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. It 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.
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 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.
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.
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.
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.
If you have circumcised your child, you will be instructed on ways to help the child maintain hygiene to prevent infection.
It takes at least two weeks to recover from the effects of a surgery.
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.
The results of the treatment are permanent.
There are no home remedies for treating tight foreskin.