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Male Health

Phimosis

Phimosis is a tight foreskin that cannot be retracted over the head of the penis. It is normal in young boys and usually resolves with growth, but in adults it can cause pain and infection.

Symptoms

  • Foreskin that will not retract
  • Ballooning of the foreskin while passing urine
  • Pain during erection or intercourse
  • Recurrent redness, discharge or infection

Causes and risk factors

  • Physiological in infancy
  • Repeated infection and scarring
  • Diabetes-related balanitis
  • Forcible retraction causing scar tissue

Diagnosis

  • Clinical examination and grading
  • Blood sugar testing
  • Swab if there is active infection

Treatment

  • Topical steroid cream with gentle stretching for mild cases
  • Treatment of infection and blood sugar control
  • Circumcision — conventional or stapler
  • Preputioplasty in selected patients

Prevention

  • Never force-retract a child's foreskin
  • Maintain hygiene and dry the area properly
  • Control diabetes

Recovery

Circumcision is a day-care procedure. Swelling settles in one to two weeks; avoid intercourse for four weeks.

Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.