Well Experienced Doctor
Most Advance Treatment
Patient Friendly Environment
STAPLER CIRCUMCISION
FOR PHIMOSIS
Minimal Pain
No Stitch
No Scar
30 Min Procedure
STAPLED CIRCUMCISION
FOR PHIMOSIS
Minimal Pain
No Stitch
No Scar
30 Min Procedure
What is Phimosis?
Phimosis is a condition of the penis that occurs in some adults and children who aren’t circumcised. If you have phimosis, your foreskin can’t be pulled back (retracted). It may look like your penis has rings around the tip. Having phimosis isn’t necessarily a problem. It only becomes a problem when it causes symptoms. This could be when phimosis is severe and leaves an opening the size of pinhole.Actually, there are two types of phimosis: physiologic and pathologic. The physiologic type is associated with childhood and usually resolves as you age. The pathologic type is associated with a condition called balanitis xerotica obliterans (BXO).
Who does phimosis affect?
The foreskin (also called the prepuce) is tight when babies are born, but usually gets looser by the time the child is 2 years old. During the years between ages 2 and 6, the foreskin loosens up and begins to separate from the head of their penis. Phimosis can also happen after childhood.
How common is phimosis?
Phimosis is found in virtually all newborns, and then the foreskin changes gradually so that it can be pulled back. It’s estimated that only 1% of people still have phimosis when they’re 16 years old.
What if I have inflammation on the head of my penis and my foreskin?
Balanoposthitis is inflammation of the foreskin and glans. This only occurs in uncircumcised men or people AMAB. Signs of balanoposthitis include itching, irritation and swollen foreskin and glans. Balanoposthitis occurs more often in people who have diabetes or a tight foreskin.
How is phimosis diagnosed?
Your healthcare provider can diagnose phimosis during a physical examination. In addition, they might order tests to find out if there’s an infection present in urine or penis discharge.
Symptoms and Causes of Phimosis
Symptoms
Someone with phimosis may have the following symptoms:
- Redness or discoloration, which may occur when infected/irritated.
- Swelling (inflammation), which may occur when infected/irritated.
- Soreness.
- Pain while urinating (dysuria).
- Pain with erections or with sexual activity.
Causes
If you or your child has pathologic phimosis (which is caused by some type of condition), there are various reasons it might develop, including:
- Poor hygiene. This could actually be a cause and a result of phimosis. It might be irritating and painful to try to clean thoroughly, but not cleaning could lead to infection.
- Skin conditions such as eczema, psoriasis, lichen planus and lichen sclerosus. When it affects your penis, lichen sclerosis is known as penile lichen sclerosis or balanitis xerotic obliterans (BXO).
- Preputial adhesions, or scar tissue, that keep the foreskin attached to the tip (glans) of your penis.
- Injuries.
- Infections, including sexually transmitted infections (STIs).
Who does Phimosis affect?
Balanitis primarily affects uncircumcised men or people AMAB because the moist, warm area under the foreskin is the ideal place for yeast and bacteria to grow. It can occur at any age and is more common in people who have tight foreskin that doesn’t easily move over the head of their penis (phimosis). Groups with a higher risk of balanitis include people who:
- Clean their penis or under their foreskin infrequently.
- Are middle-aged or older.
- Have diabetes, because the increased glucose (sugar) on their skin can stimulate bacterial and fungal growth.
- Have obesity.
- Have sexually transmitted infections.
- Have a sensitivity to chemical irritants.
- Open Circumcision
- Laser Circumcision
- Stapler Circumcision
Management and Treatment
Physiological phimosis (congenital) typically doesn’t need treatment. Usually, your child grows out of it. Your provider might also call this primary phimosis.
Pathological phimosis, also called secondary phimosis, does need to be treated.
- Your healthcare provider will probably suggest a steroid cream to apply to the skin of your penis.
- Your provider might suggest that you gently start stretching the foreskin after about two weeks of using the steroid cream. You should stretch the skin very gently, pulling it back only as far as you can without it hurting at all. You can use the cream on the part of the glans that’s exposed by the stretching exercises.
- The next step would be surgery. If your child is having difficulty, their provider might make a small cut in the foreskin so you’re able to pull it back. If you’re an adult with lots of scar tissue, your provider will probably recommend circumcision. This procedure will remove the foreskin and free the glans.
- Your healthcare provider is almost sure to suggest circumcision if balanitis xerotic obliterans (BXO) is causing the phimosis and steroid creams don’t work. Your provider might suggest it anyway. Phimosis can make sexual activity uncomfortable for adults. Also, BXO can cause urinary tract problems and is associated with a higher risk of cancer of the penis.
Prevention
How can I prevent phimosis?
Physiological phimosis can’t be prevented. It’s present in nearly all newborns.
It’s important, though, to keep the penis clean. Parents or caregivers should be given directions on the best way to clean a penis. They should also be told not to worry so much about the fact that the foreskin isn’t movable for the first few years of life. When the children are old enough to take care of themselves, they should be taught to clean their own penis.
| OPEN CIRCUMCISION | STAPLER CIRCUMCISION | |
|---|---|---|
Duration |
30 MIN |
15 MIN |
Tissue Injury |
PAINFUL |
MINIMAL PAIN |
Blood Loss |
HIGH |
LOW |
Foreskin to be Cut |
TO BE DECIDE |
TO BE DECIDE |
Post Operative Pain |
MODERATE |
PAINLESS PROCESS |
Post Operative Swelling |
MODERATE |
NO SWELLING |
Admission Time |
24 Hours |
4 Hours |
Post Operative Scars |
STITCH MARK |
NO MARK |
Routine Work |
AFTER 3 DAYS |
NEXT DAY |
COST |
LOW |
MODERATE |
What are the Benefits of Stapler Circumcision Surgery?
Generally, there are two most common types of patients for circumcision surgery: Adults with penile problems and newborns getting circumcision due to religious reasons. Currently, according to most research studies, the benefits of stapler circumcision outweigh the risks. Circumcision reduces the risk of contracting UTIs, STIs, HIV, etc. It can even lead to lower risk of developing penile cancer in men and cervical cancer in their sexual partners.
In the past, open circumcision was the norm for both these types of patients, but nowadays, stapler and laser circumcision are preferred. Of these two techniques, stapler circumcision surgery is often preferred as it provides better results with minimal complications.
Stapler circumcision preserves the tissue surrounding the surgical site and removes the foreskin with minimal blood loss. It has a short recovery period and the patient is completely recovered within a couple of weeks. The silicone ring left on the penis prevents postsurgical infections and aids the recovery of the patient.
What to Do After Stapler Circumcision?
After the surgery, you will be discharged on the same day, within a few hours so that you can rest and recover at home. You will need to visit your urologist for a follow-up consultation and wound inspection 2-3 days after the surgery.
During this visit, the surgeon will remove the compression bandage and examine the surgical site for any signs of bleeding or infection. After this, the wound will be left open to recover. The silicone ring left on the penis will fall off on its own within 10-14 days once the incision has healed enough.
You will be able to return to work within a week of the surgery but you must avoid any sexual activity, including masturbation, for at least a month. You should also avoid strenuous exercises like running or weight lifting as they may strain the muscles surrounding the penis and delay the recovery.
If your child is getting circumcised, you should consult their pediatrician before the surgery regarding anesthesia usage and recovery rate.
FAQs Around Phimosis Treatment
In many cases, phimosis can be treated without surgery. Topical corticosteroid creams and gentle stretching exercises under medical supervision are common non-surgical approaches.
Topical corticosteroid creams are sometimes prescribed to help loosen the foreskin. However, it’s essential to consult a healthcare professional for proper diagnosis and guidance.
The time it takes for treatment to show results varies. Improvement may be seen in a few weeks with conservative measures, but it’s important to follow the prescribed treatment plan and consult with a healthcare provider.
Circumcision is one surgical option for severe cases of phimosis. However, other procedures, such as preputioplasty (surgical widening of the foreskin opening), may be considered based on the specific circumstances.
Untreated phimosis may lead to complications such as inflammation, infection, and difficulty urinating. In severe cases, it can cause paraphimosis, a condition where the retracted foreskin cannot be pulled back over the glans.
Phimosis can develop at any age, and it may be present from childhood or develop later in life due to inflammation, scarring, or other factors.
If you experience symptoms such as pain, swelling, or difficulty urinating due to phimosis, or if conservative measures are not providing improvement, it’s advisable to consult with a healthcare professional for a proper diagnosis and treatment plan.
