London Circumcision Clinic

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.

Circumcision styles

Circumcision styles

The high/low style is a way of stating how much inner skin is removed. The loose/tight style is a way of stating how much outer skin is removed. These styles are almost totally independent, hence there are four circumcision styles:

  • Low and Loose

  • Low and Tight

  • High and Loose

  • High and Tight

Dr Khan can discuss the characteristics of high and low cut, tight and loose cut types or styles of circumcision.

Benefits Of Circumcision

Circumcision is a common procedure with minimum risks of complications by trained professional doctors. There are different opinions whether there is a need for a male to be circumcised.The benefits of infant circumcision include prevention of urinary tract infections (a cause of renal scarring), reduction in risk of inflammatory foreskin conditions such as balanoposthitis, foreskin injuries, phimosis (tight foreskin) and paraphimosis ( foreskin stuck behind the head of penis) When the men later becomes sexually active he has substantial protection by circumcision against risk of HIV and other viral sexually transmitted infections such as genital herpes and oncogenic human papillomavirus, as well as penile cancer. The risk of cervical cancer in his female partner(s) is also reduced.