Adult Phimosis. In some cases a locally applied steroid ointment can be effective at treating phimosis over a period of two months. The ointment softens the foreskin and can eventually permit full retraction. In other cases, the recommended treatment is the surgical removal of the foreskin, generally known as circumcision.
Full Answer
What is foreskin restoration and how can it help me?
Foreskin restoration is something that you can do if you were circumcised as a child. It is a method or practice to regrow your foreskin. There are a few different options for foreskin restoration including surgery and skin stretching tools. Why Do People Restore Their Foreskins?
What are the effects of retraction of foreskin?
If retraction is forceful, it can cause a small cut. This cut may cause a small amount of bleeding and pain. Infection. Sometimes, the cut causes the space under the foreskin to become infected.
What are the different types of foreskin problems?
Types of Foreskin Retraction Problems The foreskin usually causes no problems. Paraphimosis. Forceful retraction can cause the foreskin to get stuck behind the glans. Cut. If retraction is forceful, it can cause a small cut. Infection. Sometimes, the cut causes the space under the foreskin to become infected.
What should I do if my child’s foreskin is damaged?
If your child’s illness or injury is life-threatening, call 911. At birth, the foreskin is attached to the head of the penis (glans). It is attached by a layer of cells. Over time, the foreskin will separate from the head of the penis. This is a natural process and occurs over 5 to 10 years.
What is manual retraction therapy?
Manual reduction is performed by placing both index fingers on the dorsal border of the penis behind the retracted prepuce and both thumbs on the end of the glans. The glans is pushed back through the prepuce with the help of constant thumb pressure while the index fingers pull the prepuce over the glans.
What is the treatment for paraphimosis?
To treat paraphimosis, your healthcare provider may suggest: Squeezing the tip of your penis to help the foreskin move back over the glans. Your provider might use solutions to lessen the swelling. Making a slit in the foreskin (dorsal slit) to allow it to move back over the glans.
What is it called when you can't retract the foreskin?
Phimosis is when a foreskin can't be pulled down (retracted) from the tip of the penis. This is a common problem in young boys. Paraphimosis is when the foreskin is retracted but can't move back up. This can prevent normal blood flow in the penis, and may cause serious problems.
What is the most common treatment for phimosis?
Medical providers may recommend topical steriod ointment application for children with phimosis. This is an effective treatment in most males. These topical ointments are used to help soften the tight foreskin around the penis, so the foreskin may be easily retracted.
What is phimosis and paraphimosis?
Phimosis and paraphimosis are problems with the foreskin of the penis. Phimosis is when a foreskin can't be pulled down (retracted) from the tip of the penis. This is a common problem in young boys. Paraphimosis is when the foreskin is retracted but can't move back up.
What is Hypospedia?
Hypospadias (pronounced hype-oh-spay-dee-us) is a birth defect in boys where the opening of the urethra (the tube that carries urine from the bladder to the outside of the body) is not located at the tip of the penis.
Can tight foreskin cause erectile dysfunction?
Can a tight foreskin cause erectile dysfunction? Changes in the actual penis structure can make getting an erection difficult. Peyronie's (a bending in the erect penis), phimosis (a tight foreskin) or a tight frenulum (the elastic piece of skin that joins the foreskin to the shaft of the penis) can all cause ED.
What causes phimosis?
Inflammation or an infection of the foreskin or the head of the penis (glans) may cause phimosis in boys or men. Balanitis is an inflammation of the glans. It's sometimes the result of poor hygiene or an infection of the foreskin. One of the infections that can lead to balanitis is called lichen sclerosus.
How do you treat phimosis without surgery?
Phimosis treatment without surgery at homeUse coconut oil to gently stretch the tight foreskin. ... Apply Castor oil. ... Take warm water showers. ... Try phimosis stretching exercises to cure phimosis naturally. ... Maintain good penile hygiene. ... Apply an ice pack covered in cloth to reduce foreskin inflammation.
Which of the following is a treatment of choice for phimosis?
Surgery for phimosis is usually described as circumcision. A full circumcision involves removing all of the foreskin.
How is phimosis treated in adults?
If you're an adult with lots of scar tissue, your provider will probably recommend circumcision. This procedure will remove the foreskin and free the glans. Your healthcare provider is almost sure to suggest circumcision if balanitis xerotic obliterans (BXO) is causing the phimosis and steroid creams don't work.
Which medicine is best for phimosis?
Phimosis can be treated by the local application (tip of the penis) of topical steroids like betamethasone, mometasone furoate and cortisone. They work by anti-inflammatory and immunosupressive effects.
What is foreskin restoration?
Foreskin restoration is something that you can do if you were circumcised as a child. It is a method or practice to regrow your foreskin. There are a few different options for foreskin restoration including surgery and skin stretching tools.
Why do people remove their foreskin?
Scientific evidence shows circumcised people get fewer sexually transmitted infections (STIs), and pass on fewer STIs to their partners. They also get fewer urinary tract infections and have fewer skin problems on the penis.
Why is circumcision important?
Therefore, in some places and times, if someone could see that you were circumcised, they would know you were Jewish. Circumcised people of those eras sought out foreskin restoration so they could participate in public life.
Why do people with penis want to get their foreskin back?
They wish to get their foreskin back because they never had the chance to decide for themselves if they wanted it or not.
When was foreskin restoration first used?
The first mention of surgery for foreskin restoration is from around the year 50 AD. Today this is still an option, but some people prefer skin stretching instead due to the possible outcomes from surgery.
Can you use rubber O rings on your penis?
Some people try homemade devices that can damage the penis. For example, some people use rubber O-rings to help stretch the foreskin. However, if you get the wrong size, it can get stuck behind the head of your penis and restrict blood flow.
How old do boys have to be to have a retractable foreskin?
Gairdner said that 80 percent of boys should have a retractable foreskin by the age of two years, and 90 percent of boys should have a retractable prepuce by the age of three years. 2.
Is foreskin a disease?
Non-retractile foreskin is not a disease and does not require treatment. Frenulum breve (which is rare and cannot be diagnosed until the previous two reasons have been eliminated) The first two reasons are normal in childhood and are not pathological in children.
Is Frenulum Breve a rare disease?
Frenulum breve (which is rare and cannot be diagnosed until the previous two reasons have been eliminated) The first two reasons are normal in childhood and are not pathological in children. The third can be treated conservatively, retaining the foreskin. Infants and pre-school.
Can men make their foreskin retractile?
Other men, however, may want to make their foreskin retractile. Male circumcision is outmoded as a treatment for non-retractile foreskin, but it is still recommended by many urologists because of lack of adequate information, and perhaps because of the fees associated with circumcision.
Immediate first aid
We are available by phone for first-aid advice in the immediate aftermath of an incident of PFFR. Our telephone is (206) 465-6636, 9-5 Pacific Time (or even later), 7 days a week.
Helpful articles on forcible foreskin retraction
We encourage you to read the following articles for good background information on the problem of premature forcible foreskin retraction. The more you know, the more you will be able to protect your son.
How to file a formal complaint
Do you have alternate medical providers? If you live in a small town or are tied to a single clinic or single medical system by insurance restrictions, you should consider whether you need to protect your son’s access to future medical care.
Checklist of steps to file a complaint
Step 1: Request a customized cover letter from D.O.C. to submit with your complaint. (Optional)
Step-by-step instructions for filing a complaint
A customized cover letter from D.O.C. – carrying the credibility of a physicians’ organization – will help your complaint to be taken more seriously.
What is a phimosis?
What is Phimosis? Phimosis is defined as the inability to retract the skin (foreskin or prepuce) covering the head (glans) of the penis. Phimosis may appear as a tight ring or “rubber band” of foreskin around the tip of the penis, preventing full retraction.
How old is phimosis?
Phimosis is normal for the uncircumcised infant/child and usually resolves around 5-7 years of age, however the child may be older. Pathologic phimosis: Phimosis that occurs due to scarring, infection or inflammation.
Is circumcision necessary for phimosis?
Circumcision is often not required for treatment of phimosis. In some rare cases your pediatric urologist may recommend circumcision due to failure of steroid ointment, pathologic phimosis, paraphimosis (foreskin stuck in the retracted position behind the head of the penis), recurrent urinary tract infections, or severe/recurrent balanoposthitis.
Definition
- Phimosis is defined as the inability to retract the skin (foreskin or prepuce) covering the head (glans) of the penis. Phimosis may appear as a tight ring or rubber band of foreskin around the tip of the penis, preventing full retraction. Phimosis is divided into two forms: physiologic and pathologic. Current incidence of phimosis is about 1% in 7th grade boys.
Prognosis
- Physiologic phimosis: Children are born with tight foreskin at birth and separation occurs naturally over time. Phimosis is normal for the uncircumcised infant/child and usually resolves around 5-7 years of age, however the child may be older.
Treatment
- Pathologic phimosis: Phimosis that occurs due to scarring, infection or inflammation. Forceful foreskin retraction can lead to bleeding, scarring, and psychological trauma for the child and parent. If there is ballooning of the foreskin during urination, difficulty with urination, or infection, then treatment may be warranted. Pathologic phimosis that does not resolve naturally or cause…
Prevention
- No special care is required for foreskin in infancy. The foreskin should not be forcibly retracted, however gentle retraction is okay. In the first few years of life, gentle retraction with cleansing underneath the foreskin is sufficient during diaper changes or bathing and will result in progressive retraction over time. Once the child is older and the foreskin retracts fully, he will lea…
Appearance
- Smegma is a collection of skin cells from the glans penis and inner foreskin that is often noted with retraction of the foreskin. This natural skin shedding helps to separate the foreskin from the head of the penis. Smegma may appear as white pearls underneath the skin, which can easily be washed off once the foreskin is retracted.
Overview
- Male circumcision refers to the surgical removal of the foreskin. Circumcision is often not required for treatment of phimosis. In some rare cases your pediatric urologist may recommend circumcision due to failure of steroid ointment, pathologic phimosis, paraphimosis (foreskin stuck in the retracted position behind the head of the penis), recurren...