In children, a tight foreskin is usually congenital but, in adults, it is often due to a scarring disease known as balanitis xerotica obliterans (BXO, sometimes called lichen sclerosus).
Over time, the foreskin will separate from the head of the penis. This is a natural process and occurs over 5 to 10 years. It slowly loosens up (retracts) a little at a time. Normal erections during childhood cause most of the change by stretching the foreskin.
What are the main treatments? 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.
Expected Duration. Phimosis in a young child is likely to improve on its own. In adults, phimosis will not go away unless surgery is performed or an infection is treated.
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.
In this conservative (non-surgical) treatment approach, a steroid cream is applied to the tip of the foreskin twice a day over a period of four to eight weeks. The steroid cream makes it easier to stretch the skin. After two weeks, the child or his parents can start trying to gradually stretch the foreskin once a day.
Risks. If you have phimosis, you are more likely to get penile cancer. If left untreated, it can lead to increased swelling, and in extreme cases, gangrene, and eventually the loss of your penis.
Adult phimosis may be caused by repeated episodes of balanitis or balanoposthitis. Such infections are commonly due to poor personal hygiene (failure to regularly clean under the foreskin). Phimosis may be a presenting symptom of early diabetes mellitus.
Medical Management
Start stretching exercises on the foreskin, usually best by pulling the foreskin back until it feels tight (but not painful), and holding it back under tension for 10 minutes – usually after a bath or shower twice a day.
In this conservative (non-surgical) treatment approach, a steroid cream is applied to the tip of the foreskin twice a day over a period of four to eight weeks. The steroid cream makes it easier to stretch the skin. After two weeks, the child or his parents can start trying to gradually stretch the foreskin once a day.
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.
Risks. If you have phimosis, you are more likely to get penile cancer. If left untreated, it can lead to increased swelling, and in extreme cases, gangrene, and eventually the loss of your penis.
Adult phimosis may be caused by repeated episodes of balanitis or balanoposthitis. Such infections are commonly due to poor personal hygiene (failure to regularly clean under the foreskin). Phimosis may be a presenting symptom of early diabetes mellitus.
The condition you have is phimosis which is tightness of foreskin prevent easy retraction. It is not usually interfering with penile growth.
Phimosis is a condition in which the foreskin can't be retracted (pulled back) from around the tip of the penis. A tight foreskin is common in baby boys who aren't circumcised, but it usually stops being a problem by the age of 3. Phimosis can occur naturally or be the result of scarring.
Retraction of the foreskin should not be forced. This may cause pain and bleeding and can lead to scarring and adhesions (where skin is stuck to skin).
Gently retracting the foreskin over time can help resolve phimosis and steroid creams can also be effective1 in softening the skin and making it easier to move back and forth.
Causes of phimosis
The foreskin and glans of the penis are fused together as they develop and gradually separate after birth. Scarring of the foreskin from injury, infection, inflammation or skin conditions like lichen sclerosis (balanitis xerotica obliterans), can lead to phimosis.