Phimosis
Introduction
Phimosis is a common condition in which the foreskin tightens, preventing the glans from being completely unclipped. It can be congenital (present from birth) or acquired following infection, inflammation or trauma.
⚠️ Severe phimosis can lead to pain, infection and urinary or sexual complications.
💡 Good news: solutions do exist! With the right treatment, you can regain comfort and well-being in your daily life.
What is phimosis?
Phimosis is a narrowing of the foreskin that prevents or makes it difficult to unhood the glans. It is
📌 A few figures:
✅ Around 10% of 3-year-olds still have phimosis.
✅ It persists in 1% of adolescents and adults and can cause discomfort.
✅ Aggravating factors include infection, inflammation, trauma and painful intercourse.
What are the symptoms?
Phimosis can be asymptomatic, but when it becomes problematic, several signs may appear:
- Difficulty or impossibility of detaching the glans
- Pain during erections or intercourse
- Frequent infections (balanitis, urinary tract infections)
- Redness, swelling and inflammation of the foreskin
- Urinary discomfort in cases of severe narrowing
📌 Phimosis can develop gradually. Prompt treatment can prevent complications.
What causes phimosis?
Phimosis can be caused by :
1️⃣ Congenital (since childhood)
- Foreskin naturally tight from birth.
- May persist if unhooding has never been possible.
2️⃣ Acquired (development in adulthood)
- Chronic infections and inflammation (balanitis, posthitis).
- Repetitive strain injury (forced unhooding, excessive rubbing).
- Excessive scarring due to foreskin fibrosis.
- Diabetes (promotes infection and tissue rigidity).
📌 Phimosis may be progressive and require appropriate management.
Impact of phimosis on daily life and intimacy
Phimosis can lead to a variety of complications, impacting comfort, health and sex life.
- Pain during intercourse (dyspareunia).
- Difficulty or inability to maintain proper intimate hygiene.
- Increased urinary tract and genital infections.
- Aesthetic discomfort and loss of self-confidence.
💡 It’s essential to consult a specialist to avoid aggravation and return to a life free of pain and discomfort.
What solutions exist?
1️⃣ Drug treatments (mild to moderate cases)
- Corticoid-based creams (betamethasone): soften the foreskin and facilitate its enlargement.
- Local antiseptics in case of associated inflammation.
- Antibiotics if infection is present.
📌 Creams are often effective for children and teenagers, but less so for adults.
2️⃣ Surgical treatments (Severe or Persistent cases)
If drug treatments are not sufficient, surgery may be proposed:
- Posthectomy (partial or total circumcision): removes all or part of the foreskin.
- Foreskin plasty: enlarges the orifice to allow unhooding without completely removing the foreskin.
📌 Surgery is a definitive and effective solution, suitable for cases resistant to local treatments.
Why consult a specialist?
A consultation allows :
- Assess the severity of phimosis and its consequences.
- Consider appropriate treatment (creams, exercises or surgery).
- Avoid complications and regain comfort and well-being.
📌 Don’t let phimosis spoil your daily routine. The sooner it’s caught, the easier it is to treat.
Do you suffer from phimosis?
Requirements
- Erectile dysfunction
- Lapeyronie's disease
- Prostate problems
- Urethral stenosis
- Phimosis
- Varicocele
Expertise
- Malleable implant placement
- Hydraulic implant installation
- PRP injection
- P-Shot injection
- Bocox injection
- Shock waves
- Botox injection (Scrotox)
Patient pathway
Let me introduce you to the classic patient journey, my approach to urology and the way I work.
Do you suffer from phimosis?
Don’t let this problem affect your comfort and intimacy.
📍 Cabinet Urologie Paris Opéra – Paris 17th district
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