It rarely requires an emergency intervention. There are two forms of treatment:. Skip to main content. It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Listen Focus. Information on tightness of the foreskin or phimosis.
Learn what it is and how it is treated. What is Phimosis? The severity of phimosis varies: In milder forms of phimosis, the foreskin retracts partially. In severe phimosis, the foreskin cannot retract. It completely closes the penis meatus. If your child has phimosis, a doctor will refer him to an urologist.
Causes, risk factors and prevalence. How common is phimosis? Phimosis can occur naturally Some boys are born with phimosis. Signs of physiological phimosis include: Inability to retract the foreskin while cleaning or bathing Ballooning of the foreskin while urinating Treating physiological phimosis The foreskin slowly detaches from the glans over time.
Phimosis can develop over time Other boys develop the condition when they are older. They can help soften the skin of the foreskin, making it easier to retract. Phimosis can cause pain, skin splitting, or a lack of sensation during sex. Using a condom and lubricants while having sex may make your penis more comfortable.
Surgery may be needed if a child or adult has severe or persistent balanitis or balanoposthitis that causes their foreskin to be painfully tight. Circumcision surgically removing part or all of the foreskin may be considered if other treatments have failed, but it carries risks such as bleeding and infection. This means it's usually only recommended as a last resort, although it can sometimes be the best and only treatment option.
Alternatively, surgery to release the adhesions areas where the foreskin is stuck to the glans may be possible. This will preserve the foreskin but may not always prevent the problem recurring. Paraphimosis is where the foreskin cannot be returned to its original position after being retracted. It causes the glans to become painful and swollen and requires emergency medical treatment to avoid serious complications, such as increased pain, swelling and restricted blood flow to the penis.
It may be possible to reduce the pain and inflammation by applying a local anaesthetic gel to the penis and pressing on the glans while pushing the foreskin forward. In difficult cases, it may be necessary to make a small slit in the foreskin to help relieve the pressure.
In severe cases of paraphimosis, circumcision may be recommended. In very severe cases, a lack of blood flow to the penis can cause tissue death gangrene and surgical removal of the penis may be necessary. Circumcised men should also regularly clean their penis with warm water and a mild soap if you choose to use soap.
Older boys and men with adhesions may also benefit from this approach. Your doctor can advise you. This contraction of scar tissue is called a cicatrix. You may be advised to apply a topical steroid cream to the area to help free the head of the penis. If they have no symptoms and do not develop an infection of the foreskin, this may be normal and not necessarily a sign of adhesions.
Never forcibly retract the foreskin. When your child is still in diapers, gently retracting the skin during bath time is appropriate.
Using a little petroleum jelly during each diaper change can help prevent adhesion formation while a circumcision is healing. A penile adhesion is usually a benign condition. If your son develops one, learn how to properly care for their hygiene to avoid additional cases of adhesions later on.
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