Phimosis: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Phimosis
| image          = [[File:Phimosis.jpg|250px]]
| caption        = Phimosis in an adult male
| field          = [[Urology]]
| synonyms        =
| pronunciation  =
| symptoms        = Tight [[foreskin]] that cannot be pulled back over the [[glans penis]]
| complications  = [[Urinary tract infection]], [[paraphimosis]], [[balanitis]]
| onset          = Can occur at any age
| duration        =
| types          = [[Physiologic phimosis]], [[pathologic phimosis]]
| causes          = [[Congenital]], [[scarring]] from [[infection]] or [[inflammation]]
| risks          = Poor [[hygiene]], [[diabetes mellitus]]
| diagnosis      = [[Physical examination]]
| differential    = [[Paraphimosis]], [[balanitis xerotica obliterans]]
| prevention      = Proper [[hygiene]], [[circumcision]]
| treatment      = [[Topical steroid]] creams, [[manual stretching]], [[circumcision]]
| medication      = Topical [[corticosteroids]]
| prognosis      = Generally good with treatment
| frequency      = Common in young children, less common in adults
}}
'''Phimosis''' is a medical condition characterized by the tightness of the foreskin, which prevents it from being moved back over the head of the [[penis]]. This condition can be congenital (present at birth) or acquired later in life.
'''Phimosis''' is a medical condition characterized by the tightness of the foreskin, which prevents it from being moved back over the head of the [[penis]]. This condition can be congenital (present at birth) or acquired later in life.
[[File:Phimosis.jpg|thumb|Phimosis]]
== Types ==
== Types ==
Phimosis can be classified into two types:
Phimosis can be classified into two types:
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== Symptoms ==
== Symptoms ==
Symptoms of phimosis may include:
Symptoms of phimosis may include:
* Inability to retract the foreskin
* Inability to retract the foreskin
* Pain during urination or erection
* Pain during urination or erection
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== Diagnosis ==
== Diagnosis ==
Diagnosis of phimosis is typically made through a physical examination and a review of the patient's medical history. The healthcare provider will assess the degree of tightness and any accompanying symptoms or complications.
Diagnosis of phimosis is typically made through a physical examination and a review of the patient's medical history. The healthcare provider will assess the degree of tightness and any accompanying symptoms or complications.
== Treatment ==
== Treatment ==
Treatment for phimosis depends on the severity and the presence of any complications:
Treatment for phimosis depends on the severity and the presence of any complications:
* '''Topical corticosteroids''': In mild cases, applying corticosteroid creams to the foreskin can help reduce inflammation and improve retraction.
* '''Topical corticosteroids''': In mild cases, applying corticosteroid creams to the foreskin can help reduce inflammation and improve retraction.
* '''Manual stretching''': Gradual, gentle stretching of the foreskin over time can help loosen the tissue and improve retractability.
* '''Manual stretching''': Gradual, gentle stretching of the foreskin over time can help loosen the tissue and improve retractability.
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== Prevention ==
== Prevention ==
Preventing phimosis involves maintaining good hygiene and avoiding forceful retraction of the foreskin, which can cause scarring or trauma.
Preventing phimosis involves maintaining good hygiene and avoiding forceful retraction of the foreskin, which can cause scarring or trauma.
== See also ==
== See also ==
* [[Circumcision]]
* [[Circumcision]]
* [[Paraphimosis]]
* [[Paraphimosis]]
* [[Balanitis]]
* [[Balanitis]]
== Summary ==
== Summary ==
Phimosis is tightness of the foreskin, which prevents it from being moved back over the head of the [[penis]]
Phimosis is tightness of the foreskin, which prevents it from being moved back over the head of the [[penis]]
{{stub}}
{{stub}}
{{Male diseases of the pelvis and genitals}}
{{Male diseases of the pelvis and genitals}}
[[Category:Circumcision debate]]
[[Category:Circumcision debate]]
[[Category:Penis disorders]]
[[Category:Penis disorders]]

Latest revision as of 06:38, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Phimosis
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Tight foreskin that cannot be pulled back over the glans penis
Complications Urinary tract infection, paraphimosis, balanitis
Onset Can occur at any age
Duration
Types Physiologic phimosis, pathologic phimosis
Causes Congenital, scarring from infection or inflammation
Risks Poor hygiene, diabetes mellitus
Diagnosis Physical examination
Differential diagnosis Paraphimosis, balanitis xerotica obliterans
Prevention Proper hygiene, circumcision
Treatment Topical steroid creams, manual stretching, circumcision
Medication Topical corticosteroids
Prognosis Generally good with treatment
Frequency Common in young children, less common in adults
Deaths N/A


Phimosis is a medical condition characterized by the tightness of the foreskin, which prevents it from being moved back over the head of the penis. This condition can be congenital (present at birth) or acquired later in life.

Types[edit]

Phimosis can be classified into two types:

Stretching of foreskin to cure phimosis using silicon ear plugs
  • Physiologic phimosis: This is a normal condition in newborns and young boys, where the foreskin is naturally tight and non-retractable. In most cases, the foreskin gradually loosens and becomes fully retractable by puberty.
  • Pathologic phimosis: This occurs when the tightness of the foreskin is caused by scarring, infection, or inflammation, and is generally not seen in young children.

Causes[edit]

Causes of phimosis can include:

Pre and post op phimosis
  • Congenital factors
  • Repeated infections or inflammation of the foreskin
  • Scarring from trauma or forceful retraction of the foreskin
  • Balanitis xerotica obliterans (BXO), a chronic inflammatory skin condition

Symptoms[edit]

Symptoms of phimosis may include:

  • Inability to retract the foreskin
  • Pain during urination or erection
  • Swelling and redness of the foreskin and glans
  • Urinary retention or difficulty urinating

Diagnosis[edit]

Diagnosis of phimosis is typically made through a physical examination and a review of the patient's medical history. The healthcare provider will assess the degree of tightness and any accompanying symptoms or complications.

Treatment[edit]

Treatment for phimosis depends on the severity and the presence of any complications:

  • Topical corticosteroids: In mild cases, applying corticosteroid creams to the foreskin can help reduce inflammation and improve retraction.
  • Manual stretching: Gradual, gentle stretching of the foreskin over time can help loosen the tissue and improve retractability.
  • Preputioplasty: This surgical procedure involves making small incisions in the foreskin to release the tightness without removing the entire foreskin.
  • Circumcision: In severe cases or when other treatments have failed, circumcision may be recommended to remove the foreskin completely.

Prevention[edit]

Preventing phimosis involves maintaining good hygiene and avoiding forceful retraction of the foreskin, which can cause scarring or trauma.

See also[edit]

Summary[edit]

Phimosis is tightness of the foreskin, which prevents it from being moved back over the head of the penis

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