Phimosis: Symptoms, Treatment, and Recovery Timeline - Urology

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Phimosis issue


1.
If the foreskin cannot be retracted regardless of whether there is an erection or not, and when flaccid, the foreskin is noticeably longer than the glans by about one to two centimeters, does this qualify as phimosis? Is circumcision necessary?
2.
After circumcision, is it possible to fully recover in one month? Approximately when can one resume activities such as running 3 kilometers at a pace of about fifteen minutes, shuttle runs, jumping jacks, and other military training exercises?

Yyuan, 10~19 year old female. Ask Date: 2018/08/06

Dr. Du Shixi reply Urology


Hello: If you are unable to retract the foreskin completely, it is medically recommended to undergo surgery.
2) If you take good care of it, it shouldn't take a month.
Approximately when can you start doing military training activities like running 3 kilometers at a pace of about fifteen minutes, shuttle runs, and jumping jacks? --> You can resume these activities once the wound has fully healed.
Wishing you good health.

Reply Date: 2018/08/06

More Info


Phimosis is a condition characterized by the inability to retract the foreskin over the glans (head) of the penis. This can occur in both erect and flaccid states, and it can lead to discomfort, hygiene issues, and potential complications if left untreated.
1. Understanding Phimosis: Based on your description, if you are unable to retract the foreskin both when flaccid and erect, and if the foreskin is significantly longer than the glans (by about 1 to 2 centimeters), this does indeed suggest phimosis. It is important to note that phimosis can be physiological (normal in infants and young boys) or pathological (due to scarring, infection, or other conditions). If the condition is causing pain, recurrent infections, or difficulties with hygiene, it is advisable to consult a healthcare provider for evaluation.

2. Treatment Options: The primary treatment for phimosis is circumcision, which involves the surgical removal of the foreskin. This procedure is typically performed under local or general anesthesia, depending on the patient's age and the specific circumstances. In some cases, topical steroid creams may be prescribed to help loosen the foreskin, but if these methods are ineffective, circumcision is often recommended.

3. Recovery Timeline: After circumcision, the recovery period can vary from person to person. Generally, most patients can expect to return to normal activities within a week or two. However, full recovery, including the healing of the surgical site, may take about 4 to 6 weeks. During this time, it is crucial to follow your surgeon's post-operative care instructions to minimize the risk of complications such as infection or excessive bleeding.

4. Physical Activity Post-Surgery: Regarding your question about resuming physical activities such as running, jumping, or military training exercises, it is typically recommended to wait at least 4 to 6 weeks post-surgery before engaging in strenuous activities. This allows adequate time for the surgical site to heal properly. However, it is essential to consult with your surgeon or healthcare provider for personalized advice based on your specific situation and recovery progress.

In conclusion, if you are experiencing symptoms consistent with phimosis, it is advisable to seek medical evaluation. A healthcare professional can provide a thorough assessment and discuss the most appropriate treatment options for your condition. After treatment, following the recommended recovery timeline and guidelines will help ensure a smooth healing process and allow you to return to your regular activities safely.

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