Phimosis: When to Seek Treatment for Your Teen - Urology

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Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). It is relatively common in young boys, but it can persist into adolescence and adulthood. In your case, your 16-year-old son is experiencing difficulty retracting the foreskin, especially during an erection, which is causing him pain. This situation is not uncommon, and it can be concerning for both the individual and their parents.

First, it's important to understand that some degree of phimosis can be normal in younger boys, as the foreskin may not fully retract until puberty or even later. However, if the condition persists into the teenage years and is causing pain or discomfort, it may require medical evaluation and potential treatment.


When to Seek Treatment
1. Pain or Discomfort: If your son is experiencing pain when attempting to retract the foreskin, especially during an erection, this is a significant indicator that he should seek medical advice. Pain is not a normal symptom and suggests that the condition may be more severe than simple phimosis.

2. Inability to Urinate Properly: If he has difficulty urinating due to the tight foreskin, this is another reason to seek treatment. A tight foreskin can lead to urinary retention or infections.

3. Recurrent Infections: If he experiences recurrent infections, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin), this is a clear sign that medical intervention is necessary.

4. Psychological Impact: If the condition is causing significant anxiety or embarrassment for your son, it is important to address these feelings. Open communication about the issue can help him feel more comfortable discussing it with a healthcare provider.


Treatment Options
1. Topical Steroid Creams: In some cases, a doctor may prescribe a topical steroid cream to help loosen the tight foreskin. This treatment can be effective and is non-invasive.

2. Gentle Stretching Exercises: Under the guidance of a healthcare provider, gentle stretching of the foreskin may be recommended. This should be done carefully to avoid pain or injury.

3. Circumcision: If conservative treatments are ineffective, circumcision may be recommended. This surgical procedure involves the removal of the foreskin and is a common solution for severe phimosis. It is typically performed under local or general anesthesia, depending on the patient's age and the specifics of the case.

4. Preputioplasty: This is a less invasive surgical option that involves making a small incision in the foreskin to widen it without complete removal. This can be a suitable alternative for some patients.


Conclusion
It is advisable for your son to see a urologist or a healthcare provider specializing in adolescent medicine. They can perform a thorough examination and discuss the best treatment options based on his specific situation. Early intervention can help prevent complications and alleviate discomfort, allowing your son to lead a more comfortable life. Open communication and support from you as a parent will also be crucial in helping him navigate this issue.