[ ARC forum 2 ]

Adhesion causes

Written by Paul B. at 10 Oct 2002 20:19:58:

As an answer to: Re: Adhesion therapies written by nano at 10 Oct 2002 18:06:53:

> 1 week after I started using it, (Betamethasone) it seems not only easier but more natural to retract the foreskin.

Oh, I don't doubt that it helps the stretching of the foreskin, I was considering more specifically how much it might help adhesions to separate. On balance, if used cautiously (not too much, only the merest smear), it is indeed more likely to help than hinder.

> I already posted here (in a response to AJ) that some brazilian docs. tried a new enzime (hyaluronidase) together with betametasone successfully for the treatment of phimosis (adhesions). Have you heard anything about this enzime?

Hyaluronidase (Brand-name HyalaseŽ) is used for various things, notably to make injections and particularly, anaesthetic, to spread more widely by "opening up" the tissues. I did seem to recall for a moment it was used in zonulysis in cataract surgery, but apparently this application actually uses alpha chymotrypsin instead. (That mostly for Ralesk's amusement!) {:-D}

I'm not sure how appropriate it would be for either phimosis or adhesions, but it is used by injection, which would not be the first approach I would choose (except perhaps for LSA).

> Sorry but I don't know what thrush means. Do you have another word?

I thought I mentioned the alternative terms somewhere. "Thrush" is a common term for infestation with a yeast called Candida Albicans or Monilia which if thick enough, shows as white "cottage-cheese" spots. Causes great nuisance to ladies, who may easily (and pleasurably) donate it to their partners, particularly (but by no means exclusively) if they are intact. This is the most common cause of chronic irritation and inflammation such as you seem to be describing.

> this was 10 years ago. Then it started to be dificult to retract. After that, for about 7 or 8 years I don't remember retracting my foreskin

Bad move (sounds as if you may not have been sexually active). It is most important to keep the foreskin "exercised".

> and this was the period when, I believe, the skin attached solidly to the glans.

That said however, it sounds as if an irritant such as "thrush" may have been the trouble, so you should probably use the anti-fungal (yeast) medication as well, and certainly if there is any irritation at all.


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