Phimosis Treatment In Delhi - Dr. Prashant Jain

What is Phimosis?

Phimosis is defined as the inability to retract prepuce.

Nonretractile foreskins are common among young boys and is a part of normal preputial development. The prepuce of new born is nonretractile and at the age of 3 years up to 10% remain non-retractile. It has been seen that 8% of boys at the age of 6 years and 1% at the age of 16 years still had non-retractile foreskin. The foreskin gradually becomes retractile secondary to intermittent erections and keratinization of the inner epithelium. That is most of the prepuce becomes retractile by adulthood.

It is important to understand that most of these phimosis are physiological and do not require any surgical intervention.

What is the difference between Pathological and physiological phimosis?

It is important to differentiate true pathologic phimosis from physiological phimosis. While physiologic phimosis consists of the pliant, unscarred preputial orifice, true pathological phimosis is characterized by the contracted white fibrous ring around the preputial orifice.

What is the treatment of Phimosis?

Most of the patients with phimosis require only reassurance and preputial hygiene. A short course of topical corticosteroids (0.15 triamcinolone/betamethasone/0.1% mometasone) twice daily for 6-8 wks has a success rate of 80-90% in separating preputial adhesions and can be given if the child has symptoms of straining and ballooning of prepuce.

The only indication of surgery (circumcision) is pathologic phimosis with scarred prepuce which is a result of recurrent balanitis.

Most of the phimosis is physiological and self-correcting by adulthood and does not require any treatment.

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