Treatment and Physiology of Phimosis

Phimosis is brought about by the inability of the foreskin to loosen during growth, by infections like balinitis, by defects due to trauma, and by disorders of the genitals. Poor hygiene can cause infection where swelling, redness, and discharge are present. A very tight foreskin can result to problems during intercourse, urination, and can be very painful.

Phimosis is a condition where there is difficulty in pulling back the foreskin from the tip of the penis to return to its natural position. Phimosis can be physiologic phimosis or pathologic phimosis.  Physiologic phimosis occurs in infant boys while the pathologic phimosis is the failure of the foreskin to return to its normal position.

Another type of this penile disorder is paraphimosis which is characterized by one’s failure to pull back the foreskin into the position over the tip of the penis which results to pain, inflamed head of the penis and the foreskin. Worst, it can also cause inadequate blood flow resulting to the head of the penis to become purple. This needs immediate care and attention.

Treatments for phimosis are the following:

Topical creams, steroid and non-steroid creams are applied to the prepuce
Manual stretching exercises is very effective but may take longer period to see some results
Surgery in the form of circumcision

The most effective preventive measure to avoid phimosis and its infections and other diseases related to phimosis is proper hygiene. The American Academy of Pediatrics reminds parents that the immature foreskin of infant boys should not be forced back to clean it. The only person who can clean and pull back the foreskin is the boy. Bubble bath products and other chemical irritants can cause more complications.

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