Phimosis - Circumcision

Phimosis is a condition where the foreskin of the penis is too tight to be pulled back (retracted) over the glans (head of the penis). It is a common condition, especially in young boys, and may resolve naturally as they grow older. In adults, persistent or severe phimosis may require medical or surgical intervention, such as circumcision.

Types of Phimosis

• Physiological Phimosis: Normal in newborns and young children. The foreskin is naturally adherent to the glans and gradually becomes retractable by age 3–5 years.
• Pathological Phimosis: Occurs due to scarring, infection, or inflammation of the foreskin. Often associated with underlying conditions like balanitis (inflammation of the glans) or balanoposthitis (inflammation of the glans and foreskin).

Symptoms of Phimosis

• Inability to retract the foreskin.
• Pain or discomfort during urination or erections.
• Swelling or redness around the foreskin.
• Ballooning of the foreskin during urination.
• Recurrent infections (e.g., balanitis or urinary tract infections).

When to See a General Surgeon

• Persistent phimosis beyond adolescence.
• Pain or difficulty in urination or sexual activity.
• Signs of infection, such as redness, swelling, or discharge.
• Recurrent episodes of balanitis or balanoposthitis.
• Development of paraphimosis.

Benefits of Circumcision

• Resolves phimosis and prevents recurrence.
• Reduces the risk of infections, including urinary tract infections and sexually transmitted infections.
• Improves hygiene.
• Prevents complications like paraphimosis and balanitis.

Prevention

• Practice good hygiene to prevent infections.
• Avoid forcible retraction of the foreskin in children.
• Seek timely medical care for any signs of infection or discomfort.

Phimosis and its complications can be effectively managed with medical or surgical treatment. Consult Dr. Abhijit Budhkar for personalized care and treatment planning.