Phimosis and Paraphimosis are conditions where the foreskin of the penis cannot be retracted normally. This can occur from childhood, adolescence, or in adults with inflammation, infection, or underlying diseases such as diabetes.
Common symptoms include:
- Inability to retract the foreskin
- Pain during urination or erection
- Accumulation of smegma
- Swelling, redness, and inflammation of the penis tip
- In some cases, inability to urinate, requiring urgent treatment
What is Phimosis?
Phimosis refers to the condition where the skin at the tip of the penis is narrow or stiff and cannot be retracted to clean or expose the glans. This leads to the accumulation of smegma and can result in long-term inflammation or infection.
There are two main types:
- Physiologic Phimosis: Common in children, a normal condition where the foreskin is not yet retractable but improves with age
- Pathologic Phimosis: Caused by inflammation, infection, or scarring, usually found in adults and requires treatment
Causes of Phimosis
- Infection at the tip of the penis
- Chronic inflammation or irritation from improper care
- Diabetes, especially when using a urinary catheter
- Aging, which reduces skin elasticity
- Scar tissue from improper retraction
Treatment for Phimosis
- Topical medication (for mild cases): Use of steroid creams to help the foreskin become more flexible and easier to retract
- Circumcision: For severe phimosis or chronic inflammation, circumcision is recommended. There is a new technology called bloodless circumcision
What is Bloodless Circumcision (Staple Circumcision)?
Bloodless circumcision uses an automatic device to circumcise the foreskin without sutures and with built-in hemostasis, resulting in
- Less pain
- Completion within 5–10 minutes
- Neat and beautiful wound
- Fast recovery
Dr. Suebpong Angchoun, License No. 29458, a specialized urological surgeon and male health expert, has developed the latest bloodless circumcision technology, the Titanium Stapler DCSC, which improves safety and wound aesthetics beyond previous models.
Highlights of the new DCSC device
- Sharper blade, smooth wound without serrations
- Silicone lining on the stapler to enhance hemostasis
- Strong titanium staples that detach easily without deep embedding
- Wound heals much faster than traditional methods
What to Know About Phimosis
- Do not forcibly retract the foreskin or use creams found on the internet
- If you have diabetes, see a doctor immediately if swelling or pain occurs
- After catheterization, ensure the foreskin is pulled back over the glans
- If the foreskin cannot be retracted, see a doctor immediately
Phimosis is not a minor issue and should be treated properly. If you have phimosis, experience pain during erection, or have difficulty maintaining hygiene, do not delay treatment to avoid inflammation. Bloodless circumcision is a safe, effective, and fast-recovering option suitable for men of all ages who want to confidently care for their health.
