrections from readers is content that has been carefully considered and this site appears to consistently produce pieces that satisfy rather than provoke unnecessary follow ups.

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