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Phimosis Surgery in Delhi

Phimosis is a condition where the foreskin of the penis is too tight to retract over the glans, causing discomfort and potential complications like recurrent infections, painful erections, and difficulty urinating. Treatment options range from topical steroids to surgical interventions.

If you're considering treatment for phimosis, reach out to us or book a direct appointment with our urologist. At the CK Birla Hospital, we are dedicated to ensuring that your phimosis treatment is as safe, comfortable, and effective as possible. We're here to guide you every step of the way toward a successful recovery.

Phimosis Surgery in Delhi
CK Birla Hospital
What are the Causes of Phimosis?

If you or your child has pathologic phimosis (caused by an underlying condition), several factors may contribute to its development, including:

 

  1. Inadequate hygiene can both cause and result from phimosis. Thorough cleaning may be uncomfortable and painful, but neglecting hygiene can lead to infections.
  2. Skin conditions such as eczema, psoriasis, lichen planus, and lichen sclerosus. Involvement of the penis with lichen sclerosus is referred to as penile lichen sclerosis or balanitis xerotic obliterans (BXO).
  3. Preputial adhesions or scar tissue that prevent the foreskin from retracting from the tip (glans) of the penis.
  4. Injuries.
  5. Infections, including sexually transmitted infections (STIs).

 

What are the Risks if a Phimosis is not treated Timely?

Phimosis, a condition where the foreskin cannot retract over the glans, poses several risks if left untreated, such as:

 

  • Hygiene Challenges: Difficulty cleaning under the tight foreskin leads to smegma buildup, raising infection risks.
  • Recurrent Infections: Phimosis increases the likelihood of balanitis and posthitis due to trapped debris.
  • Discomfort and Pain: Erections, urination, and sexual activity can become uncomfortable.
  • Sexual Challenges: Severe phimosis may hinder or make intercourse painful.
  • Paraphimosis Risk: Forceful retraction can lead to paraphimosis, requiring urgent attention.

Untreated phimosis risks hygiene, infections, and discomfort, causing psychological distress. Seek healthcare for topical treatments, stretching, or circumcision to avoid complications and ensure genital health.

 

What are the Types of Phimosis?

Phimosis, a condition where the foreskin is too tight to retract over the penis head, has two main types:

 

  • Physiological Phimosis: Common in young boys, it’s a normal stage where the foreskin isn’t fully retractable due to natural adhesions. Over time, these adhesions break down, allowing the foreskin to become more flexible and retractable with age and regular hygiene.
  • Pathological Phimosis: Occurs when the foreskin remains tight beyond childhood, often due to factors like scarring from repeated infections or inflammatory skin conditions. Medical attention may be needed, including topical creams, stretching exercises, or surgical options like circumcision.

Both types of phimosis require proper evaluation by a healthcare provider to determine the best course of action for management and treatment.

 

What are the Types of treatment for Phimosis?

The various phimosis treatment options are:

  • Topical Steroid Creams: For mild cases, betamethasone cream can reduce inflammation and aid foreskin stretching.
  • Manual Stretching: Controlled foreskin stretching over time helps loosen tightness; should be done cautiously.
  • Dilation: Medical tools can gradually widen the foreskin opening under supervision.
  • Preputioplasty: Minor surgical procedure involving a small incision to widen the foreskin.
  • Circumcision: Last resort for severe cases, involving surgical removal of the foreskin.

Consulting a healthcare provider is crucial for accurate diagnosis and treatment planning. Individual factors like age and severity determine the most suitable approach.

What are the Preventive Measures Against Phimosis?

Phimosis, a condition where the foreskin of the penis is tight and cannot retract, can be prevented through various measures, like:

  • Proper Hygiene: Regularly clean the genital area with mild soap and water to prevent infections and inflammation.
  • Gentle Stretching: Gradually stretch the foreskin during childhood bathing to promote flexibility.
  • Avoid Forceful Retraction: Never forcibly retract the foreskin in young boys; it may cause scarring and complications.

Seek medical help promptly for foreskin infections to prevent scarring. Consult a healthcare provider about persistent foreskin issues. Circumcision may be considered for severe cases.

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What is the Diagnosis Before a Phimosis treatment?

Before beginning treatment for phimosis, a proper diagnosis is crucial, which involves:
  • Medical History: Your healthcare provider will discuss any symptoms or concerns related to the foreskin and inquire about your medical history.
  • Physical Examination: A physical examination of the penis will be conducted to assess the ability to retract the foreskin over the glans.
  • Symptom Assessment: Your doctor will evaluate symptoms like difficulty retracting the foreskin, pain during urination, or signs of inflammation. Diagnosis is confirmed if the foreskin cannot retract over the glans or shows signs of inflammation or infection.

What are the Pre-treatment/Surgery Instructions for Phimosis?

Pre-treatment and surgery for phimosis involve initial consultation with a urologist or specialist. The doctor assesses the severity and recommends suitable treatments like topical steroids, stretching exercises, or circumcision.
For circumcision: Discuss the procedure, benefits, and risks. Review medical history and medications. Conduct pre-operative tests if necessary. Discuss anaesthesia options and fasting requirements. General instructions include fasting before surgery, avoiding certain medications and maintaining good hygiene Plan for post-operative care and recovery time. Arrange transportation for anaesthesia if needed Follow-up appointments should be scheduled to monitor healing and address any concerns Personalised guidance is essential due to each patient's unique case

What are the Post-Surgery Instructions for Phimosis?

Post-surgery instructions for phimosis recovery involve these key steps:
  • Wash the area gently with mild soap and water daily and pat dry.
  • Apply recommended ointment or petroleum jelly to promote healing.
  • Take over-the-counter pain relievers as directed by your doctor to manage pain.
  • Rest and avoid strenuous activities to prevent strain on the wound.
  • Opt for loose-fitting clothes and underwear to minimise irritation.
  • Monitor for signs of infection like redness, swelling, or fever.
If concerned, contact your doctor promptly. Schedule follow-up appointments as they are important for proper healing. Resume regular activities based on your healthcare provider's advice. Stay hydrated and eat a balanced diet to aid recovery. Always follow personalised post-operative care instructions from your medical team

How do you Recover after a Phimosis treatment?

Recovery after phimosis treatment involves the following key steps to ensure proper healing and minimise discomfort:
  • Follow specific post-treatment instructions provided by your healthcare provider.
  • Manage pain with over-the-counter medications like acetaminophen or ibuprofen.
  • Keep the treated area clean with gentle washing using mild soap and water.
  • Steer clear of physically demanding tasks like heavy lifting and intense exercise.
  • Monitor for signs of infection such as increased pain, swelling, or redness.
  • Attend follow-up appointments to track healing progress and address any concerns.
  • Take care of dressings or bandages as directed to protect the area.
It's essential to watch for complications like excessive bleeding or severe pain and to be patient during the recovery process. Gradually resume normal activities based on your doctor's advice.
FAQs about Phimosis Surgery
Is Phimosis Common in Infants and Young Boys?

Phimosis, a condition where the foreskin cannot be fully retracted over the glans, is common in infants and young boys due to natural development. Most cases resolve naturally with age.

Can Phimosis affect Sexual Function or Fertility?

Severe phimosis can potentially affect sexual function, causing discomfort or difficulty during intercourse. It typically does not impact fertility, though consult a healthcare provider for personalised advice.

Can Adults Develop Phimosis?

Yes, adults can develop phimosis due to various factors such as inflammation, scarring, or infections. Stretching exercises, topical steroids, and, in extreme situations, circumcision are available treatment options.

Are there any Non-Surgical Alternatives to Circumcision for Treating Phimosis?

Non-surgical alternatives for treating phimosis include topical steroid creams to reduce inflammation and facilitate foreskin stretching, manual stretching exercises, and proper hygiene practices.

What is the Average Cost of a Phimosis Treatment?

The cost of a phimosis treatment varies as per the specific type of treatment advised by a healthcare provider, such as:

  • Topical steroid creams
  • Dilation
  • Preputioplasty
  • Circumcision
  • The cost can also vary widely depending on several factors, including the location, the extent of the treatment, the doctor’s experience, and the hospital’s pricing structure.

To get an explicit estimate for the cost of a phimosis treatment at the CK Birla Hospital, contact the hospital directly. Additionally, you can consult with our board-certified urologist to discuss your specific needs and receive a personalised quote for the treatment.