Phimosis is the inability to fully retract the foreskin over the glans. It is common and often harmless in young children, but when it causes pain, infection or urinary difficulty, effective treatments are available.
Phimosis can be physiological (a normal, non-scarred adherence present in nearly all newborns that usually resolves with age) or pathological (caused by scarring from recurrent infection, inflammation, or poor hygiene). True pathological phimosis requiring treatment is uncommon in children under 18 and must be distinguished from normal physiological tightness.
| Treatment | Details |
|---|---|
| Topical corticosteroid cream | First-line treatment, combined with gentle stretching over several weeks |
| Circumcision | Surgical removal of the foreskin when creams don't resolve the problem |
With appropriate treatment — whether conservative or surgical — the outlook for phimosis is excellent, with most patients experiencing complete resolution of symptoms.
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