Dr. Harold Reed Blog

Category Archives: Phimosis

Best treatment for phimosis

Dr. Reed, Have serious phimosis.  Unable to retract my foreskin over my head.  I am 24 and worried.  What is the best ways to manage this and any alternatives?  I am very nervous.  Roger

Dear Roger,

Phimosis is a normal situation for newborns and by the time a man reaches 18 years of age, only 3% still have phimosis.  The others can retract fully without difficulty. The best treatment for phimosis is adult circumcision.  Others will mention steroid creams which may work temporarily but the phimotic tendency will return again and again.  With each stretching event the elastic fibers of your foreskin are replaced with scar fibers, which only when stretched and  broken reform with more scar.

If you wish to maintain semblance of a foreskin, you need at least to have the scarred portion removed.  Another procedure called a preputioplasty could be considered, but if you look at the medical illustrations, I can’t imagine you’ll be happy with that.

Please see pictures of phimosis on our web-site  penisdoctor.com/before-after-adult-circumcision  Start at Phimosis Example: 10/1 – 10/3 and scroll down.

Here’s an article re: preputioplasty on children.  Note this was written in 2003 and from the UK  J R Soc Med. 2003 Sep; 96(9): 452–453.

23 boys (mean age 5 years; range 1–10) underwent preputioplasty as a day case under the care of two consultant urologists in the course of 3 years. The procedure was offered to those who had a problematic irretractable prepuce with a clear tight band and no evidence of balanitis xerotica obliterans (lichen planus et atrophicus). Under general anaesthesia, a dorsal longitudinal incision is made through the tight preputial band. After haemostasis, the wound is closed horizontally with a 4/0 Vicryl Rapide suture (Figure 1). Parents were asked to begin retraction of the foreskin the next day, placing 2% lidocaine gel behind it, and to continue for three days. The questionnaire (available from the authors) asked parents to address nine questions concerning the outcome and their satisfaction.

Image result for image preputioplasty

Preputioplasty with dorsal incision
Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision | Miami
Phimosis picture
Phimosis picture
Phimosis picture with inflammation and micro-tears
Picture of phimosis treated with adult circumcision

Would like a longer penis, what is your fee, have some phimosis

Dr. Reed, Would like a longer penis, what is your fee, have some phimosis.  Saw before and after photos of penile lengthening on your web-site penisdoctor.com/before-after-penile-enlargement  Jake Dear Jake, Penile lengthening results are highly dependent upon a patient’s willingness to use penile traction for a minimum of 8 hours a day in divided sessions.  Ideally 1…Continue Reading

FAQ | Adult Circumcision | The Reed Centre | Miami

Dr. Reed,  What is the fee for an adult circumcision in Florida without any insurance? the skin at the end of my penis is very tight and it causes discomfort when pulled back. i tried calling hospitals but they were of no help when asked this question. do you have any tips on how to looses…Continue Reading

Phimosis not responding to conservative treatments

Dr. Reed,  I have phimosis, age 28.  Difficult to retract even for daily hygiene.  If I stretch it too hard, it tears, and takes a good week to heal.  Alejandro Dear Alejandero, You are not alone.  We are all born with phimotic foreskins and, if not circumcised only 3% of men over 18 have persistence…Continue Reading

Phimosis and adult circumcision

(taken from Wikipedia) Phimosis is a condition in which the foreskin of the penis cannot be pulled back past the glans. A balloon-like swelling under the foreskin may occur with urination. In teenagers and adults, it may result in pain during an erection, but is otherwise not painful. Those affected are at greater risk of…Continue Reading

Unable to retract my foreskin for about 1 year

Dr. Reed,  Believe I have phimosis. Unable to retract my foreskin for about 1 year.  What are the options? My wife is favoring as circumcision.  Gary Dear Gary, While some doctors treat phimosis with steroid creams, the likelihood of permanent cure is nil. Another option is so called preputioplasty, often called a dorsal slit with…Continue Reading

Foreskin Restoration

Dr,. Reed I have contemplated foreskin restoration in an effort to return to my natural state.  I have heard of the purse string technique and also the Tugger.  Do these approaches work. Fernando Dear Fernando,  I would not do the purse string technique as the result might lead to phimosis, or inability to retract your…Continue Reading

My wife wants me to have an (adult) circumcision

My wife wants me to get circumcised, but im not sure and i’d like to know more about the procedure.  Jeremy Dear Jeremy, Adult circumcision is the specialty of the house.  Yet, if there are no medical indications, this is a shared decision between you and your wife.  I’d be in the same shoes, if your wife…Continue Reading

Medical Insurance, payable Adult Circumcision Diagnoses

I would want to undergo circumcision and wanted to know what bills are covered by medical insurance and how much is covered by me, also healing time  Alexander Good afternoon Alexander, Having a beautiful adult circumcision result and never being asked “what’s that” is equally important.  As you can see by before and after photos…Continue Reading

Phimosis “I rip my foreskin almost everytime I have sex”

Hello Mr Reed….almost everytime i have sex…i rip my foreskin on my penis. It’s Becoming a very uncomfortable experience….  Troy Dear Troy,  Most likely you have a phimosis and the trauma of an erction which involves both the head and shaft is stretching your foreskin to the point it is tearing.  More likely than not,…Continue Reading