Last Updated: Dec 02, 2021
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Tight Foreskin Treatment - Procedure, Cost and Side Effects

About Symptoms Causes Diagnose Treatment Eligibility Ineligibility Side Effects Prevention Complication Post-treatment Guidelines Recovery Diet Cost Results Alternatives Physical Exercises

What is Tight Foreskin?

Having a tight foreskin is a condition where the foreskin cannot be pulled over the head of the penis. It occurs in uncircumcised males and is a rare condition that affects fewer than a million people a year. Phimosis looks like a tight rubber band of skin right at the tip of the penis.

Tight foreskin treatment can cause a series of complications like bleeding, painful urination, or even an infection around the foreskin. It is important to note that having a slightly tight foreskin is common in children and it goes away with gentle and regular retraction. It is only when it begins to create problems and does not retract properly that it becomes a condition that must be treated.

There are many treatment options to reverse this condition. The right treatment option for your child depends on how severe the condition is and the symptoms that come along with it. One of the most common ways to treat it is through supportive care.

Phimosis can be treated with the medical procedures as well as through medications that come in the form of creams and ointments. However, if these treatments fail to work, then you may have to resort to surgery. The treatments are, on the whole, very effective and phimosis is a condition that can be treated quite easily and quickly.

What are the symptoms of Tight Foreskin?

General symptoms of the right foreskin include:

  • Painful urination
  • Redness
  • Swelling
  • Soreness
  • Inflammation
  • Itching
  • Thick fluid under the foreskin
  • Numbness and skin splitting during intercourse

Not all symptoms come at once. It depends on the cause which is responsible for the symptoms.

What causes Tight Foreskin?

The causes of the right foreskin depend on age. During the early stage of manhood, it is congenital and may lose as they grow. Mostly the condition may be cured by the age of 7.

In later stages, when a boy hits puberty and reaches sexual maturity. Tightness of foreskin can be there for a lot of reasons, Some of them are:

  • Balanitis
  • Balanoposthitis
  • STIs
  • Genital herpes
  • Gonorrhea
  • Syphilis
  • Lichen planus
  • Lichen sclerosus
  • Eczema
  • Psoriasis

What happens if foreskin is tight?

The key objective of the foreskin is to cover the penis and protect it from external environmental threats. If the foreskin fails to cover the whole penis or is tight enough to suffocate the muscles and veins which can lead to several problems like phimosis, a bacterial and fungal infection that can further cause painful intercourse swelling, soreness, and difficulty urinating. The condition is quite rare as skin loses itself by the time one reaches adulthood, but if not medical help is necessary to cure the pain.

How Tight Foreskin are diagnosed?

Since it is a physical condition, it is often being diagnosed with a general examination. Your doctor may collect your medical, sexual, and injury history in order to know the root cause.

After a general diagnosis, your doctor may recommend a couple of tests like urine and blood tests to check the traces of glucose in case of high blood sugar. If there is an oozing liquid under the foreskin, your doctor may also take a swab sample in order to diagnose any traces of infection.

How is tight foreskin treatment done?

The condition of having a tight foreskin is something that can be diagnosed through sight and a physical examination. There are no other diagnostic tests required, unless the child is also suffering from an infection in the foreskin. If that is the case, a blood test is usually needed to see the kinds of bacteria in the infection and administer the appropriate treatment accordingly. Once the child has been diagnosed with tight foreskin, the treatment can commence.

The first step in tight foreskin treatment will be supportive care. Since this is something that occurs in children, you will first just be asked to monitor and report any changes you may see. With gentle and regular retraction, the condition can be resolved on its own. However, if this does not work over a period of time, then your doctor may perform a medical procedure to stretch the foreskin. This will loosen it up and allow it to retract properly as needed. If these means don’t work, then it’s time for medicine.

Your doctor may prescribe steroid creams to be applied on the foreskin. The dosage will depend on how tight the foreskin in and all you have to do is apply as directed. This should loosen the skin up. If this does not work, your doctor will recommend surgical circumcision to remove the foreskin altogether. Circumcisions are common procedures and occur quickly. Sometimes, they are performed under local anaesthesia to avoid knocking out the child completely.

Who is eligible for tight foreskin treatment? (When is the treatment done?)

If your child has a tight foreskin that is causing painful urination, bleeding, or infections around the skin, then you should seek treatment for the same.

Who is not eligible for the treatment?

If your child is uncircumcised and the foreskin is a bit tight, you should wait and provide supportive care to see if the condition resolves itself on its own. If you do not do so, you may be subjecting your child to medical treatments unnecessarily.

Are there any side effects of Treatment for Tight Foreskin?

Creams with steroids can sometimes lead to the thinning of skin. However, in this case, that is not a problem. Circumcising your child can lead to pain for a few days after the procedure. Maintaining hygiene in the area and ensuring that the dressings are changed regularly can prevent an infection from occurring.

Is Tight foreskin a serious problem?

Even though tight foreskin does not lead to serious medical complications it may develop a lot of discomfort in your genital area. Due to the friction, people often suffer through symptoms like redness, pain, and inflammation which not only agitate but also hamper actions like fornication and urination. It is advisable to seek medical attention if discomfort is prolonged and increasing.

Furthermore, the condition rarely even turns into a medical emergency, as tight foreskin naturally loses itself by the time of adulthood.

How to prevent Tight Foreskin?

Here are some prevention methods that one can use to avoid tight foreskin:

  • Practice safe sex, using condoms and lubricant during intercourse not only prevents you from sexually transmitted infection but also eliminates the risk of splitting.
  • The use of intimate wash on a regular basis can reduce the risk of bacteria infection under the foreskin.
  • Wearing loose clothes will keep it free from any bacterial growth.
  • Manually practice the skin stretching exercise during the bath or general wash.

Can Tight Foreskin go away on its own?

In the case of infants, tightness in the foreskin generally loosens up as they grow. It rarely needs a medical assistant at that stage.

In the case of adults, one may need to consult a doctor as it can worsen if left untreated.

How painful is a Tight foreskin?

Depending upon the type, duration, and intensity of discomfort, pain tight foreskin can be so less that you won’t even feel so much that one needs medical help to get it treated. Not only during daily exercise and locomotion, but it can also create painful sensations during intercourse and urination.

Not only its tightness but also its lack of coverage to the penis can lead to a bacterial and fungal infection that might cause pain, redness, and inflammation.

The good news is it can be easily cured with the help of some medical treatment, self-care, and good hygiene practices.

What are the post-treatment guidelines of tight foreskin surgery?

If you have circumcised your child, you will be instructed on ways to help the child maintain hygiene to prevent infection.

How long does it take to recover after tight foreskin surgery ?

It takes at least two weeks to recover from the effects of a surgery.

What to eat in Tight Foreskin?

Follow a healthy balanced diet enriched with all kinds of nutrients, vitamins, and minerals to keep your body healthy and strong.

There is no specific dietary plan that can cure tight foreskin.

What not to eat in Tight Foreskin?

Things like external drugs, smoking, and alcohol consumption should be avoided as they can worsen bacterial growth or make your urine more toxic to pass through.

Should I go to urgent care for Tight Foreskin?

It is rare that a tight foreskin creates a medical emergency, but in some cases where it becomes so tight that one is not able to move, it can be very painful and discomforting.

Seek medical help in case one finds it difficult to urinate or perform intercourse with pain and swelling.

What is the price tight foreskin treatment in India?

The price of circumcision can range from Rs. 25,000 – Rs. 50,000, depending on where you are getting the procedure done from. Steroidal creams cost anywhere between Rs. 100 – Rs. 300.

Are the results of tight foreskin treatment is permanent?

The results of the treatment are permanent.

What are the alternatives of tight foreskin treatment?

There are no home remedies for treating tight foreskin.

Can tight foreskin go away?

As mentioned earlier, tight foreskin cases rarely need medical attention and extensive measures of treatment, as the skin has the natural tendency to loosen up as they grow. But if the tightness is disrupting an individual life routine then here are some of the tips that your doctor may suggest after having a detailed analysis of the situation.

  1. Exercise:-

    One of the most effective and natural ways to loosen up the foreskin is exercise. Even in severe cases, your doctor may ask you to follow the exercises. The procedure is used for both treatment and post-treatment prevention measures to ensure comfort.

    It consists of a gentle and slow pullback of the foreskin, following by some motion to create room. It is recommended to the patient from a very young age and it can take place when you take a bath or clean your penis.

    Note: Do not overpull the skin as it can create severe damage to the glands and soft connecting tissues underneath.

  2. Over-the-counter (OTC) medication:-

    Ointments, creams, and oral pills are only recommended in the worst case of phimosis. Creams like hydrocortisone are commonly recommended steroids for tight foreskin. Read the instructions given on the box carefully and use it as directed by your doctor. Gently massage the ointment into the foreskin twice per day along with daily exercise for best results.

  3. Prescription medication:-

    A combination of antibiotics and topical steroids is recommended to treat bacterial or fungal infection developed due to the tight foreskin. Medications like:-

    • Betamethasone (Celestone)
    • Triamcinolone (Aristopan)
    • Erythromycin (Ilotycin)
    • Miconazole (Lotrimin AF)

    It is recommended to strictly follow the timeline of the prescription given by your doctor. Exceeding the intake of antibiotics can create resistance in your immune system, which makes it harder for the patient to get cured/

  4. Surgery:-

    Surgery is recommended if exercise and medication do not show any effects. Your doctor will run through all the suggested methods of treatment with you before surgery, here are some common methods that are used to treat tight foreskin:

    • Circumcision:

      Can be described as the complete removal of the foreskin through surgery. The surgery is usually recommended in severe cases of phimosis or chronic foreskin infection.

    • Preputioplasty:

      This type of surgical procedure involves a less comprehensive surgery as compared to circumcision where the foreskin is cut and stitched back. The procedure is preferred only as it gives an appearance of an uncircumcised penis to the patient.

    • Frenuloplasty:

      Identical to preputioplasty, it involves the surgical separation and removal of the underside of the foreskin making it lose enough for the penis to be covered easily and completely.

Physical Exercises for the people suffering from Tight Foreskin:

Physical exercise like gentle skin stretching can be beneficial and help you lose up the tight foreskin.

It is best when you bathe or wash your penis as it is well lubricated. Gently move your foreskin up and down without making a stretch to lose up the foreskin. You can also ask your medical advisor to know more about exercise as it can be harmful if not done properly.

Summary: If the skin above the penis is not able to cover the penis it is considered as the tight foreskin. A tight foreskin is not a serious condition, but it can be very discomforting, if not treated on time.

Popular Questions & Answers

I am 35-year-old. My sexual life has become a little bore and I want to bring the excitement back for me as well as for my husband. I am planning for labiaplasty surgery for vaginal tightening. I have read that after labiaplasty a woman can experience lifelong sexual arousal problems. Is this true?

MBBS, DGO, DNB, Fellowship in Minimal Access Surgery ( FMAS)
Labiaplasty carries almost no risk pertaining to sexual arrousal or sensation during the recovery period or later. Labioplasty surgeon makes sure to remove labial tissue that does not have any nerve ending. Clitoris and labia minora has significan...

For the last year or so i've had persistent genital thrush affecting my foreskin it cracks, bleeds and is very painful to retract. The thrush responds to daktacort cream but then returns after a few weeks. Should I ask my gp if I can have a circumcision? I know that'd be painful, but only once rather than every few weeks.

MBBS Graduated From, Diploma in Psychiatry Medicine, Diploma in Human nutrition, Diploma in Immuno-Haematology and Blood Transfusion, Advance Diploma in Physiotherapy(PGAHI) Singapore, Diploma Sport & Exercise Medicine, Residential training in Dermetology
General Surgeon, Koppal
Hello Mr. lybrate-user, we are happy to assist you in a better way meanwhile tysm for posting your queries here according to you provided history we are not elicit clinically for that you need to take online consultation from me or any expert cosm...

Sir since last month i'm suffering from phimosis and wounds oh foreskin of penis. When i'd applied any cream it increased only betadine is only little bit working to control not to treat. Some skin is getting black and remove after harder. Please help me.

MCh [Urology & Kidney Transplant], MS - General Surgery
Urologist, Lucknow
Phimosis will require circumcision if it is leading to recurrent infection of foreskin (balanoposthitis). Firstly balanoposthitis has to be managed and then you can go for circumcision. Nowadays zsr circumcision offers good cosmesis and early reco...
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Hello I have done sex for 4 times in 4 hrs by using durelx condom last time. My foreskin of my penis went up not came automatically it came to normal by doctor support. The doctor suggested to circumcision pls suggest if any without surgery.

MBBS, MS - General Surgery, Diplomate of National board in Surgical Oncology, Christian Medical college,Vellore
General Surgeon, Kolkata
Hii A tight foreskin which can't be retracted down can lead to EMERGENCY and discomfort right when you are seeking pleasure.It can additional lymph lead to infection and UTI. kindly get your sugars checked, rule out allergy to latex used in condom...

I got some small tiny red colored on my penis since 2 weeks back. And when I am pulling my foreskin back I am getting little pain and total skin inside penis became red color. After that I consulted skin doctor regarding this issue, doctor prescribed azithromycin and clotrimazole ointment. I have used the both but still issue not resolved. Please help me.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Balanoposthitis is a condition that affects the penis. It causes inflammation of the foreskin and glans. The foreskin, also known as the prepuce, is a fold of movable skin that covers the glans of the penis. The glans, or head, is the rounded tip ...
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