Phimosis is a condition in which the foreskin is too tight to pull all the way back. Phimosis is normal in all baby boys and may be present for some years, until the foreskin has become supple enough and stretched enough to be pulled back, so that the head of the penis may be seen
completely. In some cases, there may be tight foreskin which may result in a permanent phimosis. Some time scarring may be caused by infection or inflammation of the foreskin, or forced stretching of the foreskin causing splitting, before it is ready to be stretched. Approximately 10% of boys develop scarring with phimosis.
Common symptoms of phimosis include:
Phimosis is congenital . It is physiological till the age of 1 year. Phimosis typically improves and resolves itself after age of 1 year. . Not all boys and men with risk factors will get phimosis. May be scaring of the fore skin leads to phimosis.
Phimosis in infancy is nearly always physiological, and needs to be treated only if it is causing obvious problems such as urinary discomfort or obstruction. If phimosis in older children or adults is not causing acute and severe problems, or if the phimosis is mild, nonsurgical measures may be effective. But all the phimosis which are too tight and ones which are failed conservative treatment needs to be treated surgically.
Non surgical methods
Application of topical steroid cream, such as betamethasone, for 4–6 weeks to the narrow part of the foreskin is relatively simple, less expensive than surgical treatments and highly effective. It has replaced circumcision as the preferred treatment method for some physicians.
Stretching of the foreskin can be accomplished manually, with balloons or with other tools. Skin that is under tension expands by growing additional cells. A permanent increase in size occurs by gentle stretching over a period of time. The treatment is non-traumatic and non-destructive. Manual stretching may be carried out at home while giving bath to kids.. The tissue expansion promotes the growth of new skin cells to permanently expand the narrow preputial ring that prevents retraction
Surgical methods range from the complete removal of the foreskin to more minor operations to relieve foreskin tightness:
Complications of untreated phimosis can be serious,. You can help minimize your risk of serious complications by following the treatment plan you and your health care professional design specifically for you. Complications of phimosis include:
So all phimosis needs to be treated. Simple surgery can prevent some dangerous complications.
Dr Mahendra Jain is an eminent and an extremely experienced Urologist ...Read More
I had undergone treatment for my prostate in Germany 5 years back. Now I developed urethral stricture, I had lot of problem passing urine.
Mr Alexis is aged 72 yrs from East Africa was treated for his long standing urinary problem with a complex surgery. Now he is back in his country