Phimosis: What are the causes, symptoms, and treatments for a non-retractable foreskin?

### What is Phimosis? Phimosis is a condition where the foreskin of the penis cannot be pulled back from the head of the penis. This condition is normal in babies and young children and usually resolves on its own as they grow. However, it can also occur in older children and adults due to infections, scar tissue, or skin conditions. ### Causes of Phimosis 1. **Natural Development**: Babies are born with a tight foreskin that gradually loosens as they grow. 2. **Infections**: Infections can cause scar tissue, making the foreskin less stretchy. 3. **Injury**: Forcefully pulling or stretching the foreskin can cause tiny tears and inflammation, leading to phimosis. 4. **Skin Conditions**: Conditions like penile lichen sclerosus or balanitis xerotic obliterans can cause phimosis. 5. **Medical Conditions**: Diabetes can increase the risk of infections like balanitis, which can lead to phimosis. ### Symptoms of Phimosis - Difficulty or pain when urinating - Pain during erections or sexual activity - Urinary tract infections - Foreskin pain or discharge - A white ring of scar tissue around the foreskin opening ### Treatment Options 1. **Observation**: In young children, phimosis often resolves on its own. Gentle stretching exercises can help. 2. **Medicated Creams**: Steroid creams like betamethasone can soften and loosen the foreskin when applied regularly. 3. **Surgery**: If other treatments fail, surgical options like circumcision or small cuts in the foreskin can be considered. ### Prevention and Care - Keep the penis clean and dry - Avoid forcefully retracting the foreskin - Seek medical advice if infections or other symptoms occur Phimosis is generally not a serious condition but can lead to complications if left untreated. Consult a healthcare provider for proper diagnosis and treatment.