Foreskin issues
Hello: Is surgery necessary for phimosis? I have seen on some hospital websites that some doctors suggest using a steroid ointment for treatment, as steroids can cause skin atrophy, allowing the glans to be exposed naturally.
Is this method feasible? Thank you!
snoopy, 40~49 year old female. Ask Date: 2006/04/03
Dr. Liu Jianting reply Urology
Phimosis does not necessarily require surgery unless the glans cannot be exposed during an erection, in which case surgery may be considered.
As for the steroid method, it may not be suitable for you at 41 years old.
Please consult a urologist at a hospital for further evaluation before making a decision.
Reply Date: 2006/04/03
More Info
Phimosis, a condition where the foreskin cannot be easily retracted over the glans (tip of the penis), can be a source of discomfort and concern for many individuals. The question of whether surgery is necessary for phimosis often arises, especially when considering alternative treatments such as topical steroid creams.
Surgical intervention, typically in the form of circumcision or preputioplasty, has long been the standard treatment for phimosis, particularly in cases where it causes pain, recurrent infections, or other complications. However, surgery is not the only option available, and many healthcare providers now consider conservative treatments before recommending surgical solutions.
Topical steroid creams, such as mometasone furoate, can indeed be effective in treating phimosis. These creams work by reducing inflammation and promoting skin elasticity, which can help in cases of mild to moderate phimosis. The application of steroid creams can lead to thinning of the skin, which may allow the foreskin to retract more easily over time. This method is particularly useful for individuals who may not want to undergo surgery or for those who have mild phimosis without significant complications.
The typical approach involves applying the steroid cream to the foreskin and glans for a specified period, usually a few weeks. Patients are often advised to gently retract the foreskin during this treatment to encourage stretching and improve the chances of success. It is essential to follow the guidance of a healthcare provider when using steroid creams, as improper use can lead to skin thinning or other side effects.
While steroid creams can be effective, they may not work for everyone. In cases of severe phimosis or when there are recurrent infections, surgery may still be the best option. It is crucial to have a thorough discussion with a healthcare provider to evaluate the severity of the condition, the presence of any complications, and the potential benefits and risks of each treatment option.
In summary, surgery is not always necessary for phimosis, especially in mild cases. Topical steroid creams can be a viable alternative, promoting skin elasticity and potentially allowing for retraction of the foreskin without surgical intervention. However, the decision should be made in consultation with a healthcare provider, who can assess the individual situation and recommend the most appropriate treatment plan. If steroid treatment is chosen, it is essential to monitor the response and be aware of any side effects, as well as to maintain open communication with the healthcare provider throughout the process.
Similar Q&A
Understanding Phimosis: Steroid Cream vs. Surgical Options
Hello Doctor: I have phimosis, but I can retract the foreskin with my hand. The issue arises when I try to push back the foreskin, as there is a particularly narrow ring. I do not want to undergo circumcision. I have read online that applying steroids may be an option; is this ef...
Dr. Xu Weikai reply Urology
Mark: Hello, a local incision and release surgery can be performed. Steroids may take longer, so patience is required. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses should only be used as a reference; if necessa...[Read More] Understanding Phimosis: Steroid Cream vs. Surgical Options
Exploring Steroid Cream Treatment for Phimosis: Options Beyond Surgery
Hello doctor, I have phimosis (completely unable to retract the foreskin). Recently, I discovered that there is a steroid cream treatment available in addition to circumcision. Do most hospitals offer this type of treatment?
Dr. Li Yilun reply Urology
Although corticosteroid ointments have some effects, they should only be considered for certain patients, especially children. Their effectiveness is generally lower in adults, but the condition varies among different patients. It is important to emphasize that a simple descripti...[Read More] Exploring Steroid Cream Treatment for Phimosis: Options Beyond Surgery
Managing Phimosis: Can Steroids Help Avoid Surgery?
Hello, doctor. In the past, I have experienced a condition where my foreskin remains in a state of phimosis during sexual activity, and suddenly retracts behind the glans, causing pain and a feeling of tightness. Can this condition be treated with steroid medications to help rela...
Dr. Cai Zhuorong reply Urology
In a 29-year-old, the effectiveness of steroid treatment for phimosis is not as pronounced as in children; however, if the condition is not severe, it may still be worth attempting.[Read More] Managing Phimosis: Can Steroids Help Avoid Surgery?
Managing Phimosis: Can Steroid Cream Help?
I attempted to retract the foreskin during an erection, but the opening is only large enough to expose half of the glans. I read online that I could try using a "steroid ointment" to address this issue. I'm not sure where I can purchase it on the market. What is th...
Dr. Du Shixi reply Urology
Hello: Depending on the severity, some cases of phimosis may require medical attention. Please consult a physician for evaluation.[Read More] Managing Phimosis: Can Steroid Cream Help?
Related FAQ
Phimosis
(Urology)
Phimosis(Surgery)
Steroids(Urology)
Urethra(Surgery)
Sildenafil(Urology)
Syphilis(Urology)
Vas Deferens(Urology)
Homosexual(Urology)
Post-Vasectomy(Urology)
Orchitis(Urology)