BXO

Tight foreskin - what is the treatment

Phimosis (tight foreskin): What are the alternatives to full circumcision?

When there is a tight foreskin called phimosis, a person wonders whether he need to be circumcised.  There are many alternatives to full circumcision.

Following non-surgical treatments are an alternative to circumcision.

•          Children usually grow out of natural tight foreskin

•          Stretching exercises: It may help in some cases

•          Steroids - topical or local injections: There is medical evidence that steroid cream cures the phimosis

•          Stretching exercises with steroids:  Both treatments may be more effective than one only.

•          Vitamin E cream: More medical evidence may require its effectiveness.

Following surgical treatments are an alternative to circumcision.

 •          Frenuloplasty: Frenuloplasty provides releasing the frenulum which is a simple and effective treatment of dealing painful or torn frenulum

•          Frenular grafting: Free frenular skin grafting an alternative to circumcision in some men with a combination of tight frenulum and phimosis.

•          Preputioplasty: This operation is mainly to widen the ring noticed after retraction of the foreskin beyond the head of the penis

•          Partial circumcision: There are very limited role of partial circumcision in tight foreskin.

However, tight foreskin with balanitis xerotica obliterans (BXO) is treated with steroids, biopsy and full circumcision.

In conclusion, alternative treatments (surgery or no surgery) consider before male circumcision who have a tight foreskin. We have discussed a method of treatment and every treatment must be considered individually and carefully

10 Years' Experience in Balanitis Xerotica Obliterans: A Single-Institution Study

Balanitis xerotica obliterans (BXO) is uncommon in children. Diagnosis of the condition is almost always clinical and supported by histology.

Adult feedback after Glue Circumcision

Dear Dr Khan and team

It is now 3 1/2 months since I attended the thorn hill clinic for my circumcision.

Everything has completely healed and I am very pleased and completely satisfied with the outcome. As is my girlfriend/partner.

When I got home on the day of the operation I took paracetamol as a precaution as the anaesthetic wore off. but that was the only time, I didn’t need it again. I went back to work on the Monday 15th October 2018.

The bandages came off after 3 days, the swelling had almost pushed them off by that point any way. I used the fuicuden cream as instructed but there was no infection so the antibiotic prescription didn’t get used.  Within 2 weeks the swelling had mostly gone down and by week 3 the stitches were gone.

I felt really looked after by you and your colleagues at the clinic, before, during and after the operation.

All in all a good experience (under the circumstance!!) I wish I had booked in with you for a circumcision years ago.

Kind regards

AW

( Email received on 27-01-2019)

Balanitis (Foreskin Inflammation) In men

  • What is balanitis or balanoposthitis in men ? 
  • Balanitis in diabetic men  
  • what are other cause?  
  • What is the Treatment for Balanitis?
  • How Effective is Circumcision In case Balanitis in men?
  • What are the complication of banalitis   

Please call Dr. Khan if you are suffering from infection of foreskin or Balanitis    

Information about the adult circumcision before and after the procedure.