When should a doctor be seen about phimosis?

Written by: Mr CK Sinha
Published:
Edited by: Conor Lynch

In this article below, esteemed consultant paediatric urologist, Mr CK Sinha, tells us about all the important facts about phimosis, including the causes, symptoms, and treatment options.

What causes phimosis?

First of all, phimosis is defined as not being able to pull back the foreskin of the penis. In children, it is mostly due to physiological reasons. The most common cause is infection, either chronic or acute infection. Phimosis has also been associated with eczema on the skin of the child. In adults, it can be associated with sexually transmitted infections.

 

What are the main symptoms of phimosis?

The main symptom in children is the foreskin not being able to be pulled back. This can occur in some children up until the age of nine or 10 years of age. Phimosis prevents this area of the penis to be cleaned, so infection can easily occur as a result. Children will often experience pain, irritation, itching, and urinary tract infections. Other symptoms include blood in the urine and passing urine more frequently.

 

When should a doctor be seen about phimosis?

It should be seen by a paediatric surgeon as soon as possible. If the hygiene is not maintained, the condition can cause serious conditions, such as skin inflammation and recurrent urinary tract infections.

 

How is phimosis diagnosed?

A physical examination is all that’s needed. We see that the foreskin is tight. If we see that it is not red, we prescribe some moisturising cream. However, if it is red, urgent treatment is required.

 

How is the condition treated?

Moisturising cream is sometimes all that is needed in mild cases where the foreskin is not inflamed or itchy. If there is scarring and redness on the foreskin, surgical intervention is required.

 

What are the risks and complications of phimosis?

Skin can get easily infected, as mentioned. Recurrent urinary tract infections can also occur, causing bladder and kidney damage. Sometimes, bleeding occurs if children try to pull it back. One very important risk is the development of cancer, so the condition needs to be investigated and treated as soon as possible.

 

To book an appointment with Mr CK Sinha, just head over to his Top Doctors profile today.

By Mr CK Sinha
Paediatric urology

Mr CK Sinha is a highly esteemed and qualified paediatric urologist and paediatric surgeon with over 20 years of experience. He currently practises at the Cromwell Hospital, London, Springfield Hospital, Chelmsford, the Spire London East Hospital, Ilford, and the Spire St Anthony's Hospital, Cheam, London.

His areas of interest are paediatric urology (e.g. inguinal hernia, hydrocele, undescended testes, phimosis, circumcision, scrotal pain, genitalia pain, and open and keyhole/laparoscopic operations). paediatric surgery (e.g., tongue tie, ingrown toenail, umbilical hernia, epigastric hernia, neck lumps, lipoma, sebaceous cysts, abscess, pilonidal sinus, extra-digits in hand or leg, appendicitis, intussusception, abdominal pain, meckel’s diverticulum, cysts, haemangioma, lymphangiomas, thyroglossal cysts, branchial cysts, placement of central venous lines, and pyloric stenosis). 

Mr CK Sinha is also an expert in paediatric gastrointestinal surgery performed to treat conditions such as constipation, mysterious causes of abdominal pain, gastrointestinal bleeding, back-passage bleeding, back-passage prolapse, imperforate anus, and hirschsprung’s disease).

Mr Sinha is also well-renowned nationally and internationally for his research, books and publications. He has written over 125 publications and presented more than 45 presentations. One of his books in paediatric surgery, published by Springer London-New York, is one of the most popular books worldwide. He has honed his expertise while working in many world-renowned hospitals such as St George’s University Hospital, London, Great Ormond Hospital for Children, London, King’s College Hospital, London, Birmingham Children’s Hospital; Norfolk, and Norwich University Hospital. 

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