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    Men's Health
    Updated at: January 08, 20255 min read

    Phimosis Treatment UK Guide: What Phimosis Treatments Are Available?

    Phimosis is a common condition that affects the foreskin of the penis, making it difficult or impossible to retract over the glans (head). While this can occur naturally in young boys and often resolves with age, it can persist or develop later in life, causing discomfort and potential complications. Here’s a comprehensive guide to phimosis, its treatments, and how to manage it effectively in the UK.

    Key Takeaways

    What is Phimosis?

    Phimosis is when the foreskin on the penis is too tight to pull back. It’s normal in young boys but can cause pain, infections, and trouble urinating if it doesn’t improve as you grow older.

    Treatment Options:

    • Creams: Special creams like Dermovate can soften the foreskin to make it easier to move.

    • Stretching: Gentle exercises (with a doctor's advice) can help.

    • Surgery: In severe cases, circumcision (removal of the foreskin) might be needed.

    When to See a Doctor:

    If you feel pain, have swelling, or find it hard to pee, talk to a doctor. You can get treatment creams through an online consultation with a registered independent prescriber at UK Meds.

    Phimosis

    What is Phimosis?

    Phimosis occurs when the foreskin is too tight to be retracted from the head of the penis. While it is normal for infants and young boys to have a tight foreskin, it typically loosens by puberty. For adults, persistent or acquired phimosis can lead to discomfort, infections, and other complications.

    Types of Phimosis

    1. Congenital Phimosis: Present from birth, often resolves naturally by puberty (Stewart, W.; 1887).

    2. Acquired Phimosis: Develops later in life due to infections, inflammation, or trauma (NCBI, 2023).

    Symptoms of Phimosis

    • Inability to retract the foreskin.

    • Swelling or redness of the penis.

    • Pain or difficulty during urination.

    • Discomfort or pain during sexual activity.

    • Increased risk of infections like urinary tract infections (UTIs).

    Risk Factors for Phimosis

    • Age: Common in young boys but often resolves by puberty (UCSF Department of Urology, 2024).

    • Hygiene: Poor hygiene can lead to infections that contribute to phimosis (Ro et al, 2008).

    • STIs: Sexually transmitted infections like gonorrhoea can cause foreskin inflammation.

    • Diabetes: Increases the risk of infections and inflammation (Bromage et al, 2008).

    Causes of Phimosis

    1. Congenital Tightness: Some individuals are born with a tight foreskin.

    2. Infections or Inflammation: Conditions like balanitis can cause scarring and tightening.

    3. Trauma: Injuries or forced retraction of the foreskin can lead to scarring.

    4. Repeated Irritation: Attempting to forcefully retract the foreskin can worsen the condition.

    Potential Complications if Left Untreated

    • Infections: Increased risk of balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin).

    • Urination Difficulties: Trapped urine can cause swelling and pain.

    • Paraphimosis: A medical emergency where the foreskin becomes trapped behind the glans (Medscape, 2022).

    • Reduced Sexual Pleasure: Pain during intercourse can lower enjoyment.

    • Fertility Issues: Severe cases can lead to damage affecting fertility.

    Treatment Options for Phimosis

    1. Topical Corticosteroid Creams

    Corticosteroid creams can help soften and stretch the foreskin, making it easier to retract over time.

    Common Creams:

    How to Use:

    • Apply a thin layer to the foreskin once or twice daily for several weeks.

    • Combine with gentle stretching exercises (if recommended by your doctor).

    2. Circumcision

    Circumcision involves the surgical removal of the foreskin and is often recommended for severe or recurring cases of phimosis.

    Procedure:

    • Conducted under local or general anaesthesia.

    • Typically takes about 30 minutes, and most individuals can return home the same day.

    Alternative: Partial Circumcision

    • Removes only a portion of the foreskin, leaving some intact.

    3. Non-Surgical Options

    • Stretching Exercises: Under medical supervision, gentle stretching can help loosen the foreskin.

    • Improved Hygiene: Regular cleaning with warm water can reduce irritation and the risk of infection (Harvard Health, 2024).

    Is Surgery Always Necessary?

    No, surgery is not always required. Many mild cases of phimosis respond well to topical creams and good hygiene. Surgery is typically reserved for cases where other treatments fail or complications arise.

    Benefits of Treating Phimosis

    • Relief from Pain and Discomfort: Improves quality of life during urination and sexual activity.

    • Better Hygiene: Allows for easier cleaning of the penis.

    • Reduced Risk of Complications: Prevents infections, paraphimosis, and other issues.

    • Enhanced Sexual Function: Resolves pain during intercourse.

    When Should You See a Doctor?

    • If phimosis causes pain or discomfort.

    • If there are signs of infection, such as redness, swelling, or discharge.

    • If you experience difficulty urinating or paraphimosis.

    Where to Buy Phimosis Treatment Creams

    You can purchase corticosteroid creams like DermovateBetamethasoneBetnovateEumovate from UK Meds. Complete an online consultation with a registered prescriber to ensure the treatment is appropriate for your condition.

    Phimosis is a manageable condition with a range of effective treatments. Whether through topical creams, improved hygiene, or surgical intervention, you can find a solution that works for you. Always consult with a healthcare provider to discuss the best course of action tailored to your needs.

    Sources

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    Blog author

    Scott Weaver

    Scott is an experienced and professional content writer who works exclusively for UK Meds.

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