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What is Phimosis?

Phimosis is a condition in which the foreskin of the penis is tight and cannot be easily pulled back over the glans (head of the penis). It is common in infants and young boys as part of the normal development of the foreskin, but in older males, it can be caused by infections, scarring, or inflammation. Phimosis may lead to pain, difficulty urinating, and an increased risk of infections. Treatment options vary depending on the severity, ranging from topical steroids and gentle stretching exercises for mild cases to circumcision in more severe or recurring instances. Consulting a healthcare provider is crucial to determine the appropriate treatment plan.

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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)

A condition where the foreskin cannot return to its normal position, leading to pain and restricted blood flow

Pain and Swelling of the Penis

Chronic inflammation or infections causing discomfort and swelling

Challenges in Cleaning Under the Foreskin

Difficulty maintaining hygiene, increasing the risk of infections such as balanitis (inflammation of the foreskin and glans)

Recurring Infections

Conditions like balanitis and posthitis, where the foreskin or glans frequently becomes infected

Types

Pathologic (Congenital) Phimosis

This type is caused by factors such as infection, inflammation, or scarring. Lichen sclerosus, a condition that causes skin thinning and scarring, is a common contributing factor to this form of 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 trying to retract the foreskin, or during urination or sexual activity.

Swelling or Redness

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

Difficulty Urinating

Painful or slow urination, or a narrowed urinary stream, caused by the tight foreskin restricting normal urine flow.

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