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.
Inflammation or an infection of the foreskin or the head of the penis (glans) may cause phimosis in boys or men. Balanitis is an inflammation of the glans. It's sometimes the result of poor hygiene or an infection of the foreskin. One of the infections that can lead to balanitis is called lichen sclerosus.
The foreskins of babies and young boys will usually loosen as they get older, so treatment is often not needed. If your or your child's foreskin is causing problems, treatments include: steroid creams or gels (topical steroids) to help soften the foreskin. antibiotics if the foreskin or head of the penis is infected.
Washing away the oil with warm water is the best way to get rid of any dirt and dead cells. This is another effective and simple tip for you to treat phimosis treatment naturally. Massage with a herbal oil– Gently massaging the penis with a herbal oil also works quite effectively in allowing the foreskin to retract.
The condition you have is phimosis which is tightness of foreskin prevent easy retraction. It is not usually interfering with penile growth.
Phimosis is normal for the uncircumcised infant/child and usually resolves around 5-7 years of age, however the child may be older.
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.
Boys born with phimosis, and it can last through puberty. With time, the skin retracts off the head of the penis naturally. You need treatment only if it happens after your foreskin has become fully retractable.
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.
In most men, phimosis is not a serious problem and will not require treatment. However, it is not expected to improve on its own. As noted above, paraphimosis is sometimes a medical emergency, and the penis may become permanently damaged if you do not seek immediate medical attention.
As the child grows older the foreskin naturally separates from the penis and can then be retracted (pulled away). It is estimated that for the majority of boys phimosis usually resolves on its own by the age of 7 and for most others by the age of 10.
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.
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 most common symptoms of phimosis include: Bulging of the foreskin when urinating. Not able to fully retract the foreskin by age 3. In some boys this may take longer.
In men, circumcision is most commonly carried out when the foreskin is tight and won't pull back (retract), which is known as phimosis.
Phimosis only affects the foreskin. It does not cause any problems with sperm or fertility issues. It does not affect tests and semen. So, women can get pregnant.
After drying apply Vaseline to the head of the penis and wound unless given an antibiotic cream instead. Avoid sex for 4-6 weeks (until wounds healed) Expect the penis to be swollen and bruised for at least a week. New post operative redness or purulent discharge is abnormal-seek a medical review/antibiotics.
In uncircumcised children 4 months to 12 years of age with foreskin problems, paraphimosis (0.2%) is less common than other penile disorders, such as balanitis (5.9%), irritation (3.6%), penile adhesions (1.5%), or phimosis (2.6%).
The most common clinical indication for circumcision was phimosis (75% of patients). Postoperative pain was scored as mild to moderate, including a mean of 2.4 on days 1 to 3, 2.1 on day 7 and 0.5 on day 21. Patients younger than 35 years (p = 0.025) and patients with wound infection (p = 0.036) had higher pain scores.
[10,19] Its prevalence is 13.5% in India.
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.
Nonsurgical restoration
Each method relies on manual tissue expansion to restore the foreskin. For example, you can stretch the penile skin yourself to give it more length over time. You can also use devices that are worn for several hours a day for several months to expand the penile skin until it can cover the glans.
Conclusion: The highest-quality studies suggest that medical male circumcision has no adverse effect on sexual function, sensitivity, sexual sensation, or satisfaction.
The NMC group included 72 patients (29.0%) who were circumcised during the newborn period; the non-NMC group included 176 patients (71.0%) who were circumcised after the newborn period. There was no significant difference in height, weight, and second to fourth digit ratio between both groups (Table 3).