What is Phimosis?
Phimosis is a disorder in uncircumcised men where the foreskin of the penis is firmly attached to the head of the penis so that it can not be pulled back past the head of the penis. This condition is common in children aged two to six years. Over time, the foreskin of the penis should begin to separate from the head of the penis naturally. However, for some children, the foreskin penis still can not be pulled back until the age of 17 years.
Phimosis is still considered normal and does not cause problems during infancy and toddlers. However, if the condition persists until the child is older or even adult or causes symptoms that interfere (eg difficulty urinating), medical help is needed immediately, before causing further health disturbances.
Symptoms of Phimosis
Phimosis in general does not cause any pain or symptoms. However, people with phimosis sometimes difficult to clean the dirt under the foreskin penis making penis susceptible to infection. In the case of severe infections, symptoms may appear red penis skin, swelling or pain. Furthermore, phimosis may also cause difficulty in urination or intercourse, such as pain, chapped skin, or lack of sensation during intercourse.
Causes of Phimosis
In addition to congenital birth, phimosis can be caused by:
- Medical problems. Conditions that can lead to the occurrence of phimosis is diabetes. This disease makes the sufferer susceptible to infections that can form scar tissue in the foreskin, thus making the skin becomes less flexible and difficult to withdraw. Some infections that can be experienced by patients are balanitis (inflammation of the head of the penis) and balanoposthitis (inflammation of the foreskin and the head of the penis). Other infections that can trigger phimosis can be transmitted through sexual contact. This condition is often experienced by adult men. In addition, some disorders of the skin may also lead to the emergence of phimosis, including psoriaris, lichen sclerosus (lesions in the foreskin or sometimes the head of the penis), lichen planus (non-infectious itch rash), and eczema that makes skin red, itchy, – split and dry.
- Age. Old age leads to reduced flexibility of the foreskin so that it is difficult to withdraw.
- Pulling and stretching are hard. Both of these can make the foreskin rip and become inflamed, leading to phimosis.
The diagnosis of phimosis can be established only with a history history of the disease and a simple physical examination of the penis. Advanced tests are rarely needed in this case.
Most cases of phimosis are not a serious problem and require no treatment. However, if these conditions cause symptoms that interfere with a person’s activities, the doctor may give drugs to relieve symptoms suffered. These drugs include:
- Topical steroids. Medications containing corticosteroids are available in the form of creams, gels, or ointments. Steroid drugs can help flex the foreskin making it easier to be pulled.
- Anti-fungal cream. This cream is administered to people with fungal infections.
- Antibiotics. This drug is intended to overcome the infection caused by bacteria.
For adult phimosis sufferers who will perform sexual activity, doctors will usually recommend the use of condoms and lubricants in addition to the above drugs, to prevent discomfort or pain when making a relationship.
If the infection occurs repeatedly despite being overcome with medication, your doctor may suggest circumcision or circumcision.
Prevention of phimosis
In order to prevent the occurrence or recurrence of phimosis, it is advisable to always maintain the cleanliness of the penis by:
- Washing the penis daily with warm water during bath. This also needs to be done on men who have been circumcised.
- Use a mild soap that does not contain perfume and avoid the use of talk or deodorant in the penis to reduce the risk of irritation in the organ.
Pull the foreskin slowly to clean the skin under the foreskin and do not pull the foreskin hard because it can cause pain and injury.