Phimosis / Tight Foreskin
General Info About Phimosis
Phimosis is the inability to fully retract the foreskin (or prepuce) over the glans penis due to a narrow opening.
Congenital phimosis (physiologic phimosis) - This type of phimosis is present since birth and results due to adhesions between the epithelial layers of the inner prepuce and glans penis. Physiologic phimosis resolves with age. As the males grow, these adhesions spontaneously dissolve with intermittent foreskin retraction and erections.
Acquired phimosis (pathologic phimosis) - This type of phimosis develops secondary to underlying causes like balanitis, malignancy etc.
Acquired phimosis is a consequence of poor hygiene, forceful retraction of the tight foreskin over the glans penis and recurrent infections.
Along with inability to retract the foreskin, a person suffering from phimosis experiences difficulty and ballooning of the foreskin while urinating, recurrent urinary tract infections or pain during sexual activity.
Application of weak topical corticosteroid creams to the tip of the penis proves to be effective in several cases. Surgery is performed in cases where conservative treatment fails. Circumcision (surgical removal of foreskin) is the only permanent cure.