Phimosis: Do You Need Surgery or Cream Treatment? - Urology

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Phimosis is a condition where the foreskin cannot be fully retracted over the glans (the head of the penis). This can occur in both children and adults, and it can lead to discomfort, hygiene issues, and potential complications if left untreated. Your description suggests that you can retract the foreskin when not erect, but it becomes difficult when you are erect, which is a common presentation of phimosis.

In terms of treatment options, there are generally two main approaches: conservative management with topical treatments and surgical intervention.

1. Topical Treatments: In some cases, topical corticosteroids can be prescribed to help loosen the foreskin. These creams can reduce inflammation and may help in stretching the foreskin over time. This method is often recommended for mild cases of phimosis, especially if there is no significant scarring or other complications. The application of the cream is usually combined with gentle stretching exercises of the foreskin. It is important to follow your doctor's instructions regarding the use of these creams and the stretching technique to avoid any potential injury.

2. Surgical Options: If conservative treatments do not yield satisfactory results or if the phimosis is severe, surgical intervention may be necessary. The most common surgical procedure is circumcision, which involves the complete removal of the foreskin. There are also less invasive options, such as preputioplasty, which involves widening the opening of the foreskin without removing it. The choice of surgery depends on various factors, including the severity of the phimosis, the presence of any complications (like recurrent infections), and personal preference.

In your case, since you can retract the foreskin when not erect, it may be worth trying a conservative approach first, especially if you are not experiencing pain or recurrent infections. However, if you find that the condition is causing significant discomfort, hygiene issues, or if you are concerned about potential complications, it would be advisable to consult with a urologist. They can provide a thorough evaluation and discuss the best treatment options tailored to your specific situation.

It is also important to note that phimosis is not uncommon, and many men experience it at some point in their lives. If you choose to pursue topical treatment, be patient, as it may take several weeks to see improvement. Regular follow-up with your healthcare provider is essential to monitor progress and make any necessary adjustments to your treatment plan.

In summary, whether you need surgery or can manage the condition with topical treatments depends on the severity of your phimosis and your personal circumstances. Consulting with a healthcare professional will help you make an informed decision about the best course of action.