Tight Foreskin (Phimosis) Diagnosis and Treatment

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Table of Contents

Diagnosis

  • Physical Examination: A healthcare professional will typically diagnose tight foreskin through a visual examination of the penis. They will assess the level of retraction possible and check for signs of infection or scarring.
  • Medical History: Questions regarding symptoms, such as pain or difficulty with urination, as well as any history of infections, will help in making a diagnosis.
  • Further Testing: In cases where there are recurrent infections, additional tests might be performed to check for underlying conditions such as diabetes.
Tight Foreskin (Phimosis) - HealthXY

Treatment Options

  • Topical Treatments
    • Steroid Creams: Topical steroid creams are often prescribed as a non-invasive initial treatment. They help soften the foreskin, making it easier to retract. Regular application for several weeks can improve the condition significantly.
    • Antibiotic Creams: If there is an associated infection, antibiotic creams may be used to treat the infection before addressing the tightness.
  • Non-Surgical Approaches
    • Stretching Exercises: Gentle stretching of the foreskin, typically done after applying a steroid cream, can help to gradually loosen it. These exercises should be done under the guidance of a healthcare professional to avoid injury.
    • Manual Techniques: In some cases, a healthcare provider might demonstrate specific stretching techniques to safely increase the elasticity of the foreskin.
  • Surgical Treatments
    • Circumcision: This surgical procedure involves the complete removal of the foreskin. It is considered a definitive treatment for tight foreskin, especially if other treatments have not been effective or if there are recurring complications.
    • Preputioplasty: A less invasive surgical option compared to circumcision. Preputioplasty involves making small incisions to loosen the foreskin while preserving most of it. This option is suitable for those wishing to maintain the foreskin while resolving phimosis.

When Surgery May Be Needed

  • Recurrent Infections: If infections continue to occur despite non-surgical treatment, surgery may be necessary.
  • Failed Topical Treatment: When steroid creams and stretching exercises do not work, surgical options like circumcision or preputioplasty are considered.
  • Complications Like Paraphimosis: In cases where the foreskin becomes trapped behind the glans, immediate surgical intervention may be required to prevent damage.

Post-Treatment Care

  • Hygiene: Keeping the area clean and dry is crucial to prevent infections after treatment, especially after surgical procedures.
  • Pain Management: Pain after treatment, particularly after surgery, can be managed with prescribed pain relief medications.
  • Follow-Up Visits: Regular follow-up with a healthcare provider is important to monitor healing and ensure that the treatment is effective.

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