Phimosis (circumcision) Treatment in Indore
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What is Phimosis?
Phimosis is the inability to retract the foreskin covering the head of the penis. A tight foreskin causes several issues with sexual intercourse and fertility. Treatments for phimosis vary depending on the child and severity of phimosis. Treatments may include: gentle daily manual retraction or circumcision. Intimate Clinic specializes in laser circumcision. This allows patient phenomenal recovery and also excellent cosmetic appearance. The treatment takes 15-20 minute.
Common Indications for Male Circumcision Are:
- Phimosis – a condition where the foreskin is not easily retracted (pulled back) from around the tip of the penis.
- Paraphimosis – This occurs when the foreskin can be retracted, but cannot be moved back into its normal position. This may require emergency medical attention.
- Balanitis –An inflammation of the glans penis is a common condition affecting an estimated 3-11% of all men at any age.
- UTI – Repeated infections of the urinary system due to abnormal urinary tracts or unhygienic conditions.
- Trauma – Isolated injuries to the foreskin such as Zipper injuries and foreskin tearing may require a circumcision to prevent scarring and adhesion formation.
- Prevention of sexually transmitted infections and penile cancer are also reasons for considering circumcision in men.
What Happens If You Delay Treatment for Phimosis
If you leave phimosis untreated, the tight foreskin continues to restrict normal movement and proper hygiene. Over time, this can lead to accumulation of moisture and secretions, increasing the risk of irritation, redness, and recurrent infections.
Repeated inflammation can cause the foreskin to become thicker and less elastic due to scarring. As the condition progresses, it may result in painful erections, difficulty in retracting the foreskin, and discomfort during urination or intimacy. In severe cases, complications like infections or urinary obstruction can develop.
Delaying treatment may also limit your options later, making minor treatments less effective and increasing the need for procedures like traditional circumcision or advanced laser circumcision.
Early treatment helps restore normal foreskin movement, improves hygiene, reduces infection risk, and ensures long-term comfort and sexual health.
Circumcision Stapler
We also use a circumcision stapler. The disposable circumcision stapler is a sterile, hand-held, manual surgical instrument preloaded with non-bioabsorbable skin staples intended to be used to perform a circumcision. It is designed to cut the foreskin and apply a circular row(s) of staples proximal to the cut line. The stapler portion typically consists of a dome intended to be inserted under the foreskin over the glans penis and a circular cutting stapler mechanism with a manual lever intended to connect over the outside of the foreskin.
Frequently Asked Questions (FAQs)
The circumcision surgery can be performed in 25 minutes while the patient is under local anaesthesia. After surgery, the patient will be under observation for 3 hours; and after that, the patient can walk home. The circumcision method can be completed in 15 minutes, hence faster than the surgical procedure. After a brief 15 minutes of recovery and follow up, the patient can go home.
Laboratory tests are required only for surgical circumcision. Circumcision doesn’t require any laboratory tests. A Doctor’s Consultation is mandatory before the surgical procedure. The consultation can coincide with your circumcision appointment, which in all may take about 30 minutes.
No. Circumcision can be performed on a person from infants to older adults. It can be performed easily by the Stapler. Under 18 years of age, the patients require a guardian’s consent
We assure you that you will be able to walk home after recovery and follow up with only slight discomfort, which will subside quickly. For the first week after surgery, we suggest that you keep your physical activities to a moderate level, including the amount of exercise and sexual intercourse. You can resume all physical activities after four to six weeks
Below instructions should be strictly followed for Sexual intercourse after Circumcision Surgery: After surgery, strictly abstain from sexual intercourse for six weeks or forty-five days. After six weeks – sexual intercourse may be performed with the use of a condom for protecting the healing wound from infection. A condom is a must for every sexual intercourse that happens in the first month after surgery for complete healing. After one month, you can resume having sex without a condom.
Yes. You will be awake. Under the effect of the local anaesthesia, the numbness will make it a painless procedure.
Usually, one day’s rest after surgical circumcision is adequate. After circumcision, rest is not mandatory.No. It will not affect. It will improve urination, as the procedure is performed on the banalities of phimosis.
No. It will not affect. It will improve urination, as the procedure is performed on the banalities of phimosis.
when the penis is limp. “High and tight” is the most common desired look by most patients. That is provided under cosmetic circumcision.
No. A lot of patients have not reported any change in sexual sensitivity after the procedure. Some websites report an increase or decrease in sensitivity in the head of the penis, but again, we haven’t received any such complaints.
For the first few days after surgery, there is a likelihood to feel some discomfort or minor pain while you have an erection. It is normal to feel some discomfort, but there won’t be any bleeding. You will be given pain killers after the procedure to alleviate pain. As recommended, you must take medicines before going to bed, in case you have an erection while you are asleep.
No. You don’t need to stay overnight and may travel or drive home the same day.
It is a condition in which the foreskin (the loose skin covering the head of the penis) is too tight to be pulled back behind the penis (glans).
Physiological | Pathological |
1. Common in young boys. | 1. Develops due to scarring, infection, balanitis, or poor healing. |
2. Naturally non-retractable, but becomes retractable with age. |
(A) Physiological Causes
- Natural adherence between the foreskin & glans
- Narrow preputial opening
(B) Pathological Causes
- Recurrent inflammation / infection:
- Balanitis
- Balanoposthitis
- Recurrent fungal infection
- Scarring:
- Repeated forceful retraction
- Trauma
- Previous inflammation
- Poor healing
- Lichen sclerosus / BXO (Balanitis Xerotica Obliterans):
- Important cause
- A white, fibrotic scarred preputial ring is formed
- May involve the glans & meatus
- DM (Diabetes Mellitus)
5. Poor genital hygiene
Kikiros Grading
Grade | Finding |
0 | Full retraction without restriction. |
1 | Full retraction but tight behind the glans. |
2 | Partial retraction; glans is partly exposed. |
3 | Partial retraction; meatus only is visible. |
4 | Slight retraction; neither glans nor meatus is visible. |
5 | No retraction at all. |
In Simple Terms:
- 0 – Completely retractable
- 1 – Retractable but tight
- 2 – Glans partially visible
- 3 – Only meatus visible
- 4 – Minimal opening
- 5 – Completely non-retractable
(A) History:
- Age of onset
- Pain during retraction
- Pain during intercourse
- Recurrent balanitis / balanoposthitis
- Itching or discharge
- Difficulty passing urine
- Ballooning during urination
- Weak urinary stream
- Bleeding
- Diabetes
- STI history
- Trauma
(B) Examination
(C) Investigation:
- Blood glucose
- STI testing
- Biopsy
Physiological or Asymptomatic:
- Reassurance
- Hygiene
- Observation
Pathological / Symptomatic:
- 1. First line: Topical corticosteroid + gentle stretching
- 2. Second line (If not cured by first line):
- Circumcision
- Benefit: Definitive treatment, removes scarred foreskin, very low recurrence.
- Dorsal slit
- Circumcision
A surgical procedure in which the foreskin is removed partially or completely.
Indications:
- Pathological phimosis
- Recurrent balanitis / balanoposthitis
- Recurrent paraphimosis
- Lichen sclerosus / BXO
- Persistent symptomatic phimosis
It is a short surgical procedure done under local anaesthesia.
3 methods used for it:
- Traditional or old method
- Laser circumcision
- ZSR technique or stapler circumcision
Note: ZSR is an advanced procedure and is more beneficial in terms of better healing and a faster procedure.
No, it depends on symptoms, age, scarring, response to conservative treatment & underlying disease.
Yes, it can cause:
- Painful erections
- Pain during intercourse
- Difficulty retracting the foreskin
- Small tears & bleeding
Yes, if severe phimosis is seen, it can cause:
- Ballooning of the foreskin
- Weak stream
- Difficulty passing urine
Yes, Diabetes can cause phimosis.
It is Balanitis Xerotica Obliterans. It can cause a white, scarred, tight foreskin, & sometimes meatal involvement.
Several weeks; it mainly depends according to age, technique, & wound healing.
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- info@intimateclinic.in
- 1st Floor, Suryoday Building, Dr, RS Bhandari Marg, Near Janjeerwala Square, Doctor Roshan Singh Bhandari Marg, Indore, Madhya Pradesh - 452003
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