Synechia

Saw a handsome 25 year old architect with synechia or inflammatory fusion between the inner foreskin and the corona (rim) of the glans.  Whether this skin that is rolled in and “plastered” together ever has seen the  light of day is unclear.  However, the way to break op the vicious cycle of recurrent tearing and scar deposition is with a circumcision which will put some gentle tension on the skin so it no longer covers the glans, and the application of antibiotic ointment a few times a day, until the area completely re-epithelializes.  True, after separation of this area under local anesthesia, ointment only
could be the next step, but in my opinion this seldom works.

 

Harold M. Reed, M.D.

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