What is it?

Problems with foreskin (phimosis and paraphimosis)

This is a condition where the foreskin does not pull back (retract) over the glans. This is common in young boys. After the age of 5 years the foreskin will usually retract easily so the glans can be gently cleaned. You are more likely to develop a balanitis if you have a phimosis, as sweat, debris and urine may collect under the foreskin. This can irritate directly, or can encourage bacteria to thrive and cause infection.

By age 10

most boys will have a retractile foreskin

95%

of boys will have a retractile foreskin by 16-17 years of age

8%

of 6 to 7-year-old boys have an incidence of phimosis

1%

of males aged 16-18 have an incidence of phimosis

Problems with foreskin (phimosis and paraphimosis)

Overview

It is one of the most common problems and relatively minor.

Phimosis is not a problem unless it causes difficulties such as urinary obstruction, haematuria or local pain.

However, ‘phimosis’ can cause major discomfort. A tight constricting band or scar in the skin of the foreskin prevents the foreskin being retracted back over the head of the penis.

This can occur at any age but particularly in young men after puberty. It can also cause severe pain and splitting of the foreskin on erection.

Paraphimosis occurs when a tight prepuce is retracted and then unable to be replaced as the glans swells. This is a urological emergency. Always check there is no encircling foreign body constricting venous return, such as a ring, rubber band or hair.

I think I have problems with my foreskin (phimosis and paraphimosis)

What is the next step?

Book a consultatation with one of our highly experienced doctors. They will be able to give you an accurate diagnosis.

If the band is not too ‘established’ with scar tissue, it is possible to perform a ‘preputioplasty’ in which the foreskin is made ‘looser’ through a skillful couple of ‘nip-tuck’ incisions and fine stitching and the foreskin is preserved.

However, circumcision is the mainstay of treatment if the foreskin is scarred by balanitis xerotica obliterans. You options will be discussed with you.

Problems with foreskin (phimosis and paraphimosis)

Learn more

What are the treatments for Problems with foreskin (phimosis and paraphimosis)

Circumcision sketch

Circumcision I

Circumcision is the mainstay of treatment if the foreskin is scarred by balanitis xerotica obliterans. This is one of medicine’s oldest operations.

Please view the PDF for more detailed information: Circumcision

Circumcision sketch

Circumcision II

What are the treatment costs?

Consultation costs

Consultations: £195

Follow up appointments: £150

Treatment costs

Cost of Circumcision under general anaesthetic as a day case: £1869

Cost of Circumcision under local anaesthetic as an outpatient: £850

If you have any further queries regarding finance and your treatment cost – then please contact us on 0117 980 4118

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