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Phimosis is a condition in which boys are unable to retract the foreskin (also known as the prepuce) from the head of their penis. It’s usually a normal variation for boys in the early years, and most children outgrow it by late in adolescence.
A doctor can determine if you have phimosis through a physical examination of your penis and foreskin. A swab test or urine test is also possible.
Signs and symptoms
Phimosis happens when the foreskin becomes too tight to be pulled back over the head of the penis (glans). It’s common in infants and toddlers, however it could become a problem later on.
The condition typically improves on its own for young boys and men However, older men may need to undergo corrective surgery (circumcision), to prevent future problems. This is true, especially when the tight skin affects the sexual function or the urination process.
A tight foreskin can cause pain and swelling by preventing blood flow to the penis’s edge. Balanitis is an inflammation of the glans.
Other conditions can cause phimosis, including infection or inflammation of the cracked foreskin treatment or glans and glans, such as lichen sclerosus (balanitis xerotica obliterans). If your doctor suspects an infection, a swab of your foreskin may be taken and examined in a laboratory to determine if it is caused by fungus or bacteria. If you have an infection with fungus and you are prescribed antifungal Ointments.
Diagnosis
Phimosis is diagnosed by doctors during a physical exam. A doctor will inquire about any symptoms you or your child might have experienced, and examine the foreskin and penis in order to determine if there’s any damage that could lead to phimosis.
If the condition is physiologic and no other symptoms appear, a gentle daily manual retraction is usually all it takes to get rid of it on its own. If this does nothing or your child is having issues in urinating, then an ointment of steroid topical is an option.
If steroid creams fail to work and the problem is caused by balanitis xeroticobliterans, (BXO) your doctor may recommend circumcision.
A circumcision involves the removal of the foreskin to open the glans. It can lead to painful sexual erections, or infection of the foreskin, if the condition is serious. It also has an increased risk of developing penile cancer. If your child has BXO you should have them taken to a pediatric urologist to be evaluated and treated.
Treatment
Phimosis happens when the foreskin, the skin that covers your penis is stuck on the glans as it’s too tight. It’s a normal process in the growth of babies and children, from around 7 years old. But sometimes it can cause issues.
It can lead to discomfort, infection and a difficult time during sex. If you or your children suffer from phimosis, it is recommended that you consult a doctor right away — for instance, if there is pain when you urinate or the white ring that appears on your foreskin looks like scar tissue.
Your healthcare provider will pay attention to your symptoms and perform a physical exam. They may also take a swab of your foreskin to check for bacteria or a smear of your urine to check for fungal or bacteria-related infections.
Steroid creams or surgeries are a way to treat phimosis. Surgery is only recommended when the foreskin doesn’t retract on its own, or if there is an infection caused by a fungal, bacterial or fungus cause that doesn’t respond well to steroid lotions.
The following is a list of preventatives.
A foreskin that is too tight or hard to retract could be harmful to the sexual health of a man and well-being. It can cause irritation, infections redness, discoloration and irritation of the skin as well as pain when you go to the bathroom.
Preventing a foreskin from becoming rigid requires good hygiene. This includes regular cleansing and stretching the skin.
In certain boys, phimosis can be cured by puberty, and the foreskin may be easy to retract. If this does not happen or if the issue persists or is causing other issues such as frequent irritation and infections, circumcision may be recommended.
To avoid phimosis, be sure to wash your penis and foreskin regularly with a mild or non-perfumed soap. If you need to urinate, gently pull back the foreskin. Never leave it behind when you go to the bathroom or shower.