Phimosis & Paraphimosis Expert in Perumbakkam

Your Trusted Partner in Phimosis & Paraphimosis

Phimosis and Paraphimosis are conditions affecting the foreskin of the penis. Phimosis occurs when the foreskin is too tight and cannot be pulled back over the head of the penis, while Paraphimosis occurs when the retracted foreskin cannot be returned to its original position.We offer expert care and personalized treatment plans to address Phimosis and Paraphimosis, ensuring optimal management and resolution of these conditions.

Understanding Phimosis & Paraphimosis

Phimosis:

Phimosis is a condition in which the foreskin of the penis is too tight to be pulled back over the head of the penis (glans). It can occur naturally in infants and young boys and usually resolves on its own by adolescence. However, in some cases, phimosis may persist into adulthood or develop later in life due to various factors. These factors may include repeated infections, inflammation, scarring from injury, or poor hygiene. Phimosis can cause discomfort during sexual activity or urination and may increase the risk of developing infections such as balanitis (inflammation of the glans).

Paraphimosis:

Paraphimosis is a condition in which the foreskin, once retracted behind the head of the penis, becomes trapped and cannot be returned to its original position. This can lead to swelling, pain, and potentially serious complications if not promptly treated. Paraphimosis often occurs as a result of forcefully retracting the foreskin during hygiene practices or medical procedures without returning it to its normal position afterward. It can also occur due to prolonged or improper retraction of the foreskin during sexual activity. Paraphimosis requires urgent medical attention to prevent tissue damage, loss of blood flow to the glans, and other complications.

Both Phimosis and Paraphimosis may require medical intervention depending on the severity of symptoms and associated complications. Treatment options may include topical steroids or creams to reduce inflammation and loosen the foreskin, manual stretching exercises, circumcision (surgical removal of the foreskin), or in severe cases, surgery to correct the condition. It’s essential for individuals experiencing symptoms of Phimosis or Paraphimosis to seek medical evaluation and appropriate treatment to prevent complications and ensure optimal genital health.

Causes of Phimosis & Paraphimosis

Forceful RetractionParaphimosis often occurs when the foreskin is forcefully retracted behind the glans during hygiene practices or medical procedures and becomes trapped in this position.

Improper Hygiene: Inadequate hygiene practices, such as failure to return the foreskin to its normal position after cleaning, can increase the risk of Paraphimosis by allowing the foreskin to become trapped behind the glans.

Medical Procedures: Paraphimosis can also occur as a complication of medical procedures involving the manipulation or instrumentation of the penis, such as catheterization or urological examinations.

Sexual Activity: Prolonged or vigorous sexual activity, particularly in individuals with Phimosis, may increase the risk of Paraphimosis by causing the foreskin to become trapped behind the glans.

Symptoms of Phimosis & Paraphimosis:

Treatments

Lifestyle Modifications:

  • For mild cases of Phimosis, practicing good genital hygiene by gently cleaning the penis with warm water and mild soap can help prevent inflammation and infection. Avoiding harsh soaps, irritating substances, and excessive manipulation of the foreskin can also promote healing and reduce discomfort.

Medications:

  • While medications are not typically used as primary treatments for Phimosis or Paraphimosis, pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate discomfort associated with inflammation or swelling. In some cases, antibiotics may be prescribed to treat or prevent infections if present.

Non-Surgical Treatments:

  • Topical Steroids: Topical corticosteroid creams or ointments may be prescribed to reduce inflammation and soften the foreskin, making it easier to retract. Application of the steroid cream to the tight foreskin twice daily for several weeks may help loosen the skin and improve flexibility.
  • Manual Stretching Exercises: Gradual and gentle stretching of the foreskin under the guidance of a healthcare provider may help loosen tightness over time. This technique involves pulling back the foreskin to the point of discomfort and holding it in that position for a few seconds before releasing. Repeat stretching exercises several times a day for optimal results.

Surgical Intervention:

  • Circumcision: Circumcision is a surgical procedure in which the foreskin is surgically removed, allowing the glans to be permanently exposed. Circumcision is often recommended for severe or recurrent cases of Phimosis that do not respond to conservative treatments. The procedure is typically performed under local or general anesthesia and can be done as an outpatient procedure.
Frequently Asked Question on Phimosis & Paraphimosis
What is Phimosis?

Phimosis is a condition in which the foreskin of the penis is tight and cannot be pulled back over the head of the penis (glans). It can occur naturally in infants and young boys and may persist into adulthood.

What is Paraphimosis?

Paraphimosis is a condition in which the retracted foreskin becomes trapped behind the head of the penis and cannot be returned to its normal position. It is considered a medical emergency and requires urgent treatment.

Can Phimosis or Paraphimosis be treated without surgery?

Yes, mild cases of Phimosis may respond to non-surgical treatments such as topical steroids or manual stretching exercises. However, severe or recurrent cases may require surgical intervention, such as circumcision.

What is circumcision?

Circumcision is a surgical procedure in which the foreskin is surgically removed, exposing the head of the penis. It is often recommended for severe or persistent cases of Phimosis that do not respond to conservative treatments

Is Paraphimosis a medical emergency?

Yes, Paraphimosis is considered a medical emergency because it can lead to serious complications such as tissue damage and impaired blood flow to the glans. Prompt treatment is necessary to prevent these complications.

How can I prevent Phimosis and Paraphimosis?

Practicing good genital hygiene, avoiding forceful retraction of the foreskin, and seeking prompt treatment for any symptoms of inflammation or infection can help reduce the risk of developing Phimosis and Paraphimosis.