Phimosis

Phimosis

You may consult a urologist. If you have a child who needs treatment, you may consult your pediatrician.
No. Circumcision does not cause infertility. After the operation, during the first few months, you may have difficulty in erection.
Yes, poor hygiene or infection can lead to phimosis.

What is Phimosis?

Phimosis is a medical condition wherein the foreskin of the penis is too tight and cannot be pulled back over the glans. This causes discomfort and pain to the patient besides creating conditions for infection of the urinary tract due to poor hygiene practices.

It is a commonly occurring condition in uncircumcised male babies. Occasionally skin ailments that result in scarring may also cause Phimosis. Such a possibility is high in older children.

This may cause slight pain while passing urine as the head is covered and the urethra is not exposed. Forcefully pulling back the foreskin before it is detached is not recommended because it is not only painful but would also result in damage to the foreskin.

Awareness of the available options for patients with Phimosis, particularly in young children, is the need of the hour. Both parents and doctors need to be informed about the available options as well as the advantages of these new techniques.

Phimosis rarely causes complications or serious health issues. The health problems are limited to painful and difficult urination or soreness and swelling of the glans. Over the last two decades, medics are treating cases of phimosis with topical steroids, since the results of this non-surgical approach are highly positive.

What is the Medical Definition of Phimosis?

Medically Phimosis is defined as being unable to retract the prepuce or foreskin that covers the penis head or glans.

What Causes Phimosis?

It may be a natural occurrence at birth or caused by skin ailments like Eczema, Lichen planus, Psoriasis, and Lichen sclerosus. Phimosis may be the result of a sexually transmitted infection or be the outcome of infections by fungi or bacteria.

Older Boys may get affected by Phimosis if they have repeated UTIs, Foreskin Trauma, infection of the foreskin, or handling the foreskin roughly every time.

What are the Symptoms of Phimosis?

Phimosis symptomsSore and inflamed glans can also lead to Balanitis in children. In some cases, thick discharge is seen beneath the foreskin. Such a condition when both the foreskin and the glans are having an inflammation is referred to as Balanoposthitis.

What are the Types of Phimosis?

There are two types of Phimosis- pathologic and psychologic. Phimosis seen in uncircumcised male infants is called Psychologic Phimosis. If the condition is caused by inflammation, scarring, or infection it is called Pathologic Phimosis.

What are the Complications that Patients with Phimosis need to be aware of?

Do not use a cotton swab or Q-tip to clean the areas between the glands and the foreskin as it might cause damage to the sensitive skin in the area.

Inability to pass urine, and constant pains during urination are usually sufficient causes to recommend surgery.

Circumcision though recommended as a last resort may lead to post-operative infection and bleeding if adequate precautions are not taken.

Non-surgical Adhesiolysis, wherein the foreskin is separated from the places it is attached to the glans without actually removing it is a new age approach that is being recommended of late. This approach is seen to be safe, effective, and reasonably priced when compared to surgery.

The latest medical and surgical treatments are safer, highly effective, and conservative. These non-invasive options are seen to give better results with negligible side effects.

How is this Condition Diagnosed?

Clinical Diagnosis is sufficient to diagnose this condition and there is no need for the patients to undergo any imaging studies or laboratory tests. Phimosis is easily diagnosed as it presents itself at the tip of the penis and prevents full retraction. The foreskin appears like a rubber band similar to a tight ring around the tip of the penis.

It is important to check the cause of Phimosis, and identify if it is pathologic or psychologic. Severe Phimosis tends to prevent patients from completely clearing their bladder and some amount of residual urine tends to remain behind. The patient thus feels like urinating and makes frequent trips to the washroom.

The cases of Phimosis observed in uncircumcised babies are not pathologic and do not need aggressive treatment. However, parents tend to be apprehensive and they need to be reassured that such cases are normal and quite common in young males till they reach the age of 2-6 years when it gets rectified naturally.

What is the Recommended Line of Treatment for Phimosis?

Phimosis treatmentStudies done with data available with the NIH show that 0.6 percent of boys are affected by cases of pathological phimosis by the time they are 15 years. This means 2 in every 5000 boys are affected in this age category.

The recommended line of treatment for physiological phimosis is more conservative, while surgery is recommended in cases of pathological phimosis.

Circumcision is carried out under local anaesthesia and the patient may have slight pain for the first 2 days due to the bruises and swelling of the penis. In young children, the surgeons prefer using general anaesthesia. Circumcision is not extremely painful and is usually relieved by pain killers like ibuprofen that are easily available and can be purchased without prescriptions at any pharmacy.

The line of treatment would vary from case to case and depends on the severity of the situation as well as the patient’s age and resilience. In most cases doctors adopt the wait and watch policy, to see if the condition will be rectified naturally.

Data available with the NIH shows that moisturising is not effective in treating this condition and thus not recommended at all.

It is recommended that the penis should be gently retracted and the area under the foreskin must be cleaned regularly. In children, this should be done with each diaper change. As he grows older, the child must be taught to do this on his own as part of his personal hygiene.

Occasionally, steroid creams are prescribed to help in the reduction of pain by artificially stretching the foreskin. This is the most commonly recommended and used line of treatment. It is expected that with regular stretching of the foreskin, the condition will get corrected without surgical intervention.

Although there have not been any identifiable side effects when using the ointment, the treatment procedure may need to be repeated at regular intervals. Doctors recommend surgery only in cases of failure to get expected results subsequent to the use of steroid-based ointments for local application.

Especially in those rare cases wherein the patient experiences severe pain, or if the condition has been diagnosed as Pathological Phimosis thereby necessitating surgical intervention. It is also recommended if the patient has recently suffered from a recurring UTI (Urinary Tract Infection) or suffers from repeated or severe instances of Balanoposthitis.

Immediate surgical treatment is recommended if the difficulty in passing urine is too acute. Circumcision is recommended if the patient’s condition is severe and he continues to suffer from constant pain due to Balanoposthitis or Balanitis.

Circumcision is carried out under local anaesthesia and the patient may have slight pain for the first 2 days due to the bruises and swelling of the penis. In young children, the surgeons prefer using general anaesthesia. Circumcision is not extremely painful and is usually relieved by pain killers like ibuprofen that are easily available and can be purchased without prescriptions at any pharmacy.

Alternatively, some patients prefer to only surgically detach a part of the foreskin that is attached to the glans, while leaving the rest as it is. Though less painful, there is no assurance that the problem would not re-occur at a later date.

In all other cases, the root cause is identified and treated. For instance, if the patient is suffering from Balanoposthitis, ensuring correct hygienic practices like maintaining personal hygiene suffices.

This includes washing the penis at regular intervals using clean water and mild soap followed by the use of moisturiser to keep the skin hydrated. On the other hand, if the patient is suffering from Balanitis, then the line of treatment includes the use of ointments and creams while making sure that the penis does not come into contact with irritants and good personal hygiene.

What are the Precautions to be Taken When Caring for Patients with Phimosis?

PhimosisMaintain personal hygiene, by daily washing the genitals in warm water while bathing. Ensure that the area beneath the foreskin is cleaned thoroughly in case of adults or older children. Avoid the use of irritants like harsh soaps in the area. Avoid deodorants and talcum powders as they may irritate the skin in the area.

The foreskin must not be forcibly pulled back especially for young children. It is also recommended to apply a local analgesic to reduce the infection and irritation on the glans and the foreskin if diagnosed with Phimosis.

It is essential that parents and caregivers are made aware of the commonality of Phimosis in the various age categories. It is also important that they are taught and guided in ensuring proper hygiene and care of patients affected by Phimosis so that they keep the foreskin and its surrounding areas, including the under-surface areas clean and hydrated at all times.

 

Facts

Most of the male babies are born with natural Phimosis. This helps protect the urethra and the glans from infection caused by germs.

Facts

Phimosis rarely causes complications or serious health issues. The health problems are limited to painful and difficult urination or soreness and swelling of the glans. Over the last two decades, medics are treating cases of phimosis with topical steroids, since the results of this non-surgical approach are highly positive.

Facts

The cases of Phimosis observed in uncircumcised babies are not pathologic and do not need aggressive treatment. However, parents tend to be apprehensive and they need constant reassurance that such cases are normal and quite common in young males till they reach the age of 2-6 years when it gets rectified naturally.

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You may consult a urologist. If you have a child who needs treatment, you may consult your pediatrician.
No. Circumcision does not cause infertility. After the operation, during the first few months, you may have difficulty in erection.
Yes, poor hygiene or infection can lead to phimosis.

 

Dos and Don'ts

Dos
  • It is essential that parents and caregivers are made aware of the commonality of Phimosis in the various age categories.
  • It is also important that they are taught and guided in ensuring proper hygiene and care of patients affected by Phimosis so that they keep the foreskin and its surrounding areas, including the under-surface areas clean and hydrated at all times.
  • Extra care should be taken so that post-surgical bleeding does not occur.
Don'ts
  • Use force to retract the foreskin as it can traumatise the child besides causing him extreme pain and damaging the foreskin.
  • Use a cotton swab or Q-tip to clean the areas between the glands and the foreskin as it might cause damage to the sensitive skin in the area.
  • Wait too long to seek medical help.

 

 

 

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Apolipoprotein -A1 (APO-A1) Test Apolipoprotein A-I (Apo-A1) constitutes 70% of protein content in high-density lipoprotein (HDL) and helps in lipid metabolism.
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
Plexus Slim: Is this pink slimming drink the ultimate one-stop fat burner? How effective is Plexus Slim in helping people lose weight? What are its ingredients? Can it be safely…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
lose weight fast
12 easy and instant steps to successful weight loss Do you want to lose weight without losing your mind? Does weight loss always mean saying goodbye to…
nutritional yeast bread
Nutritional Yeast : How can a fungi culture be good for your body? Nutritional yeast: How a simple culture of fungi can transform your skin, digestion, immunity , and much more.…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
DHEA wrinkles
DHEA: Now get unbelievable age defiance with this wonder hormone! DHEA is known popularly as the age-defying hormone. This supplement is widely used to slow down aging and…
Cottage cheese: What can you find in this healthy chunk of fresh milk cheese? Love cheese but scared of putting on extra pounds? With cottage cheese, you can get the best of…
Hydroquinone: Is it the best topical treatment for hyperpigmentation? Darkening of the skin due to high melanin levels is called hyperpigmentation.  Hydroquinone interferes with melanin production thus treating…
11 unbelievable health benefits of thyme you didn’t know! Thyme is a herb that has been used in alternative medicine.It is a well known seasoning in the…
EEG
Electroencephalogram – EEG EEG or electroencephalogram is a diagnostic tool used to access the functioning of neurons and brain activity to…
LFT-test
Liver Function Test – LFT LFT or Liver Function Test is a blood test used to determine the levels of hepatic enzymes which…
CEA_test
Carcinoembryonic antigen (CEA) test CEA or carcinoembryonic test detects the presence of CEA antigen in your blood mainly & determines the effectiveness…
Rubella IgM test
Rubella IgM Test The Rubella IgM test is a blood test that is performed to diagnose the presence of the rubella…
Isagenix diet weight loss
How are BMI and BMR different and what do these numbers mean? BMI and BMR are two important metrics that provide a clear picture of your body's metabolism and also…
Hepatitis A virus infected liver
Hepatitis A Virus (HAV) Total Blood test to look for IgM antibodies to know if you are infected with Hepatitis A virus (HAV),…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of cold beer add…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
Jack in the box fast food
Jack In the Box : The perils of surging fast food culture in the USA Jack in the Box - How a culture of fast-food can clog your arteries, weaken your heart, fatten…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
General adaptation syndrome: Understanding stress, one step at a time The struggle of the body to produce hormones during a stressful situation is the main theme of general…
Sciatica pain relief: Get rid of the pain with these easy daily tips Researchers have claimed that not only heat but icing the area too helps relieve sciatica pain. Find out…
sodium chloride
Halotherapy: How inhaling salt can work wonders for your body Halotherapy is quickly gaining popularity amongst those with respiratory diseases. It has shown promise in its treatment.
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
Vitamin-D-blood-test
25-Hydroxy Vitamin D test 25-hydroxy Vitamin D test is a blood test used to measure the level of vitamin D in the…
BoneMarrow-Biopsy
Bone Marrow Biopsy Bone marrow biopsy is a diagnostic procedure where a small amount of bone marrow is extracted from hip…
phenytoin test
Phenytoin test Phenytoin is a drug that is administered mainly to epilepsy patients. The phenytoin blood test measures the level…
free psa test
Free PSA Test The free PSA test is used to detect the level or percentage of free PSA in the body…
HSV-1_IGG
Herpes Simplex Virus I (HSV)-IgG Test Herpes simplex virus I(HSV)-IgG is an Immunoglobulin protein that acts as an antibody & stays in the blood…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
piles fissure fistula
Allopathy vs homeopathy vs ayurveda treatment for piles, fissures, and fistula Read to know the best form of treatment among allopathy, homeopathy,or ayurveda for piles, fissures, and fistula
Tight phimosis ring
Phimosis Read to know everything about phimosis, types, symptoms, treatment, risks and prognosis for patients with this condition.
Jicama: A fiber-rich tuber for your weight loss goals Pronouced as HEE-kah-ma, Jicama is the "new kid on the block" that has taken the world by the…