In this condition, the foreskin is tight and unable to pull back to see the head of the penis (glans). Sometimes foreskin is retractable when the penis is flaccid but unable to pull back over the glans when the penis is erect.
Usually, the foreskin does not remain the same as with each erection; there is repeated minor trauma to the foreskin. This leads to loss of elasticity due to scarring. In adults, sexually transmitted infections (STIs) or other infections (balanitis) can be associated with this condition.
Skin conditions can also cause this problem:
Foreskin cleaning is essential to avoid infection. She gently washed the foreskin with mild soap or warm water with sea salt while bathing or showering.
Treatment depends on the patient's age and the severity.
Sex with tight foreskin can be painful and require urgent treatment. Its home treatment is possible without a diseased foreskin by daily washing, stretching exercises and clearing the smegma along with steroid creams. Tight foreskin gives balanitis, which requires treatment in the form of antibiotics. Incidence of Circumcision is more in patients with BXO and diabestes in older adults.
Fungal infection causing mild phimosis is treated with antifungal drugs, and early mild BXO is treated with steroid cream. In adults with diabetes with foreskin problems, circumcision is the preferred treatment due to recurrent fungal and bacterial infections.
There are alternatives to full circumcision, such as topical steroid cream, the "pull and burn" method for the frenulum, frenulum excision, V-Y preputioplasty, frenuloplasty, partial circumcision or other medical treatments. These are personal preferences and foreskin conditions and can be discussed further with our specialist- Dr Khan, or Consultant Urologists at a dedicated adult circumcision clinic in London, UK.
A tight foreskin can be stuck behind the head of the penis (glans) due to the presence of a phimotic ring. This is called paraphimosis, which requires urgent treatment.
Cure in adulthood can be done with steroids, preputioplasty and circumcision. The surgery which can retain the foreskin is preputioplasty.
Circumcision remains the standard surgical option for tight foreskin, especially BXO. We take all patients who have problems with foreskin from the UK and abroad.
Where can circumcision be done?
We have two clinics where procedures can be done :
PS: This information is for guidance only and does not replace professional medical advice. Please call Dr Khan for free telephone advice at +447527314081 without any obligation.