Doctor insights on:
Does Phimosis Affect Fertility
I have been suffering from phimosis for over 2 years....I don't wanna operate it....What will be the future effect of it if i don't operate?
Needs to be fixed: Application of prescription strength steroid cream like 0.1% Betamethasone or kenalog (triamcinolone) applied to the tight phimotic area, whilst you gently pull back on skin, twice daily for 6 - 12 weeks may relieve problem. Can recur when u stop applications. Circumcision is best to permananently take care of problem. Untreated phimosis, unclean, likely to develop balanitis inflammation) & risk of penile cancer. ...Read more
I am 28 years old and suffering from pin hole phimosis for last 6 years...i don't want to treat it for 2 years more? Is there any problem? No pain
See urologist...: You probably have so-called urethritis xerotica obliterans, which slowly contract the originally normal soft flexible opening to become pin-hole like rigid one, and is related with lichen sclerosis et atrophicus & oftentimes long tight foreskin. So, see urologist to deduce its right cause and treatment. Of course, having a direct look is essential to verify right diagnosis for right care. Best... ...Read more
Phimosis: Not likely. Phimosis that is now of "pinhole" diameter usually requires some type of procedure (dorsal slit or circumcision) by a urologist. Usually forcing the forskin back with such extreme narrowing is either too painful for you or will causes ripping of the skin and bleeding. ...Read more
Steroid cream - circ: Phimosis will not improve without treatment at your age. You might like to try presciption strength steroid cream eg Betamethasone or Kenalog, (triamcinolone) via your Dr or urologist. Circumcision would be the best option if steroid cream treatment is unsuccessful. Good Luck. ...Read more
I have phimosis and I'm 41.i try and clean best I can and there is no smegma. Part of gland feels raw sometimes. What could this be as i can't see gland?
Here are some ...: The care for phimosis is well known to almost all, and include implementing adequate topical care with/without using topical antifungal caream as palliative, temporary measures and circumcision as definitive care. As to tell your parents or not, that would be up to you at 37, but open and straight communication is still the best way of communication for maintaining a relationship. ...Read more
Inflammation.: In adults, inflammation of the foreskin can cause a scarring reaction that restricts its normal elasticity. Inflammation can be caused by infections of the skin, chronic irritation from poor hygiene, and injury to the foreskin or small tears. Skin problem such as lichen sclerosis can also affect the skin. If it restricts erections or impedes the urine stream, circumcision may be necessary. ...Read more
Arguments abounds...: Debates on circ or not circumcision will continue and last forever with its ups and downs to reflect personal and social financial and cultural values over time and location. More money and insurance push more circumcision. More religious in some, more inclined to circumcise; but time changes and practice evolves. As to homeopathy phimosis/circumcision, options are numerous, and just try and see. ...Read more
Yes, you may try it: Yes, you may try it for 1-2 months as instructed, but preferably under professional supervision. Contrasted with circumcision, such care for phimosis is more or less a temporary measure for most patients in the long run. So, you may try it and see with mental flexibility to handle the life event as such. Best wish ... ...Read more
Circumcision is best: & most reliable way to take care of problem phimosis. Prepucioplasty or dorsal slit is also surgical, however the foreskin can be preserved. Twice daily application of steroid cream to the tight are of skin works in some cases, but works best in children & has an up to 50% recurrence rate. Hence most urologists recommend circumcision. ...Read more
Can be an emergency: Phimosis refers to narrowing of the foreskin so that it cannot be retracted over the glans penis (head). Paraphimosis is the state in which a narrowed prepuce, foreskin, is forcibly retracted over the glans and now cannot be un-retracted. If the prepuce opening is too small, it may block the blood supply to the glans, necessitating emergent surgical correction. Phimosis - needs circumcision. ...Read more
Yes: Phimosis refers to the small size opening of the foreskin. Paraphimosis occurs when the foreskin is retracted and stuck in that position because of a phimosis. Paraphimosis is an urgent problem and requires reduction by an experienced physician. The longer paraphimosis is allowed to persist, the more painful and swollen the foreskin will get and the more difficult it becomes to treat it. ...Read more
Yes, but ...: Yes, you may do it but make sure to pull foreskin down to return and cover the plans penis if your foreskin is retractable; otherwise, so-called paraphimosis (severe circumferential swelling of foreskin above glans penis) may develop, which requires emergent attention to reduce it timely. So, do it but beware; enjoy and control life. Best wish ... ...Read more
Consult urologist: Need ti retract foreskin for penile hygeine. Treatment is either prescription strength steroid cream applied twice daily to tight area of foreskin twice dauily for 4 - 12 weeks or surgery. Circumcision will kake care of problem once ; for all, or else penoplasty by dividing narrow constricting area ; closing by z-plasty or closing vertical incision horizontally. Good luck. ...Read more
Here are some ...: If a curved penis just happens over the past months or years, it would be most likely a disorder from Peyronie's disease, which is a condition resulting from local tissue change like scar formation in the coverings of penile corporeal bodies. Phimosis has been not known to be related with crooked penis, but, rarely, an inappropriately-done circumcision may cause unwanted curvature or torsion. ...Read more
Consult urologist: Need ti retract foreskin for penile hygeine. Treatment is either prescription strength steroid cream applied twice daily to tight area of foreskin twice dauily for 4 - 12 weeks or surgery. Circumcision will kake care of problem once ; for all, or else prepucioplasty by dividing narrow constricting area ; closing by z-plasty or closing vertical incision horizontally. Good luck. ...Read more
Poor hygeine: Phimotic foreskin is tight and either difficult or impossible to retract making penile glans & inner foreskin difficult or impossible to clean. Also smegma (whitish material composed of sloughed skin cells) collects under the foreskin, causes irritation which can lead to inflammation. Inflammation with or without infection of glans penis is balanitis. Smegma does not collect on a circumcised penis. ...Read more
No cure but ...: Care always moves from the least invasive to the most invasive ones; so does phimosis. Never cure but modify to suit medical need for functional improvement. For phimosis, the followings may be taken: from jusdicious topical care with proper cleansing & drying with / without using antifungal cream (with or without steroid) to eventual circumcision. Yes, a lot of help can be delivered for phimosis. ...Read more
With steroid cream: Seldom without prescription strength steroid cream such as 0.1% betamethasone, or kenalog (triamcinolone) cream. Cream is applied to tight area of foreskin whilst retracting. Use twice daily for m6 - 12 weeks. Stretching by itself creates risk of skin splitting, then scarring which results in worse phimosis which will require circumcision or preputioplasty. ...Read more
Possibly if ...: Recurrent inflammation of foreskin/glans penis - balanoposthitis may slowly cicatrize the opening of foreskin to eventually become not retractable. Such a process may take years and even decades to be fully developed. Besides, without a direct look, it's hard to reach an accurate Dx for most reasonable Rx. So, see urologist for clear assessment timely. ...Read more
Luck of the draw: In medicine sometimes these things just happen... ...Read more
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