What is Phimosis?
Phimosis is a condition where the foreskin (prepuce) covering the tip of the penis cannot be fully retracted. It may appear as a tight ring around the head (glans) of the penis, preventing normal foreskin movement.
Phimosis is classified into two types:
- Physiologic Phimosis: This is normal in children, especially uncircumcised boys. At birth, the foreskin is naturally tight and gradually separates from the glans over time, typically resolving between ages 5 to 7.
- Pathologic Phimosis: This occurs due to scarring, infection, or inflammation. Forceful retraction of the foreskin can lead to pain, bleeding, and psychological stress for the child and parent.
If you notice ballooning of the foreskin during urination, difficulty urinating, or recurrent infections, it may be time for phimosis treatment in Ahmedabad.
Caring for an Uncircumcised Penis
- In infancy, no special care is required. Avoid forceful retraction; gentle cleaning is sufficient.
- During bathing or diaper changes, gently retract the foreskin as tolerated to clean underneath.
- Once the foreskin can fully retract, the child should learn proper hygiene: clean under the foreskin and pull it back over the glans after washing.
Smegma, a natural buildup of skin cells under the foreskin, may appear as white flakes. It is harmless and can be washed away during regular cleaning.
How is Phimosis Diagnosed?
Physiologic phimosis is usually benign and resolves naturally. Mild variations like temporary foreskin ballooning during urination or small cysts under the foreskin are common in uncircumcised boys.
Pathologic phimosis may require medical attention and can cause:
- Painful urination or erections
- Recurrent infections (balanoposthitis)
- Urinary retention
- Paraphimosis (foreskin stuck behind the glans)
Parents are advised to consult a pediatric urologist or the best general surgeon in Ahmedabad for proper evaluation. At Tirtham Surgical Hospital Ahmedabad, Dr. Alpesh Patel provides expert diagnosis and treatment for children and adults with phimosis.
Phimosis Treatment Options
Treatment depends on the severity and the child’s age. Dr. Alpesh Patel, one of the best general surgeons in Ahmedabad, offers personalized treatment plans including:
1. Gentle Daily Manual Retraction
For mild cases, parents can perform gentle daily retraction under supervision. This gradually stretches the tight foreskin.
2. Topical Corticosteroid Therapy
Topical steroid ointments are highly effective in most cases. Commonly used corticosteroids include:
- Hydrocortisone 2.5%
- Betamethasone 0.05%
- Triamcinolone 0.01%
- Fluticasone propionate 0.05%
Application:
- Apply the ointment to the tight foreskin twice daily for 6–8 weeks.
- Combine with gentle manual stretching.
- Once full retraction is achieved, continue mild daily care to prevent recurrence.
This non-surgical approach avoids unnecessary procedures and is well-tolerated by children.
3. Circumcision
Surgical removal of the foreskin (circumcision) is rarely required. It may be recommended for:
- Persistent pathologic phimosis
- Recurrent infections
- Paraphimosis
- Failure of steroid therapy
Dr. Alpesh Patel ensures that circumcision, when necessary, is performed safely and with minimal discomfort, using modern surgical techniques.
Why Dr. Alpesh Patel at Tirtham Surgical Hospital Ahmedabad?
- Recognized as one of the best general surgeons in Ahmedabad
- Expertise in both pediatric and adult phimosis treatment in Ahmedabad
- Comprehensive evaluation and personalized treatment plans
- Advanced facilities for surgical and non-surgical management
- Focus on patient comfort, safety, and long-term results
Patients from Ahmedabad and nearby areas trust Dr. Alpesh Patel for safe, effective, and compassionate phimosis care.
When to Seek Help
Parents or adults should consult a specialist if there is:
- Painful urination or erections
- Recurrent infections
- Ballooning of the foreskin during urination
- Foreskin stuck behind the glans (paraphimosis)
Early intervention prevents complications and ensures normal urinary and sexual health.
Conclusion
Phimosis is common, especially in children, but can be treated effectively with proper care. Whether through gentle stretching, topical steroids, or surgery, Dr. Alpesh Patel at Tirtham Surgical Hospital Ahmedabad provides expert care for patients of all ages.
If you are looking for phimosis treatment in Ahmedabad, consult Dr. Alpesh Patel, one of the best general surgeons in Ahmedabad, for safe, reliable, and long-lasting results.
