Phimosis

Phimosis is referred to as the inability to retract the skin covering th penile head ie glans (prepuce/ foreskin). When a child has Phemosis, the penis foreskin appears to be a tight rubber band/ ring or “rubber band.”

Types & Causes:

  • Physiologic:
  • At birth, in uncircumcised infants, resolves by itself around normally 5 to 7 years of age or later.
  • Pathologic:
  • Scarring.
  • Urinary/ Foreskin Infection.
  • Local Inflammation.
  • Unhealthy lifestyle.

Symptoms:

  • Urinary tract infection.
  • Urinary retention.
  • Penile/ urinary bleeding.
  • Problematic Urination.
  • Itching/ Irritation due to smegma deposits.
  • Balloon like foreskin during urination.

Diagnosis Tests:

  • Penile Observation Analysis.
  • Analysis of Urine sample.
  • Urine culture.
  • Ultrasound.
  • CT- scan (computerized tomography).
  • Cytoscopy.

Treatment:

  • Daily Gentle exercise of manual retraction.
  • Topical Corticosteroid therapy.
  • Circumcision.

Prevention & Precaution is Better than Cure:

  • Regular check-up and tests.
  • Avoid forceful retraction, can lead to bleeding and pain.

Alternative Therapies:

  • Psychological counseling.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.