Phimosis and Paraphimosis

Whether you’ve experienced the effects of a smegma or an abscess, it’s important to understand the causes, symptoms, and treatments. Phimosis and Paraphimosis, two types of cysts, are caused by a variety of factors, including aging, genetics, and illness. Fortunately, there are many options for treatment, both surgical and non-surgical.


Surgical circumcision is the removal of some or all of the foreskin. Usually, this procedure is performed for religious or prophylactic reasons. However, it can also be done for medical purposes. In some cases, it is recommended by a urologist because it may reduce the risk of paraphimosis and balanitis.

Phimosis occurs when the foreskin becomes too tight. It is normally a temporary condition, but it can cause pain and discomfort during sex. A foreskin that is too tight can restrict the flow of blood to the penis. It can also increase the risk of infection.

In older men, phimosis can be triggered by an infection or diabetes. It is possible to treat phimosis with topical steroid therapy or hydrocortisone ointment. But, if the condition persists, surgery may be necessary.

If the phimosis is caused by an infection, it is important to find a cure. Antibiotics and painkillers are sometimes prescribed to ease the pain and reduce swelling. In severe cases, an IV or intravenous antibiotic may be needed. Alternatively, radiotherapy or topical steroid therapy can be used.

If the phimosis is a result of an infection, a swab test can be performed to determine the extent of the infection. If the infection is serious, the incision site may require antibiotics or intensive care. A partial or full circumcision of the penis may be required if the symptoms are persistent.

If the foreskin has been stretched too much, it can swell and inflame. To prevent this, it is important to maintain good hygiene. Using lubricants is a good way to make sex more comfortable.

Occasionally, phimosis and paraphimosis can occur with no signs or symptoms. This does not mean that the patient should not be treated. The severity of phimosis is the main factor in determining treatment.

Circumcision can prevent phimosis and paraphimosis. The removal of the foreskin reduces the chances of infections and can prevent the formation of cancer. For younger males, circumcision is not typically necessary to prevent phimosis. But, if a person experiences severe phimosis, circumcision is likely to be a treatment option.


Unlike circumcision, Preputioplasty is a surgical procedure that preserves the foreskin. The inner epithelial lining of the foreskin fuses with the glans. The prepuce can then slide easily over the penile corona. It is considered a preferred surgical procedure for non-complicated phimosis. The surgeon can contour the prepuce and remove excess skin.

When the foreskin is retracted, the glans can swell and cause discomfort. In severe cases, the glans can also become infected. The glans can also restrict circulation to the penis. This can lead to tissue death.

Fortunately, there are several treatment options available for phimosis and paraphimosis. Circumcision is a preferred option for most patients, but Preputioplasty can also be used. The type of surgery depends on the severity of the condition.

A pediatric urologist can help determine if a child has phimosis. A physical examination can also be used to confirm the diagnosis. If the symptoms of phimosis are severe, a urologist may recommend circumcision. This may be necessary if the phimosis is caused by a skin disease, such as lichen sclerosis, or if it is associated with an infection.

The procedure is done under local anesthesia. The surgeon will make a small incision in the dorsal part of the foreskin. The doctor may apply gentle pressure on the foreskin to reduce swelling. The incision is then closed.

For non-complicated phimosis, treatment options include cleaning the penis regularly, lubricating the foreskin, and using a steroid cream on the foreskin. If these measures fail, the patient may need surgical intervention.

In addition to removing the foreskin, Preputioplasty involves releasing a tight band on the foreskin. This can help alleviate pain and improve blood flow to the penis. The procedure can be performed as an outpatient procedure. The procedure is not always recommended for phimosis, however.

In some cases, the foreskin is so tight that it cannot be pulled back. In these cases, the surgeon may perform a dorsal slit to relieve the pressure. This is usually followed by circumcision.

The surgeon will also make an incision in the dorsal slit to allow the prepuce to slide back into place. The incision will be closed with sutures.

Smegma removal

Those who suffer from phimosis and paraphimosis are at risk of developing smegma, a white or yellowish scaly lump under the foreskin. Smegma is normally harmless and does not cause any medical issues. However, it can be a problem if it is not treated.

The condition is commonly seen in uncircumcised males. It is caused by a narrowing of the foreskin opening. It can cause local pain and may cause painful urination. In some cases, it can lead to recurrent urinary tract infections. In addition, it can increase a man’s chances of contracting HIV.

In some cases, the smegma can become entrapped, transforming into a nodule or cyst. It may be painful to pass urine and have an odor similar to an infection. The condition can also cause scar tissue.

If a person experiences phimosis or paraphimosis, they should seek help from a urologist. The cause of the condition will determine the best treatment. Some common treatments include manual stretching of the foreskin. Other treatments include intralesional steroid injections.

If the smegma is removed, it will likely become infected. In addition, the pearl can irritate the patient and cause further complications. If the pearl is not properly treated, it can grow into smegma sclerosis, a thick, solid stone.

Some people mistakenly believe smegma to be a form of pus. While smegma is a normal process, it can be a troublesome condition if left untreated. It is important to take care of the foreskin and genitals, as they are important parts of the body. Regular bathing and washing can reduce the buildup of smegma.

Circumcision is a surgical procedure that can be used to remove the foreskin. The surgery is successful in reducing the incidence of invasive penile cancer.

Infections can occur if the foreskin is not regularly cleaned and retracted. It is important to avoid wet nappies and other irritants that can make the foreskin inflamed. In addition, if a patient is unable to undergo a surgical procedure, the best approach is to allow the smegma to naturally resolve.

If the smegma pearl is entrapped, it can transform into a nodule or cyst. The pearl is a soft, non-tender, white, or yellowish lump.

Treatment options

Various treatment options are available to relieve the symptoms of phimosis and paraphimosis. Some treatment methods may be performed on an outpatient basis, while others require surgery. Ultimately, the best method of treatment will depend on the severity of the condition. Regardless of the type of treatment, there are precautions that parents can take to prevent phimosis.

If the foreskin is not properly retracted, it can cause irritation, inflammation, and bleeding. In addition, it can block circulation to the penis, which can result in tissue death. To avoid these problems, wash the penis with water from the outside. You can also wear a condom or use a lubricant to make intercourse more comfortable.

The tightness of the foreskin can be caused by injury, infection, or aging. Tight foreskins usually loosen on their own in the first few years of life. If the foreskin is very tight, a surgical procedure called preputioplasty may be recommended. This involves making lengthwise cuts in the tight foreskin. The surgeons then stitch the cut ends to close the wound.

In some cases, the foreskin is so tight that it is hard to pull back. This can be painful and can even lead to paraphimosis. The doctor can apply a local anesthetic to numb the area. After the numbing is complete, the doctor can push the foreskin forward.

When the foreskin is pulled back, tiny tears can occur, which can lead to pain and scarring. In cases of severe balanitis, the foreskin can become inflamed. In some cases, the foreskin can also become stuck behind the head of the penis. This can restrict circulation to the penis, causing the glans to become inflamed.

If the foreskin is too tight to be pulled back, the doctor can perform a circumcision. This is a common surgical procedure. If the foreskin is too tight, the doctor can either perform a circumcision or remove it entirely.

The physician can also offer medication, including topical corticosteroid ointment and oral antibiotics. These medications can be applied several times to treat phimosis. If the foreskin is too hard to be pulled back, a practitioner may be able to pull it back, but it may not be able to return to its normal position.

Health Sources:

Health A to Z. (n.d.).

U.S. National Library of Medicine. (n.d.).

Directory Health Topics. (n.d.).

Health A-Z. (2022, April 26). Verywell Health.

Harvard Health. (2015, November 17). Health A to Z.

Health Conditions A-Z Sitemap. (n.d.).

Susan Silverman

Susan Silverman

Susan Silverman is a Healthy Home Remedies Writer for Home Remedy Lifestyle! With over 10 years of experience, I've helped countless people find natural solutions to their health problems. At Home Remedy Lifestyle, we believe that knowledge is power. I am dedicated to providing our readers with trustworthy, evidence-based information about home remedies and natural medical treatments. I love finding creative ways to live a healthy and holistic lifestyle on a budget! It is my hope to empower our readers to take control of their health!

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