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Fig 4. Penis with the loosened foreskin replaced over the glans. Surgical methods range from the complete removal of the foreskin to more minor operations to relieve foreskin tightness: Dorsal slit (superincision) is a single incision along the upper length of the foreskin from the tip to the corona, exposing the glans without removing any tissue.
The diagnosis of severe frenulum breve is almost always confused with that of phimosis and a generally tight foreskin, since the symptom is difficulty retracting the foreskin. Most men with phimosis also have frenulum breve to a certain extent. [5] A milder frenulum breve may go unrecognized, since foreskin may retract over the glans variably.
The natural foreskin is composed of smooth dartos muscle tissue (called the peripenic muscle [16]), large blood vessels, extensive innervation, outer skin, and inner mucosa. [ 17 ] The process of foreskin restoration seeks to regenerate some of the tissue removed by circumcision, as well as provide coverage of the glans.
The area on the underside of the glans, where the foreskin is attached, is called the frenulum. The rounded base of the glans is called the corona. The inner surface of the foreskin and corona is rich in sebaceous glands that secrete smegma. The structure of the penis is supported by the pelvic floor muscles. Anatomical diagram of the penis
The function of a foreskin retainer is to keep the glans penis covered by the available foreskin. A foreskin retainer can be used when newly grown foreskin is neither long enough nor tight enough to keep the glans covered itself, but is long enough that it can be stretched past the glans (which is necessary to facilitate the use of a retainer).
In some cases the foreskin may become swollen as a result of paraphimosis (foreskin trapped behind the glans) or other conditions such as severe balanitis. Should reduction of the swelling by conservative methods be unsuccessful, a dorsal slit is a common intervention of choice since circumcision is almost always excluded in such cases.
Initial treatment in adults often involves simply pulling back the foreskin and cleaning the penis. [1] However, some topical antibiotic and fungal ointments may be used for treatment for mild cases. Depending upon severity, hydrocortisone and other steroidal creams may be used upon consultation.
Posthitis is the inflammation of the foreskin (prepuce) of the penis. It is characterised by swelling and redness on the skin and it may be accompanied by a malodorous discharge. The term posthitis comes from the Greek "posthe", meaning foreskin, and "-itis", meaning inflammation.