Phimosis can occur at any age. The diseased and narrowed foreskin bursts with every swipe, new painful scars are created that further narrow it to the extent that it is impossible to swipe the foreskin over the glans. Repeated injuries to the foreskin create the conditions for the development of infection and lichen sclerosus.
In the initial stages, phimosis can be treated with corticosteroid creams, but if the creams do not work, the only treatment is surgery - circumcision.
Circumcision is a surgical method of removing the diseased foreskin from the tip of the penis - the prepuce.
This type of treatment is not recommended for children before the age of two or three. A special case is when a child has difficulty urinating or has problems with constant urinary infections of the bladder and kidneys due to phimosis. Then phimosis is operated upon even before the first year of life.
Circumcision in children is always done under general anesthesia.
Circumcision in adults is performed under local anesthesia.
The operation lasts from 30 to 45 minutes.
The hospital stay is a few hours after the operation.
Post-operative monitoring is carried out for 2 days. All bandages are removed 7 days after the operation.
Immediately after the intervention itself, there is no pain due to the prolonged effect of anesthesia. After the anesthesia wears off, slight discomfort may occur until the glans adapts to the new environment without the protective effect of the foreskin. Anesthetic creams are used to alleviate possible pain. This period of adjustment and increased glans sensitivity usually lasts about 5 to 7 days. Return to normal sex life usually occurs 20 days after surgery. The operation of the foreskin does not affect the quality of the erection. After the operation, men have better sexual relations due to the removal of the diseased hypersensitive foreskin.
The microsurgical sutures, which are used during these operations, dissolve by themselves 4 weeks after the operation, and then complete healing of the wound is expected.