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Male Sexual Dysfunction
Phimosis
Phimosis is a condition where the foreskin is too tight to be retracted over the glans penis. It can be physiological in young boys or pathological due to scarring and chronic inflammation.
85%
Success Rate
4-8 weeks for steroid therapy; 2-4 weeks recovery after surgery
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Phimosis?
Phimosis is a condition where the foreskin is too tight to be retracted over the glans penis. It can be physiological in young boys or pathological due to scarring and chronic inflammation.
Prevalence: Affects 2-10% of uncircumcised adults; common in boys under 10
Symptoms and Signs
- •Inability to retract the foreskin fully
- •Ballooning of the foreskin during urination
- •Pain or difficulty during erections
- •Recurrent urinary tract infections
- •Pain during sexual activity
- •Inflammation under the foreskin
Causes and Risk Factors
Common Causes
- →Normal developmental stage in young boys
- →Recurrent inflammation or infections
- →Scarring from forceful retraction
- →Lichen sclerosus (BXO)
- →Poor hygiene
- →Diabetes-related skin changes
Risk Factors
- ⚠️Uncircumcised status
- ⚠️Recurrent balanoposthitis
- ⚠️Diabetes mellitus
- ⚠️Poor hygiene
- ⚠️History of forcible foreskin retraction
Treatment Options
Expected Outcomes: 85-90% success with topical steroids in mild cases; surgical options highly effective for severe phimosis
Available Treatments:
- ✓Topical corticosteroid creams
- ✓Gentle stretching exercises
- ✓Preputioplasty (foreskin widening surgery)
- ✓Circumcision (partial or complete)
- ✓Dorsal slit procedure
- ✓Treatment of underlying skin conditions
Prevention Tips
- →Gentle hygiene without forceful retraction
- →Avoid forcibly retracting foreskin in children
- →Treat inflammation promptly
- →Manage blood sugar if diabetic
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