Phimosis and Paraphimosis

Phimosis And Paraphimosis – What Are They And How To Treat Them?

All diseases and ailments associated with the penis are very shameful to men. Many of them wait a long time before they visit the doctor after they observe disturbing changes. However, no whatever problem you have, you should consult a specialist as soon as possible. One of the typically male diseases is paraphimosis, also called the Spanish collar. Another ailment is phimosis. Both phimosis and paraphimosis are conditions that must be treated! In the article below, we will discuss issues related to phimosis and paraphimosis.

What is phimosis

Most commonly, phimosis occurs in small children. However, this condition also affects adult men, in which the foreskin of the penis cannot be pulled back past the glans. There are two types of this condition:

– full phimosis – in which the glans cannot be unveiled;

– incomplete phimosis – in which the removal of the foreskin is possible, but only:

  • partly,
  • when the penis is flaccid.

In a situation when unveiling of the penis’s head is possible (even during an erection), but the foreskin tightens right past it, we also deal with incomplete phimosis.

Phimosis in children

Typically, phimosis is diagnosed in young boys. However, it cannot be recognized before the age of 2. Why? Because before the age of 2 little boys’ foreskin adheres very closely to the glans, and even sticks to it with smegma (fatty secretion). Smegma elutes with time  and usually the foreskin can be freely removed from the glans. Phimosis in children can be diagnosed only around the age of 3, when there is a problem with slipping the foreskin off the glans.

How is phimosis diagnosed and evaluated?

The diagnosis is usually quite simple. In small boys, the main symptom would be the difficulty pulling the foreskin back off the glans, as was already mentioned. In teenagers and adult men the symptoms are similar: it may be difficult to slip the foreskin off of the glans or a part of it. Additional symptoms include pain during intercourse (sometimes the pain is so great that the man has to stop the intercourse), as well as frequent inflammation. However, the diagnosis and assessment should take place in a doctor’s office.

If you have any difficulty in retracting the foreskin behind the glans, be sure to see a doctor!

How is phimosis treated? Surgery and more…

Phimosis is a small anatomical defect, which, however, can lead to dangerous complications. Therefore, treatment is necessary. How is phimosis treated? Most often you have to undergo penis plastic surgery or circumcision. These surgeries are performed by surgeons or surgeons. This type of treatment is performed in many clinics.

Cosmetic foreskin surgery – this is the most common procedure performed when phimosis is diagnosed. It is performed under local anesthesia. The method is not very invasive, however, the patient has to undergo rehabilitation, which usually takes about 2 weeks.

Circumcision – this procedure is much more invasive, but in some cases it is particularly recommended. A circumcised member guarantees that the problem of phimosis ceases to exist.  This procedure consists in complete  or partial removal of the foreskin from the penis. The rehabilitation process after the procedure takes about 2 weeks. It is also recommended not to participate in any sexual activities for about one month.

Warning! Do not solve the phimosis problem without the help of a doctor! Attempting to pull a narrow foreskin can cause swelling of the penis head, which can lead paraphimosis!


Paraphimosis – what is it?

Paraphimosis is a condition that is opposite to phimosis. This is a situation where you cannot cover the glans with the foreskin.  The retracted foreskin is too narrow to cover the glans. Paraphimosis is often a consequence of a wrong treatment of phimosis.

How is Paraphimosis diagnosed and evaluated?

There are various symptoms of paraphimosis. Of course, the main symptom is being unable to cover the glans with the retracted foreskin – the glans is exposed and there are difficulties pulling the foreskin all the way up to the glans. Other symptoms include:

– swelling and pain of the glans,

– swelling and pain of the foreskin,

– black and blue glans,

– pain of the member or in the groin area,

– difficulty in urinating.

If you get any of these symptoms, talk to your doctor as soon as possible.

How is Paraphimosis treated?

If there is no swelling, you can try to pull your foreskin up  to its place. It should be done very gently and carefully, using body oil. However, if you don’t succeed and pain occurs, you should seek professional help. Paraphimosis is treated mainly operationally. The surgery involves the incision of the foreskin where it is narrow. The procedure is performed under local or general anesthesia and lasts about an hour.

The lack of treatment of phimosis and paraphimosis – consequences

If the phimosis or paraphimosis are not treated, many unpleasant consequences may occur, even a necrosis of the glans, which of course every man would like to avoid.

Untreated phimosis:

– hinders and sometimes prevents sexual intercourse (erectile dysfunction),

– can cause pain and discomfort,

– can lead to frequent inflammation and infection,

– increases the risk of penile cancer.

Untreated paraphimosis:

– ischemia of the glans,

– necrosis,

– inflammation of the glans,

– impaired urination,

– pain during erection.

Any disturbing symptom within the genital area should be consulted with a physician. If you notice a problem with the foreskin, you should definitely go see a specialist, even if you feel anxiety and fear. Doctors know very well how to help the patient, and procrastinating can cause great damage! The phimosis and paraphimosis are very common ailments and if you reac

Last modified: June 21, 2018