What will happen if the foreskin is too long and not circumcised?

Without surgical intervention, excessive foreskin may increase the risk of local infection or affect urinary function. Foreskin is usually caused by congenital developmental abnormalities, repeated stimulation of local inflammation and other factors, and may manifest as smegma accumulation, difficulty urinating, repeated balanitis and other symptoms. It is recommended to seek medical evaluation promptly and choose observation or circumcision treatment according to the doctor's advice.

When the foreskin is too long and untreated, a moist environment will easily form between the inner plate of the foreskin and the glans, which is conducive to bacterial reproduction. It is common for white smegma to adhere to the coronal sulcus, which may emit odor and induce dermatitis, causing redness, swelling and pain. Long-term chronic inflammatory stimulation may increase the incidence of penile cancer. In some patients, the stenosis of the foreskin orifice will cause bifurcation during urination and thin urine lines. In severe cases, it may cause urinary retention. Failure of the foreskin to evert after puberty may affect penile development and may cause sexual intercourse pain or increase the risk of gynecological inflammation in the partner in adulthood.

Physiological phimosis in infants and young children is mostly a normal phenomenon, and most of them can resolve on their own with age. However, if it is accompanied by foreskin bulging during urination and recurrent urinary tract infections, the possibility of pathological phimosis needs to be considered. Diabetic patients with foreskin are more likely to develop refractory ulcers. In a few patients, the foreskin and glans form adhesion, and forcibly turning it upward may cause the foreskin to become incarcerated, leading to emergencies such as severe pain and ischemic necrosis of the glans.

Pay attention to the cleanliness of the perineum on a daily basis, gently wash the inside and outside of the foreskin with warm water every day, and avoid using irritating lotions. Choose breathable cotton underwear and change them frequently, and wipe away any remaining urine after urination. When redness, swelling and itching occur, you can dilute potassium permanganate solution and take a sitz bath, but do not use hormone-containing ointments by yourself. It is recommended to conduct a physical examination of the urinary system every year, especially those with diabetes or immunodeficiency who need regular follow-up. Coagulation function tests need to be completed before surgical treatment, and the wound needs to be kept dry and strenuous exercise should be avoided after surgery.