Category Archives: Phimosis

Worried about phimosis which is not going away, am 24

Dr. Reed, Have serious phimosis.  Unable to retract my foreskin over my head.  I am 24 and worried.  What is the best ways to manage this and any alternatives?  I am very nervous.  Kent

Dear Kent,

Phimosis is a normal situation for newborns and by the time a man reaches 18 years of age, only 3% still have phimosis.  The others can retract fully without difficulty. The best treatment for phimosis is adult circumcision.  Others will mention steroid creams which may work temporarily but the phimotic tendency will return again and again.  With each stretching event the elastic fibers of your foreskin are replaced with scar fibers, which only when stretched and  broken reform with more scar.

If you wish to maintain semblance of a foreskin, you need at least to have the scarred portion removed.  Another procedure called a preputioplastycould be considered, but if you look at the medical illustrations, I can’t imagine you’ll be happy with that.

Please see before and after phimosis pictures on our web-site  Start at Phimosis Example: 10/1 – 10/3 and scroll down.

Here’s an article re: preputioplasty on children.  Note this was written in 2003 and from the UK  J R Soc Med. 2003 Sep; 96(9): 452–453.

23 boys (mean age 5 years; range 1–10) underwent preputioplasty as a day case under the care of two consultant urologists in the course of 3 years. The procedure was offered to those who had a problematic irretractable prepuce with a clear tight band and no evidence of balanitis xerotica obliterans (lichen planus et atrophicus). Under general anaesthesia, a dorsal longitudinal incision is made through the tight preputial band. After haemostasis, the wound is closed horizontally with a 4/0 Vicryl Rapide suture (Figure 1). Parents were asked to begin retraction of the foreskin the next day, placing 2% lidocaine gel behind it, and to continue for three days. The questionnaire (available from the authors) asked parents to address nine questions concerning the outcome and their satisfaction.

Image result for image preputioplasty

Preputioplasty with dorsal incision
Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision | Miami
Phimosis picture
Phimosis picture
Phimosis picture with inflammation and micro-tears
Picture of phimosis treated with adult circumcision

Have phimosis, treatment options?

Dr. Reed, Have phimosis. What are the treatment options.  Jared Dear Jared, Phimosis is a normal congenital condition which only persists in about 3% of men over 18 years of age.  If you’re an adult and a trial of steroid creams has not resulted in a permanent cure, I would suggest an adult circumcision. We…Continue Reading

High and tight circumcision redux (aka ultra tight circumcision)

Dr. Reed, Can you perform an ultra tight circumcision?  What are the advantages of high and tight circumcision?  Richard Dear Richard, Yes, if you do not have phimosis we can do a high and tight circumcision . Please be advised however that the inner skin which is being preserved is the portal through which HIV infection occurs.  If you’re inclined to have…Continue Reading

(FAQ) What are the medical reasons for adult circumcision | Dr. Harold Reed | The Reed Centre for Cosmetic Circumcision

Dr. Reed,  Why do adult men seek circumcision?  Are there any medical reasons?  Chaz Dear Chaz, Here are some medical reasons why a man might choose to get circumcised: Phimosis: This is a medical condition in which the foreskin covering the penis is too tight and is hard to retract. Penile cancer: Although rare, penile cancer is…Continue Reading

Phimosis FAQ | Dr. Harold Reed M.D. | Miami

Dr. Reed,  Have been battling with phimosis for nearly all my adult life and have tried steroid creams, antibiotic creams, sexual abstinence, you name it, and does occasionally get somewhat better but at this point I am a believer that I will need an adult circumcision.  Do I have options for circumcision styles?  Chris Dear…Continue Reading

Not outgrowing Phimosis

Dr. Reed,  Have chronic phimosis was results in tears and bleeding from time to time.  Unable to easily retract my penis for daily hygiene. Creams have not worked.  I am now 25 and hope you can solve this annoying problem. Keith Dear Keith, Phimosis is one of the most frequent medical reasons why patients come…Continue Reading

After adult circumcision pictures, looking for the best circumcision style

Dr. Reed, I am doing some research circumcision style pictures to help solidify my preference for adult male circumcision which I will be having at the Reed Centre next month.  Bruce Dear Bruce,  Thank you for looking at our before and after circumcision pictures of adult circumcisions and circumcision revisions at If you do not…Continue Reading

Have Phimosis, would you propose an adult circumcision

Dr. Reed,  My foreskin retracts with difficulty, a condition I have had ever since I can remember.  Occasionally there is tearing and some bleeding with sex.  Would you recommend an adult circumcision? Myron Dear Myron, Phimosis is a condition in which the foreskin of the penis cannot be pulled back past the glans.  The word…Continue Reading

Phimosis. Foreskin tightness during retraction and sex

Phimosis?  I’m a 42 yr old male uncircumcised and recently I’ve been experiencing tightness foreskin and some pain when retracting and during sexual activity. Jason Dear Jason, From what you describe you have early onset phimosis.  Medical creams may temporize the situation, but I would be inclined tor recommend you consider a cosmetically performed adult…Continue Reading

Adult Circumcision needed but keep frenulum piercings

Sorry Doc Reed, To clear up my last email what I meant to say was  If money was not an issue, I’d have you do the Vasectomy as well..since it would make sense. Around how much is an adult circumcision! My Foreskin is very hard to retract n it hurts n it burns! I can…Continue Reading