Phimosis – tight foreskin: circumcision or alternative treatment

Tight foreskin: solution without circumcision

Phimosis is a condition where the foreskin is tight and not able to pull back to see the head of the penis (glans). Sometime it is  retractable when the penis is flaccid.  But never able to retract when penis is erect. Usually phimosis does not remain same as with each erection. There is minor trauma to the foreskin. This leads to loss of elasticity fibres due to scarring. This can lead to Balanitis Xerotica Obliterans (BXO). Phimosis can lead to paraphimosis.

Tight foreskin can also be caused by skin conditions:

1.   Balanitis Xerotica Obliterans (BXO), also called Lichen sclerosus (Read more about BXO)

2.   Lichen planus – a non-infectious skin condition which may affect foreskin

3.   Eczema– long term skin problems

Cleaning inside of the foreskin is important to prevent infection. It is a good idea to wash the foreskin with mild soap or warm salty water when you take a shower or bath. This will help to keep the foreskin clean.

There are alternatives to full circumcision, such as excision of the frenulum, V-Y plasty operation called preputioplasty, frenuloplasty, partial circumcision or medical treatments. These are personal preferences and can be discussed further with our specialist-  Dr Khan at the London Circumcision Clinic, East London

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