Concerns About Son's Development: Is Surgery Needed for Phimosis?

Concerned about my son's development?

The area where urine exits is covered by the foreskin, making it impossible to expose the glans.
Is surgery necessary? What is the best age for this procedure?

Yi Quan, 0~9 year old female. Ask Date: 2004/09/18

Dr. Tu Xiuhong reply Urology

Hello, it may not necessarily require surgery.
It is important to consider the child's urination patterns and whether there is any inflammation of the foreskin.
Regular hygiene should be maintained.
This is a response from Dr.
Tu Hsiu-Hung, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/09/18

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can be a common issue in young boys, especially those under the age of three, as many will naturally outgrow this condition as they develop. However, if phimosis persists beyond this age or if it causes problems such as pain, difficulty urinating, recurrent infections, or hygiene issues, surgical intervention may be considered.

In your case, it is important to assess the severity of the phimosis and any associated symptoms. If your son is experiencing discomfort, recurrent infections, or if the condition is affecting his ability to urinate properly, it may be advisable to consult a pediatric urologist. They can provide a thorough evaluation and discuss the potential need for surgery, which is often a circumcision or a preputioplasty (a less invasive procedure that involves widening the opening of the foreskin).

The ideal age for surgery can vary. Many doctors recommend waiting until a child is at least 4-5 years old, as many boys will naturally develop the ability to retract their foreskin by this age. However, if there are significant issues, earlier intervention may be warranted.
Surgery is generally safe and effective, but like any procedure, it carries some risks, including bleeding, infection, and complications related to anesthesia. It is crucial to weigh these risks against the potential benefits of resolving the phimosis.

In summary, if your son is experiencing issues related to phimosis, it is advisable to consult with a healthcare professional who can provide guidance based on his specific situation. They can help determine whether surgery is necessary and the best timing for any intervention. Additionally, maintaining good hygiene and monitoring for any signs of infection or discomfort is essential while you consider the next steps.

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