What is Phimosis?

If a boy's skin does not retract, it's called phimosis. This is a common occurrence that can affect uncircumcised male meaning males at birth or later.



There are two types of phimosis: pathologic and physiological. Physiological phimosis usually disappears on its own with no treatment within the first 3-4 year of life.

healthline.com
What is phimosis?


When a penis that has not been circumcised is unable to retract its foreskin, it's called phimosis. It is seen in almost all newborns, and it usually disappears when boys grow older.



Most children will be able to overcome physiologic phimosis by the age of 3 but it may persist into puberty in some. The tightening of the muscles is a normal part growing to. It is not caused by an infection or other ailment.



In most cases, a daily gentle manual retraction using a topical steroid ointment is sufficient to ease the tightness of the foreskin. If needed, a surgical procedure can be performed to unwind the foreskin areas which are stuck to the glans.



If you're experiencing a tight, swollen foreskin that will not retract, consult your physician to determine the cause. If it's due to an infection, or a different issue, you might need to be treated. A urine or swab test could be required to confirm the diagnosis. A doctor will prescribe a medication to decrease inflammation and irritation.


Signs and symptoms


A tightened foreskin can make it difficult to pull back over the head of the penis (called the glans). This can cause problems with sexual function, urination, or even urination.



In early childhood, the foreskin typically loosens on its own. This usually happens by the age of two or three. However some boys may need longer.



If the foreskin cannot retract or be pulled back to the glans, it is referred to as phimosis. This condition is more common in males who are not circumcised and usually occurs in the beginning of the first few years of life.



A doctor can detect phimosis. The doctor will inspect your child's penis, foreskin, and ask if they've observed any signs. They will also examine for skin conditions that could cause a retraction of the foreskin such as xerotica or balanitis.


Treatment


Phimosis is not usually a problem unless it interferes with normal erections, or urination, and it can be treated. Treatment may involve steroids or surgery.



Physiological Phimosis is a common occurrence among children aged between two and four. It is a self-limiting disease that improves when the foreskin becomes more than retractible. In the pathologic form the occurrence of phimosis is usually caused by balanitis xerotica obsliterans (BXO) which is a cicatrizing skin condition histologically akin to lichensclerosis.



The physiologic type of phimosis usually improves with repeated applications of a topically applied cream of steroid or gentle retracting of the foreskin. If the steroid cream does not work, a circumcision could be required.



Circumcision is an operation that removes the foreskin. It is typically the best option for males with phimosis. However, it isn't without risk. It is crucial to weigh the risks against the advantages. The surgery may also be painful and the scarring may hinder future retraction.


Prevention


Penile hygiene is among the best ways to avoid phimosis. This includes pulling the skin back and cleaning underneath it, with warm water, on a daily basis.



Similarly, if the foreskin is too tight to retract, you could try lubricating it using castor oil. This remedy helps the foreskin retract easier and avoids scarring and pain.



It's a good idea, as well, to stretch your foreskin daily so that it becomes more flexible. This is particularly beneficial for children who have not removed their skin before.



Phimosis in men can be a sign of a serious infection. If this is the case, your doctor could prescribe antifungal or antibiotics.



In the most severe cases of phimosis, your doctor might suggest circumcision. This procedure isn't generally recommended by doctors, but it can help prevent the occurrence of phimosis. The procedure has a chance of bleeding and infection therefore you should consult your doctor before deciding to go ahead.