Foreskin constriction

The causes of foreskin constriction can be varied. In newborns and infants, a certain tightness of the foreskin is normal and usually not a cause for concern. A narrowing of the foreskin can be caused by scarring if the foreskin is retracted too early and forcibly. Infections and inflammations, such as balanitis (inflammation of the glans), can also lead to phimosis.

• Difficulty or inability to retract the foreskin over the glans (in the case of complete phimosis, even when flaccid).
• Pain when urinating or during erection.
• Recurrent inflammation or infection of the foreskin and glans.
• Appearance of a balloon-like swelling under the foreskin when urinating.

The diagnosis is made by a physical examination by a urologist. In most cases, the diagnosis can be made by simple inspection and history taking. If an underlying infection is suspected, a urine sample may be taken for further examination.

Conservative: Topical steroid creams can be used to soften the foreskin and improve stretchability. They are usually applied over several weeks.

Physiotherapy: Stretching exercises of the foreskin, performed carefully and regularly, can also be helpful.

Ergonomic aids: Use of special gels or ointments to support the stretching exercises.

Medication: Anti-inflammatory medication to treat accompanying inflammation or infection.

Surgical: If conservative methods are unsuccessful, circumcision may be necessary.

• Severity of the procedure: Surgical
• Duration of the procedure: Short, usually performed as an outpatient procedure
• Aftercare: Regular follow-up examinations to monitor healing
• Probability of success: High, especially with complete circumcision

There are no specific preventative measures, but gentle and careful handling of the foreskin in children can reduce the risk of scarring and therefore secondary phimosis. Good hygiene and avoiding forcible retraction of the foreskin are also important.