home>>Circumcision for Phimosis

Circumcision for Phimosis

Phimosis is a benign condition characterized by the inability of foreskin (prepuce) to retract behind the glans (head) of the penis. It is congenital in almost all the baby boys and resolves on its own as they transit into childhood. Adult phimosis is a true pathologic condition and may be caused either due to poor hygiene or because of an underlying medical condition (e.g., diabetes mellitus).

Hernia Surgeon in India, Fistula Surgeon in India, Piles Surgeon in India, Stomach Cancer in India, Colon Cancer Surgeon in India, Gastrologist in India, Breast Augmentation in India, Gynecomastia Correction Surgery in India, Breast Cancer Surgery in India, Colon Cancer Removal Treatment in India, Stomach Cancer Removal Treatment in India, Thyroid Cancer Surgery in India, Skin Cancer Surgery in India, Surgery for Rectal Cancer in India, Injection or Sclerotherapy in India, Karydakis Procedure in India, Laparoscopic Appendectomy in India, Laparoscopic Removal of Gall Bladder in India, Laparoscopic Hernia Repair in India, Laparoscopic Nissen fundoplication for GERD in India, Laparoscopic Sleeve Gastrectomy in India, Balloon Dilatation of Achalasia in India, Tension-Free Hernia Repair in India, Laser Surgery for Hemorrhoids in India, Laser Surgery for Piles in India, Rubber Band Ligation for Hemorrhoids in India, Ligation of the Intersphincteric Fistula Tract in India, Pilonidal Sinus Treatment in India, Thyroid Surgery Treatment in India

The pathological phimosis is usually asymptomatic and responsive to conservative medical treatment. But in cases where the medical treatment fails to cure the phimosis, surgical intervention is done usually by the traditional form of Circumcision.

Causes of Phimosis:
  • Balanitis or the infection of the foreskin
  • Balanoposthitis (infection of glans and foreskin)
  • BXO, a genital form of lichen sclerosus et atrophicus
  • Poor hygiene
  • Diabetes
  • Malignancy
Symptoms of Phimosis
  • Ballooning of the foreskin during voiding
  • Skin irritation
  • Pain and discomfort during sexual activity
  • Dysuria
  • Bleeding
  • Occasionally enuresis or urinary retention
Circumcision and adult circumcision

Circumcision is one of the earliest elective operations which has been performed for various religious reasons, social reasons, or both. When circumcision is performed for phimosis, 25%-46% of removed foreskins are histologically normal.

Common indications for circumcision
  • Phimosis
  • Para phimosis
  • Recurrent balanitis or balanoposthitis
  • Social or religious reasons
  • Bowen disease
  • Carcinoma
  • Condylomas
  • Trauma
Contraindications for circumcision

Circumcision is generally not performed in premature born children or those with blood dyscrasias. It should also not be performed in children with congenital penile anomalies such as the following:

  • Hypospadias
  • Epispadias
  • Chordee
  • Penile webbing
  • Buried penis