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包皮前端出口過窄或包得龜頭過緊叫包莖 (Phimosis)。包莖是指包皮前端出口過窄或過緊，包莖可有三種臨床表現：

• 不能翻開包皮露出龜頭
• 能翻開部份包皮，但包皮窄位卡住龜頭，只能露出部份龜頭
• 能翻開全部包皮及露出全部龜頭，但包皮窄位卡住及勒住陰莖主體引起不適

包莖可能會引起下列問題：

• 包莖可能會引致小便分叉或方向失準，容易弄濕身體、衣服或週邊環境。
• 包莖人仕因小便時沒有翻開包皮及小便後沒有翻開包皮清潔，包皮和龜頭中間容易積聚污垢及尿液，滋生細菌，產生難聞氣味，嚴重的會引致包皮炎或泌尿系統感染等疾病。透過性交，包皮內的細菌可使女伴出現陰道炎、盆腔炎、泌尿系統感染等疾病；又或女伴陰道內的細菌可感染包莖人仕，引致包皮炎、龜頭炎或泌尿系統感染等。
• 包莖人仕容易有性行為時避孕套滑脱 /穿戴避孕套困難。
• 包莖會影響射精，令射出的精液藏於包皮和龜頭中間。
• 平時包皮包住龜頭，龜頭外露時會比較敏感，部份有包莖人仕會有早泄問題。包皮環切術後，當陰莖龜頭暴露於環境後，龜頭表皮增厚，龜頭變得不那麼敏感，它可能會改善早洩。
• 包莖兒童/青少年/成年患者，因小便時沒有翻開包皮及小便後沒有翻開包皮清潔，包皮和龜頭中間容易積聚污垢及尿液，滋生細菌，產生難聞氣味，嚴重的會導致包皮炎。包莖患者包皮和龜頭發炎後可能會纖維化和令包皮和龜頭組織收縮，包皮包住龜頭的收縮力隨着時間增加，或會阻礙排尿及影響陰莖生長/影響陰莖變形等。
• 包莖人仕陰莖外部性特徵跟他人不同，或許會令病人感覺陰莖異常，有負面的心理影響。

[/woodmart_tab][woodmart_tab title=”包莖嵌頓”](割包皮的適應症)
「包莖嵌頓」(Paraphimosis)是指包皮被強行翻開及推至陰莖主體後不能還原，包皮出口的窄位卡在陰莖主體上及勒住陰莖主體，使包皮和龜頭因血液及淋巴液循環產生障礙，引致遠端台包皮和龜頭腫脹及充血。「包莖嵌頓」需及時醫治，否則會引起包皮和龜頭水腫或龜頭血液循環受損，嚴重更可引起包皮炎或陰莖組織壞死。

[/woodmart_tab][woodmart_tab title=”包皮過長”](割包皮的適應症)
包皮過長是指陰莖使勃起時，包皮仍然包住龜頭及尿道口。

包皮過長會有以下幾種影響：

• 包皮過長會引致小便分叉或方向失準，容易弄濕身體、衣服或週邊環境。
• 包皮過長人仕因小便時沒有翻開包皮及小便後沒有翻開包皮清潔，包皮和龜頭中間容易積聚污垢及尿液，滋生細菌，產生難聞氣味，嚴重的會引致包皮炎、龜頭炎或泌尿系統感染等疾病。透過性交，包皮內的細菌可使女伴出現陰道炎、盆腔炎、泌尿系統感染等疾病；又或女伴陰道內的細菌可感染包皮過長人仕，引致包皮炎、龜頭炎或泌尿系統感染等。
• 包皮過長人仕容易有性行為時避孕套滑脱。
• 包皮過長會影響射精，令射出的精液藏於包皮和龜頭中間。包皮環切術後，情況即時改善。
• 平時包皮包住龜頭，龜頭外露時會比較敏感，部份有包皮過長人仕會有早泄問題。包皮環切術後，當陰莖龜頭暴露於環境後，龜頭表皮增厚，龜頭變得不那麼敏感，它可能會改善早洩。

[/woodmart_tab][woodmart_tab title=”包皮病變”](割包皮的適應症)
包皮疾病有時會用部份切除包皮或包皮環切手術將病糟清除。常見的包皮病變例如：

• 扁平疣
• 濕疣
• 皮脂腺囊腫
• 反複性包皮炎龜頭炎
• 脂溢性角化病
• 包皮龜頭纖維硬化病
• 皮膚癌

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