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Is circumcision the only options for a case of phimosis with scar tissue? is it the only option? the only thing to do? or would the alternative treatments/options work? the steroid creams - betamethasone, stretching, preputioplasty, etc? what about partia

4 doctor answers6 doctors weighed in
Dr. James Bresee
Urology 16 years experience
Phimosis : Phimosis and balanitis are both medical indications for circumcision. Failure to expose the entire glans prevents proper cleaning and puts you a increased risk for developing squamous cell cancers of the penis, not to metion infections and pain. It sounds like your doctor did the right thing.
Dr. Kenneth Stein
42 years experience
Phimosis: If there is scar tissue, by far the best option is circumcision.
Dr. David Vandersteen
Pediatric Urology 32 years experience
You choose: The choice of treatment depends directly on the risk/benefit assessment and your personal opinion. I agree with the respondents. A circumcision will be curative. Steroid creams work quite well and should be tried first if you desire an "intact" prepuce. If these fail, and you still do not want a circ, then you can opt for operative stretching/slit/or partial circ all of which can recur.
Dr. George Klauber
Specializes in Pediatric Urology
Not only but best: Steroid cream won't work with scarring. Partial circumcision to remove scarred skin & leave plenty of foreskin to retain appearance of being circumcised can be done. As can a "prepucioplasty" which involves a vertical incision thru the phimotic area which is then sutured transversely & results in a retained loose foreskin. However phimosis can recur with either procedure. Hence, a circ is best.

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Last updated Sep 24, 2017

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