Treatment FAQ

what is the most common treatment for phimosis

by Bruce Bartell Published 2 years ago Updated 2 years ago
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How is phimosis treated?
  • Your healthcare provider will probably suggest a steroid cream to apply to the skin of your penis.
  • Your provider might suggest that you gently start stretching the foreskin after about two weeks of using the steroid cream. ...
  • The next step would be surgery.
Oct 13, 2021

How do I choose the best phimosis treatment?

  • Poor hygiene. This could actually be a cause and a result of phimosis. ...
  • Skin conditions such as eczema, psoriasis, lichen planus and lichen sclerosus. ...
  • Preputial adhesions, or scar tissue, that keep the foreskin attached to the tip (glans) of your penis.
  • Injuries.
  • Infections, including sexually transmitted infections (STIs).

Can you live without getting phimosis treated?

Young boys may not need treatment for phimosis unless it makes urinating difficult or causes other symptoms. As these boys grow up, the need for treatment may increase. The main symptom of phimosis is the inability to retract the foreskin by the age of 3. The foreskin usually loosens over time, but this process can take longer in some boys.

Can phimosis really be cured without circumcision?

Yes Dear friends phimosis could be treated without circumcision without any surgery without any cut. Its my own experience at Sidri International Clinic Delhi.Dr Manu Rajput and Dr Kanu Rajput are the best for all sex related problem.

What kind of Doctor do I See to treat phimosis?

Signs of an infection may include:

  • changes in the color of the glans or foreskin
  • the presence of spots or a rash
  • pain
  • itching
  • swelling

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What is the best treatment for phimosis?

Surgery for phimosis is usually described as circumcision. A full circumcision involves removing all of the foreskin. It is also possible to remove only the tight part of the foreskin (partial circumcision) or to keep the foreskin and simply widen it.

What do doctors do for phimosis?

antibiotics if the foreskin or head of the penis is infected. surgery – removal of the foreskin (circumcision) or a procedure where small cuts are made in the tip of the foreskin so it can be pulled back more easily (usually only suitable for children)

How is phimosis treated in adults?

Treatment optionsExercises. As both a treatment and preventive measure, gently pull back and move the foreskin. ... Over-the-counter (OTC) medication. OTC corticosteroid creams and ointments such as hydrocortisone can be effective for many skin conditions that cause or worsen phimosis. ... Prescription medication. ... Surgery.

When should phimosis be treated?

You should seek treatment if your child has the following symptoms of phimosis: Ballooning or bulging of the foreskin during urination. Inability to completely retract the foreskin by age 10. Frequent infections of the foreskin (balanitis)

How do you get rid of 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.

What steroid cream is used 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.

Can a urologist help with phimosis?

Patients with phimosis rarely require any emergency intervention and should be referred to a urologist on an outpatient basis prior to development of irreversible penile damage. A paraphimosis is a urologic emergency and needs to be attended to immediately.

Can I use Vaseline for phimosis?

A doctor can manually retract the foreskin under local or general anaesthesia. You may also be shown how to gradually retract the foreskin after a bath, using petroleum jelly (Vaseline) or some other form of lubrication. But if the problem persists, circumcision may be necessary.

Is tight foreskin a serious problem?

Although a tight foreskin does not always lead to serious medical complications, it may cause symptoms such as redness, pain, and inflammation. Symptoms like these can interfere with normal urination and a person's sex life.

Can you live with phimosis?

If daily retraction is enough to loosen the foreskin, then pulling it back gently when bathing or urinating should be enough to keep the penis from any hygiene-related complications. Phimosis can be a serious and painful condition. However, it's treatable, and outcomes are usually very good.

Is phimosis surgery painful?

The most common clinical indication for circumcision was phimosis (75% of patients). Postoperative pain was scored as mild to moderate, including a mean of 2.4 on days 1 to 3, 2.1 on day 7 and 0.5 on day 21. Patients younger than 35 years (p = 0.025) and patients with wound infection (p = 0.036) had higher pain scores.

What is the main cause of phimosis?

Pathologic, or true, phimosis has several different etiologies. The most common cause is infection, such as posthitis, balanitis, or a combination of the two (balanoposthitis). Diabetes mellitus may predispose to such infections. Adult circumcision is most commonly performed to correct phimosis.

Overview

Phimosis is a condition of the penis that occurs in some adults and children who aren’t circumcised. If you have phimosis, your foreskin can’t be pulled back (retracted). It may look like your penis has rings around the tip.

Diagnosis and Tests

Your healthcare provider can diagnose phimosis during a physical examination. In addition, they might order tests to find out if there’s an infection present in urine or penis discharge.

Management and Treatment

Physiological phimosis (congenital) typically doesn’t need treatment. Usually, your child grows out of it. Your provider might also call this primary phimosis.

Prevention

Physiological phimosis can’t be prevented. It’s present in nearly all newborns.

Living With

With or without phimosis, you should try to keep your penis healthy. This starts early on with keeping your genitals clean. Use only gentle soap and warm water to clean your penis every day, and dry it gently after washing. Make sure your hands are clean before you touch your penis and that the underwear you put on is clean, too.

Frequently Asked Questions

You can have sex when you have phimosis, but it might not feel good. Sexual activity might cause the foreskin to rip. It’s important that you use a condom and lubrication in order to avoid this.

Who will get Phimosis?

The uncircumcised penis is prone to get affected with Phimosis. It is observed more in boys than in men. The men who fall ill to Phimosis could have got it either by self disturbances or sexually transmitted diseases.

Treatment for Phimosis

The natural way of losing Phimosis is waiting till the penis comes back to its normal shape or condition. Most Phimosis occurs due to friction or imbalance arises during sexual intercourse. However, the elastic behavior of the penis in changing its shape and form from flaccid to erection gives it access to compromise from Phimosis-like conditions.

Take Away

The Phimosis that is out of control could be removed with the help of doctors in getting treatment through surgeries. Depending on the depth of Phimosis, surgery could be minor or major.

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.

Topical steroid

For boys who have phimosis without scarring, a steroid cream or ointment applied directly to the foreskin often works well. Your doctor will show you how to apply the ointment to the tight skin.

Circumcision

Sometimes treatment with a topical steroid does not work. In that case, the doctor may recommend circumcision.

How to get rid of phimosis?

Do not worry as nowadays the minimally invasive and painless procedure of circumcision has come into existence. Laser circumcision is the most advanced and effective procedure. The complete procedure takes only 10 minutes with zero risks of infections and you can get rid of the problem of phimosis once and for all. To know more about laser circumcision, you can contact us at Pristyn Care. Our medical coordinator will answer all your queries regarding the treatment. Also, you can easily get in touch with one of our specialist doctors by booking an online appointment.

What is the best steroid for phimosis?

Temovate is yet another topical steroid prescribed for the treatment of phimosis. It contains clobetasol propionate (0.05%) as an active ingredient. Temovate is available both in the form of cream as well as ointments. Temovate acts against skin conditions like eczema, psoriasis, etc and thus helps in reducing the swelling, itching, and redness.

What is ilotycin cream?

Ilotycin is a cream that contains erythromycin as the main component. Erythromycin is an antibiotic that is effective against bacterial infections. Ilotycin can be used for treating phimosis caused due to harmful bacterial growth.

Why does phimosis occur in men?

Pathological phimosis is more common in uncircumcised men due to the accumulation of dead skin tissues, sweat, and bacteria under the foreskin.

What are the symptoms of phimosis?

You may also notice swelling, redness, itching, soreness, and pain in the penile region. If you are experiencing any of these symptoms, you may have phimosis. The more you delay in treating these symptoms of phimosis, the more prolonged the treatment gets.

Is phimosis a risk factor for penile cancer?

Timely treatment of phimosis is necessary as it will prevent complications like balanitis, balanoposthitis, paraphimosis, and blockage in the urinary stream. In severe cases, phimosis can even act as a risk factor for penile cancer and may even cause permanent damage to the penis.

Can eczema cause phimosis?

Phimosis can also be a result of skin conditions like eczema, psoriasis, etc. Different types of creams are easily available to cure these conditions that lead to phimosis. Also Read: Tight foreskin problem in men: Causes, Treatment, and Recovery.

What is phimosis and what causes it?

Phimosis is a tight foreskin that cannot be retracted fully and comfortably below the glans. It can occur both in the flaccid state or be tight with erections. If the foreskin does retract and then become stuck this is called ‘paraphimosis’.

When does phimosis become a problem in men?

Phimosis can be a problem for men if it results in pain, discomfort, irritation or infections.

Can serious complications occur if it's left untreated?

Recurrent infections and pain are the most common complication. If the condition is due to BXO then there are risks of significant scarring and closure or stenosis of the urethral meatus (the opening at the tip of the penis), which can cause issues with the flow of urine. Very rarely tight inflamed foreskins can be related to cancers of the penis.

What non-surgical options are there?

If the foreskin is mildly tight daily retraction and sometimes steroid creams can be helpful. If one is treating an infection, antibiotics or antifungal creams are used.

What surgical options are available?

The options for surgery depend on the cause and the surgeon will be able to discuss this with you, but generally if the foreskin is healthy but tight, then a frenuloplasty or perputioplasty could be considered. Both of these procedures aim to preserve the foreskin while loosening the skin to allow retraction.

After circumcision, is foreskin restoration possible?

This is difficult if the skin has been excised, though there are devices on sale claiming to restore the foreskin. However, the evidence of these devices actually working is limited.

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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.
See more on urology.ucsf.edu

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.
See more on urology.ucsf.edu

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…
See more on urology.ucsf.edu

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…
See more on urology.ucsf.edu

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.
See more on urology.ucsf.edu

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...
See more on urology.ucsf.edu

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