Phimosis Treatment in Lucknow

What is Phimosis?

Phimosis is a medical condition in which the foreskin of the penis cannot be retracted (pulled back) over the glans (head) of the penis. It can occur naturally or as a result of other conditions and can be categorized into physiological and pathological types.

Types of Phimosis

Physiological Phimosis: This is normal in newborns and young children. The foreskin is naturally adherent to the glans and usually becomes retractable as the child grows older. By the age of 3 to 7 years, the foreskin typically becomes more retractable in most boys.

Pathological Phimosis: This occurs due to scarring, infection, or inflammation. It can develop at any age and is often the result of conditions such as balanitis (inflammation of the glans), balanoposthitis (inflammation of the glans and foreskin), or trauma.

Signs & Symptoms of Phimosis

Key Symptoms

  • Inability to retract the foreskin over the glans.
  • Painful retraction attempts.
  • Swelling or redness of the foreskin or glans.
  • Difficulty with urination, which may include a weak stream or ballooning of the foreskin.
  • Recurrent infections of the foreskin and glans (balanitis).

Causes of Pathological Phimosis

Possible Causes

  • Infectionsn: Recurrent infections like balanitis can lead to scarring and narrowing of the foreskin.
  • Inflammation: Conditions such as lichen sclerosus, a chronic skin condition that causes white patches and scarring.
  • Poor Hygiene: Inadequate cleaning under the foreskin can lead to infections and subsequent scarring.
  • Trauma: Injury or forced retraction of the foreskin before it is naturally retractable.

Treatment Options

  • Steroid Creams: These can help to reduce inflammation and loosen the foreskin, making it more retractable over time.
  • Good Hygiene Practices: Regular cleaning and drying of the foreskin can prevent infections and inflammation.
  • Stretching Exercises: Gentle manual stretching of the foreskin can sometimes improve retractability.
  • Circumcision: Complete removal of the foreskin is a definitive solution for phimosis.
  • Preputioplasty: A less invasive surgical procedure that involves making small incisions to widen the foreskin.
  • Dorsal Slit: A single incision along the upper length of the foreskin to relieve constriction.

Potential Complications

  • Paraphimosis: This is a related condition where the retracted foreskin cannot be returned to its original position, leading to painful swelling and restricted blood flow to the glans. It is a medical emergency.
  • Recurrent Infections: Chronic phimosis can lead to frequent infections of the foreskin and glans.
  • Urinary Problems: Severe phimosis can obstruct the urinary stream, causing difficulty and pain during urination.
  • Sexual Dysfunction: Pain and difficulty with erections or intercourse can occur in adults with untreated phimosis.

When to Seek Medical Advice

  • Persistent inability to retract the foreskin in a child older than 3 to 7 years.
  • Painful symptoms associated with phimosis.
  • Recurrent infections or inflammation of the foreskin.
  • Urinary problems linked to tight foreskin.

Treatments Offered by Dr. Aditya P.S Sengar for Phimosis

URSL

Ureteroscopy (URS) is a minimally invasive procedure used to diagnose and treat conditions of the urinary tract, particularly kidney stones.

RIRS

RIRS (Retrograde Intrarenal Surgery) is a minimally invasive surgical procedure used to treat kidney stones located within the kidney.

PCNL

PCNL (Percutaneous Nephrolithotomy) is a minimally invasive surgical procedure used to remove large kidney stones, typically those that are too large to be passed naturally.

MINIPERC

Miniperc (Mini Percutaneous Nephrolithotomy) is a minimally invasive surgical procedure used to remove kidney stones that are larger than what can typically be treated by other procedures.

ECIRS

ECIRS (Endoscopic Combined Intrarenal Surgery) is an advanced minimally invasive surgical approach used to treat complex kidney stones.

CYSTOLOTHOTRIPSY

Cystolithotripsy is a surgical procedure used to remove bladder stones.

LAPAROSCOPIC PYELOLITHOTOMY

Laparoscopic pyelolithotomy is a minimally invasive surgical procedure used to remove kidney stones (renal calculi) that are too large or complex to be treated.

LAPAROSCOPIC URETEROLITHOTOMY

Laparoscopic ureterolithotomy is a minimally invasive surgical procedure used to remove stones (ureteral calculi) from the ureter, the tube that carries urine from the kidney to the bladder.