Phimosis is a term used to describe difficulty retracting the penile prepuce covering the head (glans) of the penis. Phimosis may appear as a tight ring or “rubber band” of foreskin around the tip of the penis, preventing full retraction. There are both physiologic and pathologic forms of phimosis, which can complicate the use of the term.
Physiologic phimosis: Children are born with tight foreskin at birth and separation occurs naturally over time. It is common in children between 2 and 4 years of age, is a self-limiting, and resolves once the foreskin becomes more retractile.
Pathologic phimosis: Phimosis that occurs due to scarring, infection or inflammation. Forceful foreskin retraction can lead to bleeding, scarring, and psychological trauma for the child and parent. If there is ballooning of the foreskin during urination, difficulty with urination, or infection, then treatment may be warranted.
Treatment for Phimosis – Circumcision
Grading of Phimosis
Meuli et al. have graded severity of phimosis into following 4 grades, namely,
Grade I— fully retractable prepuce with stenotic ring in the shaft,
Grade II—partial retractability with partial exposure of the glans,
Grade III—partial retractability with exposure of the meatus only, and
Grade IV—no retractability
Treatment of Phimosis
Circumcision is the surgical treatment for Phimosis. Following are the different modalities of doing it:
Open Cut the Foreskin & suture
Laser Cut the Foreskin & suture
Dorsal slit in case of emergency or unfit patient
ZSR Stapler Circumcision
Stapler Circumcision is a 10 min bloodless procedure. Can be done under Local Anesthesia. There is no need for admission and you can go home immediately after surgery. Return to work from next day after Circumcision surgery.
What is the best treatment for Phimosis?
Circumcision is the treatment for Phimosis. You can choose any technique as the results are the same. Cut, LASER and Stapler are the commonly performed techniques.
What precautions I should take after Circumcision?
Avoid masturbation and sexual intercourse for atleast 6 weeks.
When can I go back to work after Circumcision?
You can join back your work from the very next day itself as this is a minor procedure.
Where can I find the best Phimosis Circumcision surgeon in Mumbai? Near me?
Dr. Sunny Agarwal is one of the best Phimosis-Circumcision surgeon in Mumbai. He uses Stapler ZSR circumcision technique routinely as it is bloodless and very fast. Dr. Sunny Agarwal operates in many centers like Chembur, Sion, Ghatkopar, Mankhurd, Tilak Nagar, Andheri, Borivili, Dombivili, Navi Mumbai, Vashi, Kharghar, Thane.