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Phimosis

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Phimosis (फाइमोसिस): Causes, Symptoms, Treatments and Prevention

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What is Phimosis?

Phimosis is a condition that affects males. It is a condition where the foreskin (the skin covering the head of the penis) cannot be retracted down. The skin becomes very tight around the head of the penis and can cause pain when tried to be pulled down.

Phimosis is very common in male children under the age of 3 who are uncircumcised (the foreskin not removed). It can occur naturally and makes it difficult to urinate. Phimosis can present its symptoms after the age of 16-17 years in males.

The foreskin of the penis is attached to the head of the penis in children till the age of 3 but it naturally starts to detach. However, if it does not detach, then it can cause problems with urination and also cause pain. This is what is known as phimosis. The easiest method to treat phimosis is through a circumcision procedure. The procedures are very safe and ensure that the person is not affected by phimosis again.

Types of Phimosis

Physiological Phimosis

Physiological-Phimosis.jpg

In this type of Phimosis, the male infant is born with a tight foreskin. Congenital Phimosis as it is popularly known is due to the adhesions between the penis and the inner layer of the foreskin. This makes the retraction of the penis difficult. This condition is very common among male babies and as they grow older, the adhesions weaken and the foreskin begins to loosen. By the age of 5-7, complete retraction is possible. According to studies, the problem does not resolve itself in just 2% of cases. This indicates that a very small percentage of teenagers and adults suffer from congenital phimosis.

Pathological Phimosis

Pathological-Phimosis.jpg

This type of Phimosis develops due to injuries, scarring, inflammation, infection and underlying medical issues. Skin conditions such as Psoriasis, Eczema, Lichen sclerosus and Lichen Planus can also cause Pathological Phimosis. Inability to maintain proper penile hygiene causes sweat, dirt and pathogens to accumulate under the foreskin, thereby leading to pathological phimosis. Pathological Phimosis requires timely and proper treatment, so if phimosis disrupts healthy urination or erection, or is accompanied by other symptoms, you should see a doctor immediately.

Causes

Phimosis during infancy

This is normal for male infants to have tightness in the foreskin of their penis, this usually starts to get loose after 2 years and is still attached to the head of the penis till the age of 3. The foreskin detaches naturally between the ages of 3 to 6 but if it does not happen, it can cause discomfort and other symptoms of phimosis.

Urinary tract infections

Repeated urinary tract infections in boys or men can lead to the development of this disorder.

Foreskin infections

Infections in the foreskin can lead to phimosis.

Rough handling of the foreskin

If the foreskin is handled roughly and causes irritation, then it might lead to infections that cause phimosis.

Trauma

Trauma like injuries to the foreskin can lead to the development of this disorder.

Skin Conditions

Skin conditions like eczema (skin becomes itchy and dry) or lichen planus (an itchy rash that spreads across the body) can also be a cause of phimosis.

Symptoms

Tight foreskin

The foreskin is very tight around the head of the penis and is wound up very tightly near the tip like a rubberband. This is the most telltale sign of phimosis.

Itchiness

Phimosis may cause a lot of itchiness in the affected area, especially where the skin tightens the most around the head of the penis.

Redness and swelling

The condition often causes redness and swelling in the affected area.

Buildup of fluid

Phimosis can also lead to the buildup of white and thick fluid in the affected area.

Pain during urination

Another major sign of phimosis is a sensation of pain and burning during urination.

Pain during erection

A person can experience pain during the erection of the penis.

Prevention

It is possible to check the occurrence of phimosis by maintaining good hygiene.

Gently cleaning the penis with warm water every day might help avoid phimosis.

Practising safe sex and gentle handling of the foreskin also help reduce the risk of developing phimosis.

Avoid using harsh soap, talcum powder or deodorant on the penile region

treatment-option
** All content is written and reviewed by medical experts
Written By
Dr Tejashri Deole
Bachelor in Homoeopathic medicine and surgery( BHMS
Reviewed By
Dr. Ritu Budania
MBBS, MD (Pharmacology)
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What our customers have to say

Deepak Patidar
MumbaiMar 16, 2023
I established contact with PharmEasy SurgiCare to get rid of my phimosis condition. I was connected with a Care Expert who discussed my need and sought my preferences. I put a special request for a quick and least painful surgery. I was then given a choice of surgeons and hospitals to select from. The Care Expert guided me in arriving at a match. They had me picked up from home for the surgery. I was hardly required to do any paperwork and my surgery was through in about half an hour. I hardly felt any pain. I was allowed to leave for home after a short hospital stay and was dropped back. PharmEasy SurgiCare is indeed a very good service.
Lokesh Satpathy
HyderabadMar 16, 2023
I had always neglected the bit of pain I had during urination and the itching around the tip of my penis. My partner had me speak to his friend, a doctor. He suggested surgery for permanent relief. Hesitatingly, I approached PharmEasy SurgiCare. Their Care Expert arranged an examination, fixed a surgeon and a hospital, scheduled the surgery and even took me to the hospital and back. The surgery caused very little pain and the expert surgeon made the procedure almost bloodless. I am now free of any discomfort or pain and able to enjoy life with my partner. Thank you PharmEasy SurgiCare.
Dayashankar Tripathi
PatnaMar 16, 2023
I received great service from PharmEasy SurgiCare in the process of my phimosis surgery. They really function like a well-oiled machine with every bit required falling in place at the right time in the right manner. I had very little to do other than present myself for the consultation and tests for and prior to the surgery. My surgeon finished the operation in practically no time and yet I had very little pain and discomfort after surgery. PharmEasy SurgiCare service is really commendable.
Sai Srinivasan
BangaloreMar 16, 2023
I got the services of a wonderful surgeon who conducted a ZSR circumcision to correct my phimosis condition. The entire procedure went very nicely and I encountered very nominally blood loss and pain. The hospital facilities were very good. I had PharmEasy SurgiCare arrange my conveyance to and from the hospital, without any charge. Just a day off from the office was all that I needed and got back to work the day after my surgery. Thank you PharmEasy SurgiCare for all the help.
Nitin Bundela
IndoreMar 16, 2023
PharmEasy SurgiCare was a smart choice for my phimosis surgery. They organised all my tests, took me and brought me back from the hospital and took good care after surgery till I was allowed to resume normal routine in about a day. A Care Expert handled everything, including all paperwork, very well. I recommend PharmEasy SurgiCare, in case you need surgical treatment.
Gurnam Singh Chadda
DelhiMar 16, 2023
PharmEasy SurgiCare was of great help in the surgical treatment of my phimosis. The surgery went fast and I had no after effects. There were no stitches either and I was just off my routine for the day of the surgery. The assigned Care Expert expertly handled all the paperwork, which was a great relief. Many thanks, PharmEasy SurgiCare.
Govind Khaitan
IndoreMar 16, 2023
From PharmEasy SurgiCare I got reasonably priced complete treatment, an extremely deft surgeon, a good hospital with really nice, caring staff, every necessary detail is taken care of by their Care Expert, all tests well organised – in short, a totally hassle-free, phimosis surgery experience. Thanks!

Frequently asked questions

Can phimosis treatment take place without surgery?

Yes. You can try a home solution for tight foreskin by applying phimosis steroid cream.

What type of circumcision should I go for to treat Phimosis?

You should go for the surgical procedure recommended to you by the doctor. The simplest and most hassle-free procedure is the ZSR circumcision.

Is there any pain after Phimosis surgery using ZSR circumcision?

There is very minimal to almost no pain after ZSR circumcision surgery.

Does circumcision affect penis sensitivity or sexual activity?

The surgery does not affect penis sensitivity that much. Adults can feel a little less sensitive if they were used to a foreskin. However, there is no effect on the sexual activity and it can be performed as usual.

Can the foreskin be retracted forcefully if one has Phimosis?

The foreskin should not be removed forcefully at all and you should consult a doctor at the earliest.

How long does it take for a ZSR Circumcision to be completed?

It takes approximately 15-20 minutes for the Phimosis surgery to be completed.

Can I have sex with phimosis?

one of the symptoms of phimosis is pain while urinating and while the penis is erect. Though is possible to have sex while having phimosis, it will be uncomfortable. The pleasure levels achieved are much less since the stimulation to the glans penis is obstructed. Another important point to keep in mind is that phimosis increases the risk of spreading sexually transmitted diseases since the retractability of the foreskin causes pathogens to accumulate under the foreskin. Men with phimosis must have protected sex and use the proper amount of lubricants.

Which doctor to consult for phimosis?

Adults must consult a General Surgeon or Urologist and children must consult a paediatrician. Or paediatric surgeon.

At what age is phimosis a problem?

Phimosis in infant boys is common and often resolves itself by the age of 10. Even after the age of 10, phimosis is not a major concern unless other symptoms like redness, swelling, pain, abnormal discharge and difficulty in urination show up. This is a sign for you to visit the doctor.

While phimosis interfere with penile growth?

Phimosis as a condition causes the tightness of the foreskin of the penis, obstructing east retraction. It however does not play a role in determining penile growth.

Does phimosis make a man infertile?

Phimosis makes sexual intercourse uncomfortable, but does not interfere with a man’s fertility. Therefore a man can definitely make a woman pregnant despite having phimosis.

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