Phimosis: Understanding & Treatment

What is Phimosis?

Phimosis is a condition where the foreskin of the penis cannot be retracted to reveal the glans (penis head). This is caused by the formation of a tight ring in the foreskin, preventing its movement. Forceful retraction can lead to a painful and dangerous situation known as paraphimosis, potentially leading to tissue death in severe cases.

Visual Guide to Phimosis Types

Our clinic provides a detailed illustration showing four types of phimosis in relation to the exposure of the glans. These range from complete inability to retract the foreskin to partial exposure of the glans.

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Causes of Phimosis

Phimosis can be congenital in boys, but may also result from poor hygiene. In adults, it often stems from inflammatory diseases, systemic illnesses like diabetes, or conditions fostering fungal infections. Neglect of personal hygiene can also contribute to its development.

Symptoms and Side Effects of Phimosis

• Difficulty in exposing the glans
• Straining during urination
• Thin urinary stream
• Frequent urinary infections

Complications of Phimosis

• Urination issues
• Infections under the foreskin
• Painful erections
• Narrowing of the urethral opening
• Paraphimosis
• Increased risk of sexually transmitted infections
• Rarely, cancerous lesions on the penis

Prevention and Seeking Medical Advice

Early hygiene and monitoring of urination in children are crucial. Mothers should avoid forceful retraction of the foreskin, as it can worsen the condition. If there are any concerns, especially with repeated urinary infections, a consultation with a pediatric urologist is advisable.

Diagnostic Imaging in Phimosis

Our clinic utilizes cystourethrography to assess the extent of phimosis and its impact on the urinary tract.

Treatment Approaches

Depending on the severity and the patient’s age, phimosis can be treated through:

• Conservative Medication: Topical creams or injections to the fibrous ring are used to alleviate the condition.
• Surgical Intervention: Options include complete or partial removal of the foreskin, with cosmetic reconstruction of the remaining tissue.

Each treatment plan is decided in agreement with the patient, ensuring both functional and aesthetic outcomes.

Post-Treatment Care

Procedures are usually performed under local or general anesthesia. Fast-absorbing sutures are used, allowing for a quick recovery and hospital discharge. Full healing is typically achieved within 20 days.

Our urology clinic is committed to providing comprehensive care for phimosis, ensuring the best possible outcomes for our patients.