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What is Phimosis?

Phimosis is a condition where the foreskin cannot be pulled back over the head of the penis. Common in young boys, it may persist in older males due to infection, scarring, or inflammation. Symptoms include pain and difficulty urinating. Treatment ranges from topical creams and stretching to circumcision. Medical consultation helps decide the best approach.

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Identifying the Signs

Difficulty Retracting the Foreskin (Phimosis)

When the foreskin is too tight to be pulled back over the glans, causing discomfort or urinary issues.

Foreskin Becoming Trapped Behind the Glans (Paraphimosis)

Retracted foreskin causes pain, restricted blood flow, and needs urgent medical attention.

Pain and Swelling of the Penis

Chronic inflammation leads to discomfort, swelling, and potential long-term health complications.

Challenges in Cleaning Under the Foreskin

Difficulty maintaining hygiene increases infection risk, including balanitis—inflammation of the foreskin and glans.

Recurring Infections

Balanitis and posthitis cause frequent infections of the foreskin or glans, leading to discomfort and complications.

Types

Pathologic (Congenital)

This type results from infection, inflammation, or scarring. Lichen sclerosus, causing skin thinning and scarring, commonly contributes to phimosis.

Physiologic Phimosis

This type occurs more commonly in children and is a natural condition. It typically resolves on its own as the child grows older, as the foreskin gradually becomes more retractable.

Causes

Difficulty Retracting the Foreskin

The foreskin is tight and difficult to pull back over the head of the penis (glans).

Pain or Discomfort

Pain or discomfort may occur when retracting the foreskin, urinating, or during sexual activity, leading to irritation, increased sensitivity, or difficulty in movement.

Swelling or Redness

Inflammation, redness, or swelling around the foreskin or glans, often due to irritation or infection.

Difficulty Urinating

Painful or slow urination and a narrowed urinary stream occur when a tight foreskin restricts normal urine flow, causing discomfort and potential complications.

presence of smegma

Smegma is the buildup of dead skin cells and oils beneath the foreskin, which can lead to odor, irritation, and potential infections if not cleaned regularly.

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