Phimosis is a condition in which the foreskin does not retract properly. At Andrología Barcelona, our urologists offer personalized solutions to treat phimosis, improving the patient's quality of life.
Phimosis
What is phimosis?
Phimosis is a condition in which the foreskin (the skin covering the glans of the penis) cannot be fully retracted behind the glans. This condition is common in young children and, in most cases, resolves on its own over time. However, if it persists into adolescence or adulthood, it may require treatment.
Types of phimosis and their causes
There are two types of phimosis.
Physiological phimosis
It is completely normal in newborn boys and usually resolves naturally as they grow older. The foreskin gradually separates from the glans and becomes more elastic.
Pathological phimosis
Occurs when phimosis persists beyond adolescence or develops into adulthood.
The most common causes are usually recurrent infections of the foreskin (balanitis), scarring after inflammation or trauma, dermatological conditions such as lichen sclerosus.
The best professionals in the treatment of phimosis in Barcelona
If you are worried about the problems derived from a possible phimosis, at AndrologíaBarcelona we have a team of experts.
Symptoms of phimosis
The main symptoms of phimosis are pain during erection or sexual intercourse, difficulty or pain when retracting the foreskin and recurrent infections of the penis.
What happens if I don't treat phimosis?
Treatments for phimosis performed at AndrologíaBarcelona
Conservative treatment
To treat phimosis conservatively and reduce pain and discomfort, consider the following:
Use corticosteroid creams: This treatment is usually the first line of action in mild to moderate cases of phimosis. Corticosteroid creams help to reduce inflammation and improve the elasticity of the foreskin, facilitating its progressive retraction. Their use is recommended under medical supervision, as treatment must be continued for a few weeks to obtain results.
Gentle stretching: In some cases, and always under the indication of a specialist, a programme of manual stretching of the foreskin can be carried out. This method involves gently and gradually stretching the foreskin to widen the opening. However, it is important to do this correctly to avoid injury or worsening the condition.
Surgical treatment
In case the symptoms or the risk of complications cannot be controlled with lifestyle changes, pharmacological treatment, i.e. pills, should be initiated. The different treatments will be differentiated by the type of symptoms to be treated and their origin, as well as by the size of the prostate and the characteristics and preferences of the individual patient.
Classic circumcision
This is the most common surgical procedure to treat severe phimosis. It involves the complete removal of the foreskin, which leaves the glans permanently exposed. Circumcision is a definitive solution that prevents future recurrences of phimosis. Although it is a simple and low-risk procedure, it may require several days of recovery.
Prepucioplasty
Instead of removing the foreskin completely, this surgical technique involves making small cuts in the foreskin to widen it, allowing it to retract smoothly. It is a less invasive option than circumcision and preserves the foreskin, which may be preferred by some patients. Preputioplasty offers an effective solution for those who wish to maintain foreskin tissue.
No-scalpel circumcision
A recent advance in the surgical treatment of phimosis is the use of the automatic stapler, also known as scalpel-free circumcision.
This device allows circumcision to be performed more quickly and accurately, using surgical staples that dissolve over time. The technique reduces surgical time, minimises bleeding and shortens the recovery period. In addition, scars tend to be smaller and more aesthetically pleasing. It is an increasingly popular option due to its efficient results and low risk of complications.
Frequently asked questions about phimosis
Treatment of phimosis depends on the age of the patient and the severity of the condition:
Is phimosis dangerous?
It is not usually dangerous in children, but in adults it can cause discomfort or urinary and sexual problems if left untreated.
When should I consult a specialist?
If your son is over 4-5 years old and the foreskin does not retract or if as an adult you have pain, infections or difficulty urinating due to phimosis, it is advisable to see a urology specialist. At Andrologia Barcelona, we have a specialist in paediatric urology.
Is circumcision the only solution for phimosis?
No. Although it is a common treatment, it is not the only option. Steroid creams and other less invasive procedures can also be effective in many cases.
Is the surgery painful?
Circumcision and other surgical treatments are performed under anaesthesia, so the patient feels no pain during the procedure. Afterwards, there may be discomfort, but this is controlled with medication. At Andrologia Barcelona, we perform circumcision without a scalpel, which results in less pain and better recovery time.
What care should I follow after surgery?
It is important to keep the area clean, follow medical advice on hygiene and avoid strenuous physical activity until the area is fully healed.
Do you need more information about phimosis treatment?
At AndrologíaBarcelona we are experts in the treatment of phimosis. Do not hesitate to contact us to clarify all your doubts.