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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  100. Anyone curious about this topic would do well to start here, the foundation laid is solid, and a stop at newlywedstour would round out their understanding nicely, this is the kind of resource I would point a friend toward without hesitation if they asked me where to begin learning about anything in this area.

  101. Great work on keeping things readable, the post never drags or repeats itself which I really appreciate, and a stop at concernedaboutpollution added a bit more context that fit naturally with what was already said here, no need to read everything twice to get the point being made today.

  102. Felt slightly impressed without being able to point to one specific reason, and a look at phantom-circle continued that diffuse positive feeling, when content works at a level you cannot easily articulate the writer is doing something with craft rather than just delivering information and that is something I have learned to recognise.

  103. Bookmark added with a small note about why, and a look at embersk9wish prompted another bookmark with another note, the bookmarks I annotate are the ones I expect to return to deliberately rather than stumble into and this site is generating annotated bookmarks at a higher rate than my usual content sources by some margin.

  104. Decided not to skim despite my usual habit and was rewarded for the discipline, and a stop at thefrontroomchicago earned the same patient approach, training myself to recognise sites that warrant slower reading is part of being a careful online reader and this site is the kind that helps me practice that skill regularly.

  105. Reading this in a quiet coffee shop matched the calm energy of the writing, and a stop at filamericansforracialaction extended that environmental match, content that has its own ambient quality which can match or clash with surroundings is content with a personality and this site has the kind of personality that suits calm reading.

  106. Learned something from this without having to dig through layers of fluff, and a stop at ucbstriketowin added a bit more context that helped tie things together for me, definitely a useful corner of the internet for anyone who wants real information without the usual marketing nonsense around it that often ruins similar pages.

  107. Now setting this aside as a model of how to write thoughtfully on the topic, and a stop at kidznft extended that model status, content that becomes a reference for how a kind of writing should be done is content with influence beyond its own readership and this site is reaching that level for me clearly today.

  108. Reading this prompted a small note in my reference file, and a stop at kayakwhalewatching prompted another, the rare site that contributes useful nuggets to my own working knowledge rather than just consuming my attention is worth the time investment many times over compared to the usual pile of forgettable scroll content.

  109. Grateful for posts like this one, they remind me there are still places online run by people who care about quality, and a look at letthemplaymn reflected the same standards, you can tell the difference between content made for readers and content made just for search engines today and this is the former.

  110. Most of my reading time goes to a small number of trusted sources and this one is now joining that group, and a stop at hanayaka-na-life reinforced the group membership, the few sites that earn a place in my regular rotation are sites I expect ongoing returns from and this one has earned that elevated position consistently.

  111. Felt the writer was speaking my language without trying to imitate it, and a look at mdcantaffordjealous continued that natural fit, when a writers default voice happens to match what you find easy to read the experience feels frictionless and that is something I notice and remember about specific sites going forward.

  112. A well calibrated piece that knew its scope and stayed inside it, and a look at sleepcinemahotel maintained the same scope discipline, scope creep is one of the failure modes of long blog posts and this site has clearly invested in the editorial discipline to prevent it which shows up in tightly contained pieces.

  113. I really like the calm tone here, it does not push anything on the reader, and after I went through 716selfiebuffalo I felt the same way, just steady useful content laid out without drama, which is exactly what someone trying to learn something quickly needs to find rather than aggressive marketing.

  114. A genuine pleasure to find a site that publishes at a sustainable cadence rather than chasing the daily content treadmill, and a look at electlarryarata confirmed the careful publication rhythm, sites that prioritise quality over frequency are rare and this one has clearly chosen the slower pace which I appreciate as a reader.

  115. Started reading without much expectation and ended on a high note, and a look at xalirocore continued that arc, content that builds rather than peaks early is a sign of a writer who knows how to structure a piece for sustained reader engagement rather than relying on a strong hook to do all the work.

  116. Felt the writer did the homework before publishing, the references hold up, and a look at asianspeedd8 continued that documented care, content with traceable claims rather than vague assertions is the kind I trust and the lack of bald assertion in this post is one of its quietly impressive qualities for me.

  117. If the topic interests you at all this is a place to spend time, and a look at kryvoxpoint reinforced that recommendation, the broader question of where to invest topical reading time is one this site answers convincingly through the consistent quality across multiple pieces I have sampled during the current reading session today.

  118. Came away with some new perspectives I had not considered before, and after 1091m2love those ideas felt more complete, the kind of content that stays with you a little while after reading rather than slipping out the moment you switch tabs and move on with your day to whatever comes next.

  119. Now feeling slightly more optimistic about the state of independent writing online, and a stop at exodusalliance extended that quiet optimism, sites like this one are the reason I have not given up on the open web entirely and finding them occasionally renews the case for paying attention to non algorithmic content sources today.

  120. Glad I gave this fifteen minutes rather than the usual three minute skim, and a look at thespeakeasybuffalo earned the same investment, time spent on quality content is rarely wasted but the reverse is also true and learning which sites deserve which kind of attention is part of being a careful online reader.

  121. Worth saying that the prose reads naturally without straining for style, and a stop at sergiidima maintained the same unforced quality, writing that achieves elegance without effort is the highest tier and this site has clearly worked out how to land that effortless quality consistently rather than only on the writers best days.

  122. Купить квартиру https://novye-kvartiry78.ru в новостройке Кировского района СПб — это возможность выбрать современное жилье с удобной транспортной доступностью, развитой социальной инфраструктурой и выгодными условиями приобретения. Изучайте актуальные предложения, сравнивайте жилые комплексы и находите оптимальный вариант для жизни или инвестиций.

  123. Started reading and ended an hour later without realising the time had passed, and a look at madmadedesigns produced the same time dilation effect, when content makes time feel different the writer has achieved something well beyond the average and this site is producing that experience for me reliably across multiple readings.

  124. Now appreciating that the post left me with enough to say in a follow up conversation, and a look at supportsros added more material for those follow ups, content that prepares me for related conversations rather than just informing me alone is content with social utility and this site provides that social armament reliably for me.

  125. Left me wanting to read more rather than feeling burned out, that is a good sign, and a look at joebobsaveschristmas confirmed there is plenty more here to explore, the kind of writing that builds appetite rather than killing it which is a rare quality on the modern open internet today across most categories of content.

  126. A piece that did not require external context to follow, and a look at bloemhill maintained the same self contained quality, content that stands alone without forcing readers to chase prerequisites is more accessible and this site has clearly thought about how each piece can serve a fresh visitor rather than only existing members.

  127. Ритуальные услуги https://buro-pohoron-vechnaya-pamyat.ru/ под ключ в Москве и Московской области. Поможем быстро и деликатно организовать похороны, подготовить необходимые документы, подобрать ритуальные принадлежности, транспорт и место захоронения. Круглосуточная консультация и сопровождение опытных специалистов.

  128. Ритуальные услуги https://buro-pohoron-vechnaya-pamyat.ru под ключ в Москве и Московской области. Поможем быстро и деликатно организовать похороны, подготовить необходимые документы, подобрать ритуальные принадлежности, транспорт и место захоронения. Круглосуточная консультация и сопровождение опытных специалистов.

  129. Once you start reading carefully here it is hard to go back to lower quality alternatives, and a stop at winecountryweddingsandevents reinforced that ratchet effect, the way good content raises standards is real over time and this site has clearly contributed to raising my expectations for what is possible in writing on the topic generally.

  130. Really liked the calm tone running through the post, no shouting and no urgency forced into the writing, and a look at envolavecning kept that quiet confidence going, the kind of voice that makes the reader feel respected rather than yelled at which is depressingly common across most modern blog content these days.

  131. Even from a single post the editorial care is clear, and a stop at dayofthedeadatx extended that care across more pages, the kind of attention to quality that shows up in every paragraph is what separates serious sites from the rest and this one has clearly invested in that paragraph level attention across what I have read.

  132. Took some notes for a project I am working on, and a stop at everymaskcounts added more raw material to those notes, content that contributes to my own creative work rather than just being interesting in the moment is the kind I value most and the kind I will keep coming back to repeatedly.

  133. Honestly the simplicity of the explanation made the topic click for me in a way other writeups had not, and a look at hopeandlace continued that clarity into related areas, when a writer gets the level of explanation right the reader does the heavy lifting themselves and the post just enables it.

  134. Will be passing this along to a few people who would benefit from the perspective shared here, and a stop at janetfortampa only added to what I will be sharing, this kind of generous content deserves to circulate widely rather than getting buried in some search engine algorithm tweak that pushes it down the rankings.

  135. Reading this confirmed something I had been suspecting about the topic, and a look at nusoulrevivaltour pushed that confirmation toward greater confidence, content that lines up with independently held intuitions earns a special kind of trust and I will return to writers who consistently land that way for me without overselling positions.

  136. Now realising the post has been quietly doing important work in my mind for the past hour, and a stop at casteintheuk extended that quiet processing, content that continues to do work after I close the tab is content with afterlife in the mind and this site is producing those long lived effects at a meaningful rate.

  137. Closed several other tabs to focus on this one as I read, and a stop at wrestlingac held my undivided attention the same way, content that earns full focus in an attention environment full of competing pulls is content doing something genuinely well and the team behind it deserves recognition for that achievement consistently.

  138. Thanks for the breakdown, it gave me a clearer picture of something I had been confused about for a while now, and a stop at jadenurrea closed the remaining gaps in my understanding nicely, no need to hunt around twenty other articles to put the pieces together which is a real time saver.

  139. Reading this felt productive in a way most internet reading does not, and a look at macofficelovesyou continued that productive feeling, sometimes the open web feels like a waste of time but sites like this remind me why I still bother to look around rather than retreating to old reliable sources for everything I need.

  140. Reading this triggered a small change in how I think about the topic going forward, and a stop at blpawards reinforced that subtle shift, the rare content that actually moves my thinking rather than just confirming or filling it is the kind I most value and this site is providing that kind of impact today.

  141. Liked that the post resisted a sales pitch ending, and a stop at chrishallforjudge maintained the no pitch approach, content that ends without trying to convert me into a customer or subscriber is content that has confidence in its own value and this site is clearly playing the long game on reader trust.

  142. Came back to this twice now in the same week which is unusual for me, and a look at forwardmotiondefined suggested I will keep coming back, the kind of post that earns repeated visits rather than one and done reading is the gold standard for content quality and this site clearly hit that standard.

  143. Solid information that lines up with what I have been hearing from other reliable sources, and after my visit to chrishallforjudge I was even more certain of that, this site checks out which is something I value highly when so many places online play loose with the facts to chase a quick click.

  144. Taking the time to read carefully here has been worthwhile for the past hour, and a look at forwardmotiondefined extended the worthwhile reading, the calculation of return on reading time spent is something I do informally and this site has been producing positive returns across multiple sessions during the last week of regular visits and reads.

  145. Reading this in a moment of low energy still kept my attention, and a stop at smyrnafestival continued that engagement under suboptimal conditions, content that survives the reader being tired is content with extra reserves of pull and this site has the kind of writing that holds up even when I am not at my reading best.

  146. Reading this triggered a small reorganisation of my own thinking on the topic, and a stop at signalactivatesmotion furthered that reorganisation, content that affects the shape of my mental model rather than just decorating it with new facts is content with structural rather than informational impact and this site provides that.

  147. Anyone curious about this topic would do well to start here, the foundation laid is solid, and a stop at directionactivatesprogress would round out their understanding nicely, this is the kind of resource I would point a friend toward without hesitation if they asked me where to begin learning about anything in this area.

  148. Bookmark moved to my permanent reference folder rather than the casual maybe later folder, and a look at localphlmarket earned the same upgrade, the distinction between casual interest and lasting reference is something I track carefully and very few sites cross that threshold but this one did so without much effort apparently.

  149. Display campaigns need a clear purpose, so a google ads agency should distinguish prospecting, remarketing, account-based support, awareness, and conversion goals. Placement controls, audience quality, frequency, exclusions, creative testing, and view-through reporting all deserve scrutiny before performance is judged.

  150. Reading more of the archives is now on my plan for the weekend, and a stop at directionshapesoutcomes confirmed the archive worth the time, the rare archive worth a dedicated reading session rather than just casual sampling is the rare archive of serious work and this site has clearly produced enough of that work to warrant the deeper exploration.

  151. The whole experience of reading this was pleasant from start to finish, no pop ups and no annoying interruptions, and a look at garymasino continued that clean experience, technical choices about page design matter for the reader and this site clearly cares about the small details that add up to comfort across multiple visits.

  152. Local relevance is one of the most important variables for gay hookup sites near me. Search results and app store popularity are global signals, while a useful experience depends on recent profiles within a realistic distance, the preferred age range, and people who state compatible intentions.

  153. Really like that the writer trusts the reader to follow simple logic without restating every previous point, and a stop at progressmoveswithstructure kept that respect going, treating an audience as capable adults rather than as people who need constant hand holding makes a noticeable difference in the reading experience for me.

  154. Honestly the simplicity is what makes this work, the topic is not buried under filler words or overly complex examples, and a quick look at electcateriarmccabe showed the same sensible style, I left with what I came for and no headache from over reading which is a real win these days.

  155. Started believing the writer knew the topic deeply by about the second paragraph, and a look at progressdesign 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.

  156. Now recognising that this site has earned a place in the small group of resources I treat as authoritative, and a stop at orourkeforphilly confirmed that placement, the difference between resources I trust and resources I just consume is real and this site has clearly moved into the trusted category through consistent quality over time.

  157. Beyond the topic at hand this site reads as a small ongoing project of taking writing seriously, and a look at progressbuildsvelocity reinforced that project quality, sites that treat publishing as an ongoing serious practice rather than as content production for traffic are sites worth supporting and this one has clearly chosen the serious approach.

  158. Felt the writer was speaking my language without trying to imitate it, and a look at phillybeerfests continued that natural fit, when a writers default voice happens to match what you find easy to read the experience feels frictionless and that is something I notice and remember about specific sites going forward.

  159. A small editorial detail caught my attention, the way headings related to body text, and a look at actionmovesforwardclean maintained that careful relationship, structural details like that show up to readers who notice them and the writers here have clearly thought about every level of the piece rather than just the words.

  160. Most of the time I bounce off similar pages within seconds, and a stop at nataliakerbabian held me longer than I would have predicted, the ability to convert a likely bouncing visitor into an engaged reader is a quality signal and this site has demonstrated that conversion ability across multiple visits where I expected to bounce.

  161. Now feeling the quiet pleasure of finding writing that takes itself seriously without being self serious, and a stop at directionguidesenergy extended that subtle pleasure, the gap between earnest and pretentious is fine and this site has clearly chosen to land on the earnest side without slipping over into pretentious which is impressive.

  162. Approaching this with the usual skepticism I bring to new sites and being slowly persuaded, and a stop at visionengine continued that gradual persuasion, the careful path from skeptical reader to genuine fan is the only one I trust and this site has walked me along that path through patient consistent quality across pieces.

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