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Specialities >> Urology >> Phimosis

Phimosis refers to the difficulty in exposing the glens (head of the penis) due to the straightening of the meatus which covers the glans, called prepuce. The origin can be congenital or acquired and the common cause is the chronic infection associated with the local hygienic difficulty. Phimosis can occur at any age.

An excess of the prepuce can lead to the persistency of the secretion and residues linked to the glans (tissue of desquamation or post-intercourse) which favours the proliferation of bacterias and the chronic inflammation of the region of the glans and the prepuce known as balanoposthitis. Diabetic patients may present recurring chronic prepucial infection as an initial manifestation of the disease.

Phimosis Treatment

Phimosis can be treated by rigorous usage of creams and local hygiene, but when it becomes chronic it leads to the formation of fissurae (small wounds) which interfere with or prevent sexual intercourse and lead to the retraction of the skin and the adherence of the prepuce to the glans and often making the capacity to urinate difficult.

In cases, when there are serious Phimosis symptoms such as: difficulty to pass urine, inflammatory processes containing pus and the impossibility of exposing the glans, the urologist may opt for the phimosis surgery , called posthetomy, but known as circumcision surgery. In the posthetomy the prepuce is removed partially or completely.

The surgery is usually fast in adults and is done with local anaesthesia, using absorbable stitches (it does not need to be removed), a local dressing is done daily and it is not necessary to take time off work. The return to the sexual life takes about 30 days, and satisfaction after surgery done with adequate technique is usually great.

In children we usually expect that they can undergo surgical treatment under local anaesthesia, unless there is pain, repetition-infection or difficulty to urinate.

Paraphimosis: phimosis complication

Paraphimosis is the complication of the phimosis, when the prepuce is retracted to expose the glans, but the straightening prevents it from being pulled back, causing glans strangulation, which can cause pain and local edema.

Paraphimosis may be caused when a patient who suffers form phimosis masturbates. This is a medical emergency and in this case a specialist urologist must be contacted immediately to solve the problem.

Short Frenulum Prepuce Balanus and the phimosis

The prepucial balanus frenulum, also known as masculine frenum, is the structure which connects the skin of the prepuce to the base of the Glans of the Penis. When the patient suffers from phimosis is it necessary to remove the excess of skin in the Glans Penis, the frenulum must be sectioned a suture of the tissues mucosa and skin is carried out, creating a new connection bridge between the glans and the body of the penis.

It is worth remembering that a short frenulum prepuce balanus only presents problems to a man when it is too short, because it causes pain during erection, in the virginal penetration and it prevents the sexual intercourse. Removing the balanus frenulum does not solve the problem of premature ejaculation.