Phimosis in children

What is a phimosis in children?

It is often normal for the foreskin of a young boy not to retract fully. The foreskin is often glued slightly to the glans at birth. The foreskin usually takes off or dilates gradually in the first years of life since the glans gradually becomes bigger. It is simply a physiological phimosis that goes away by itself without treatment.

A pathological phimosis is a foreskin too tight that no longer retracts for lack of flexibility. Its tightening is variable. It can be light or sometimes very tight which prevents to see the glans completely.

male genitals and phimosis

What is the cause of a phimosis in children?

It is sometimes physiological. Some young patients have hypersensitivity of the glans that prevents retraction of the prepuce.

It is most often the result of inflammation or repeated infections of the foreskin (infertile balanitis)

The prepuce of the child can also become whitish, thick and hard by a foreskin disease called lichen sclerosus.

What are the symptoms of a pathological phimosis in children?

Phimosis may be asymptomatic. It prevents, however, an adequate hygiene. Sometimes, a slight phimosis can crack gradually and it causes erections more and more painful. Phimosis can cause infections (infectious balanitis).

Moreover, in cases of severe phimosis, urination is sometimes painful. The prepuce can even swell before urine empties.

Who can have pathological phimosis in children?

Phimosis can occur at any age. Dr Marois systematically treats boys and teenagers for this problem.

Is it possible to prevent pathological phimosis in children?

There is no treatment to prevent phimosis in uncircumcised children. Circumcision in the newborn obviously prevents this complication.

What is the treatment of pathological phimosis in children?

- Creams with corticosteroid base are usually only during physiological phimosis. This treatment accelerated the detachment of the foreskin.

- A plasty of the prepuce can be proposed but it is little used since the aesthetic result is mostly rather mixed.

What is the treatment of physiological phimosis in children?

- Creams of corticosteroids can be proposed but they are generally not very effective in this case.

- Circumcision is often the most effective and definitive solution for children.

- Dr Marois' clinic is a private practice that is equipped with a full urological minor surgical ward. It conforms to the standards established by the Collège des médecins du Québec.

- Dr Marois is a specialist urologist who is able to offer you different techniques of circumcision in children to offer the most appropriate technique according to its anatomy and depending on the complexity of the underlying problem if there is a place.

- The esthetic results are then improved compared to standard closure circumcision techniques in separate sutures.

- Dr Marois is a meticulous surgeon who has a concern for aesthetics. For most children who will become men, a more aesthetic circumcision is important.

See the circumcision page for the treatment of pathological phimosis in children

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