Phimosis is a condition afflicting the penile foreskin in children and adults. Phimosis prevents the foreskin from being pushed back (retracted) over the head of the penis. As a result, the tip of your penis could seem to have rings surrounding it. Boys who are not circumcised as infants frequently have a tight foreskin, but by age three, the issue resolves on its own. Phimosis may develop spontaneously or as a result of scarring. Young boys may not require treatment until phimosis makes urinating difficult or causes other symptoms. Phimosis treatment may become more necessary as these aggravate. 

Phimosis can be physiologic or pathologic. The physiologic type is linked to childhood and often goes away as you age. The prepuce, another name for the foreskin, is tight when newborns are born but becomes looser by the time they are two or three years old. The foreskin begins to relax and detach from the head of their penis between 2 and 6 years. Phimosis can also occur in an adult. However, only 1% of individuals are estimated to have phimosis at the age of 16. travelworldinfo

Symptoms

Failing to retract the foreskin by age three is the primary sign of phimosis. Although the foreskin usually becomes looser with time, it may take longer for some. A boy should be able to readily retract his foreskin by the age of 17 or so. Some common symptoms are:

  • When infected or inflamed, there may be redness or discoloration
  • An infection or irritation may cause swelling (inflammation)
  • Soreness
  • Pain when urinating (dysuria)
  • Discomfort during or after sexual activity

Causes

The causes of phimosis are numerous. For example, it might be congenital (physiological phimosis) or result from an injection or damage. Some of the reasons for phimosis include:

  • Skin Disorders: Phimosis can be caused by several skin conditions, including eczema, psoriasis, lichen planus, balanitis xerotic obliterans (BXO), and more.
  • Infections: One of the leading causes of phimosis is sexually transmitted infections (STIs).
  • Poor Personal Hygiene: If you don’t frequently clean your penile area, it might lead to phimosis. marketoinsight

Treatment

The signs of phimosis will determine the most appropriate treatment. Balanitis is often treatable with ointments, lotions, and proper cleanliness.

  • People are recommended to gently dry their penis after cleaning it with lukewarm water each day. They should avoid using shampoo, bubble bath, or soap on their genitalia, and after urinating, they should dry beneath their foreskin.
  • A doctor could suggest applying a steroid cream or ointment to relieve the inflammation.
  • Antifungal cream or a course of antibiotics may be required if a fungal or bacterial infection leads to balanoposthitis. Doctors may advise the phimosis treatment itself in instances of severe or recurrent balanitis or balanoposthitis. 
  • In addition, they may recommend steroid creams or surgery to soften the foreskin and make it simpler to retract. According to healthcare professionals, phimosis may be treated with topical steroid ointment. The majority of males respond well to this medication. These topical ointments are used to loosen the constrictive foreskin that surrounds the penis so that it can be retracted more readily. The lotion is rubbed into the afflicted regions twice daily for six to eight weeks, coupled with manual stretching and retraction. The ointment is stopped once the foreskin can be fully retracted, and regular physical retraction will prevent phimosis from happening again. The most frequently used corticosteroids are hydrocortisone 2.5 percent, betamethasone 0.05 percent, triamcinolone 0.01 percent, and fluticasone propionate 0.05 percent.
  • You may require circumcision or a comparable surgical treatment in more severe circumstances. The whole foreskin is removed during circumcision. It is also possible to surgically remove a portion of the foreskin. Although circumcision is typically performed on infant boys, it can be done on any male, regardless of age.
  • In cases of recurring balanitis, UTIs, or other illnesses when steroid creams are ineffective, circumcision may also be required. For adults, phimosis can make sexual activity unpleasant. BXO is also related to a higher risk of penile cancer and urinary tract problems.

Prevention

You may avoid phimosis by practicing proper daily hygiene. For example, daily gentle washing of the penis effectively prevents phimosis. You may also practice safe sex to lower your risk of sexually transmitted diseases and avoid forceful manipulation of your foreskin to prevent a constricted one. 

Conclusion

Phimosis is usually curable. It could potentially be a precursor to penile cancer, though. If left untreated can lead to more significant swelling and an elevated risk of STDs. In severe circumstances, it may also result in gangrene or possibly the eventual loss of your penis. The creams used to retract the foreskin often don’t have the side effects associated with steroids. However, some problems are caused mainly by long-term oral steroid usage. While circumcision on infants used to be a regular operation, it’s not often done immediately away now. Bleeding, infection, having a foreskin that is too long or too short, and pain are among the risks of circumcision.

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