Phimosis - Its symptoms and treatment

  • By Team TDO

Phimosis is usually congenital but could be the result of an infection too.

If the condition is due to repeated infection finally causing scarring and narrowing of the preputial ring, it would rarely be called a primary and congenital anomaly.

Patients with Phimosis have difficulty with voiding and ballooning of the prepuce.

Balanoposthitis, which is a bacterial infection, may occur

The infection of the foreskin will spread if not treated, which results in the foreskin swelling, this leads to difficulty in retracting the foreskin over the glans. Phimosis begins with an infection of the foreskin. If untreated, the infection spreads and the foreskin swells up.

Signs and Symptoms of Phimosis:

  1. Red, swollen and painful
  2. Straining during passing urine
  3. Pus in the external urinary meatus
  4. Hardening and scarring of the prepuce – this is usually a late sign
  5. Odorous discharge

Diagnosis and Treatment:

  1. Phimosis is diagnosed by a physical examination
  2. Antibiotics may control the infection
  3. Hot soaks may help separate the foreskin from the glans. If they fail, a small incision is made to release it.
  4. Circumcision is generally advised when the inflammation clears.