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Встречается как у детей, так и у взрослых [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). \n\nВыделяют несколько видов фимоза [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/): \n* **Физиологический** — естественное состояние для мальчиков раннего возраста, крайняя плоть сохраняет умеренную подвижность [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). В большинстве случаев разрешается самостоятельно к 6–7 годам по мере роста половых органов [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). \n* **Патологический** — развивается вследствие различных нарушений и не исчезает с возрастом [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). Например, гипертрофический фимоз (удлинение препуциального мешка с формированием характерного «хоботка») или атрофический (рубцовый) фимоз (истончение и уплотнение тканей крайней плоти) [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/).\n\n## Причины\nФимоз может быть врождённым или приобретённым [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/)[6](https://mc21.ru/articles/fimoz/). **Врождённый** обусловлен особенностями внутриутробного развития или генетической предрасположенностью [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/)[6](https://mc21.ru/articles/fimoz/). **Приобретённый** развивается в течение жизни под влиянием различных факторов, среди которых воспалительные заболевания (баланопоститы), травматические повреждения и системные патологии соединительной ткани [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/).\n\n## Симптомы\nИнтенсивность симптомов зависит от степени сужения крайней плоти и длительности проблемы [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). Некоторые признаки фимоза: \n* **Затруднение или полная невозможность обнажения головки** [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). При лёгких формах — незначительное сопротивление при попытке отведения крайней плоти, в тяжёлых случаях кольцо препуция вообще не пропускает головку [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). \n* **Дискомфорт или болезненность при мочеиспускании** — моча скапливается в препуциальном мешке и выходит тонкой струёй или каплями [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). \n* **Болевой синдром** — боль обычно возникает при попытках обнажить головку, во время эрекции или полового акта у взрослых мужчин [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). \n* **Воспалительные проявления** — из-за невозможности полноценной гигиены под крайней плотью скапливается смегма, которая служит питательной средой для бактерий [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/).\n\n## Диагностика\nДиагностикой и лечением фимоза занимаются урологи и андрологи [2](https://www.smclinic-ryazan.ru/about/diseases/fimoz/). Некоторые методы диагностики: \n* **Осмотр** — врач визуально осматривает половой член, оценивая степень сужения крайней плоти [10](https://www.mos-clinics.ru/diseases/fimoz/). \n* **Сбор анамнеза** — врач задаёт вопросы о возрасте начала проблемы, симптомах, предыдущих попытках лечения [10](https://www.mos-clinics.ru/diseases/fimoz/). \n* **Физикальное обследование** — проба оттяжки (врач пытается оттянуть крайнюю плоть назад, чтобы определить степень её подвижности и наличие препятствий для оттягивания) [10](https://www.mos-clinics.ru/diseases/fimoz/).\n\n## Лечение\nЛечение фимоза зависит от возраста пациента, степени сужения крайней плоти и наличия сопутствующих заболеваний [10](https://www.mos-clinics.ru/diseases/fimoz/). Некоторые методы: \n* **Консервативное лечение** — массаж крайней плоти, регулярное растяжение специальными кремами или маслами помогает постепенно увеличить её эластичность [10](https://www.mos-clinics.ru/diseases/fimoz/). \n* **Хирургическое вмешательство** — обрезание (удаление части или всей крайней плоти) или пластика крайней плоти (разрез крайней плоти, чтобы освободить головку полового члена, и затем края разреза сшиваются) [10](https://www.mos-clinics.ru/diseases/fimoz/). \n\n**При появлении первых симптомов** необходимо незамедлительно обратиться к врачу [13](https://pro-uro.ru/articles/fimoz-u-muzhin.html). 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