Tag 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  adult-male-circumcision.com/photographic-examples/  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

Why an adult circumcision? Why not just a dorsal slit?

Why is there a need to remove the prepuce?  Why not just a dorsal slit?   Clyde Dear Clyde, A dorsal slit is performed under unusual circumstances, such as a patient who needs justifiable relief from phimosis or intractable balano-posthiits, and usually is too ill or not safe to proceed with full adult circumcision.  Example: a…Continue Reading

(FAQ) What’s balanitis, posthitis, are they related to phimosis? | Dr. Harold Reed | The Reed Centre for Cosmetic Circumcision

Dr. Reed, I am uncircumcised but told because I have difficulty retracting my foreskin I have phimosis.  Does this mean I also have balanitiis and posthitis?   This could be an insurance coverage issue.  Greg Dear Greg, Most insurance companies will fund for an adult circumcision to correct phimosis, regardless if you have balanitis or…Continue Reading

(FAQ) Phimosis | Dr. Harold Reed | The Reed Centre for Cosmetic Circumcision

Dr. Reed, Have some degree of phimosis and am contemplating an adult circumcision.  Do you have any before and after pictures of patients with phimosis who you have operated on?  Oscar Dear Oscar, Phimosis remains the most common medical reason for adult circumcision.  If you go to our web-site http://adult-male-circumcision.com/photographic-examples, look at examples #10 through #…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

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

Dorsal slit versus an adult circumcision for phimosis

Dr. Reed,  Have a tight phimosis and my doctor suggested do a dorsal slit first, let that settle down and after 2 to 3 months, remove the rest with an adult circumcision?  Would you agree? Ham Dear Ham, A dorsal slit, in my opinion is only reserved for serious infections or an unstable patient who should not…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