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Suggest Treatment For Phimosis

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Posted on Mon, 28 Jul 2014
Question: Am 20 now.. suffering from phimosis..
but I think my glans is not attached to skin..it is free under skin.. 2 years before I had streched the skin completely back to glans..no pain occured..but now the top portion of skin is too tight..a small portion of glans is coming out..what to do? Am scared about surgery..
doctor
Answered by Dr. Deepak Kishore Kaltari (30 minutes later)
Brief Answer:
It can be managed non surgically

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Mr XXXXXXX

There is nothing to be embarrassed or worried about. It's a common problem faced by young individual.
Do not worry it can be taken care off non surgically.
Do not forcefully pull it back for two reasons
1. It will lead to paraphimosis
2. Raw surface created on both prepuce and glans and cause further adhesion

I would suggest you the following
1. Hot Seitz bath : To a tub of lukewarm water add handful of common table salt. Sit in it for 15 to 20 minutes. Gently pull back the skin and clean it. Remove the white secretion which is known as a smegma. Pull it back slightly and not completely. Over a period of time you will be able to retract in completely. Replace back the skin and take a bath.
Do this procedure twice a day.
2. Local application: After bath, dry the body. Take soframycin and Betnovate ointment. Empty both the ointment tubes In a small clean plastic container and mix well.
Gently pull back the foreskin and apply the ointment mixture and replace back the skin.
Apply it twice a day for 3 weeks.
Betnovate is steroid ointment and will prevent future adhesion and will help in gentle retraction.

Majority of my patients benefit from it . If phimosis still persists , simple out patient procedure like prepucial separation will help.

Keep me updated.
Also send me clinical photograph for assessment.

Take care

Best regards
Dr Deepak XXXXXXX
MBBS, MS, MCh
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Deepak Kishore Kaltari (1 hour later)
Is this cream available without prescription?
I had sometimes a dysuria and disturbane in the genital area everytimes?
is this because of prostatitis due to phimosis??
doctor
Answered by Dr. Deepak Kishore Kaltari (2 minutes later)
Brief Answer:
Usually available over the counter

Detailed Answer:
Hi

Phimosis does not cause Prostatitis.
The dysuria is likely to be due to Balanoposthitis.
Usually the ointment are available as over the counter medication.

Take care

Best regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Deepak Kishore Kaltari (5 minutes later)
Thanks for your support till yet..
what is the solution for Balanoposthitis??
doctor
Answered by Dr. Deepak Kishore Kaltari (1 minute later)
Brief Answer:
The treatment is same

Detailed Answer:
Hi

The solution is the same as previously mentioned in my first response. Most of cases of phimosis have Balanoposthitis.

Take care

Best regards
Dr Deepak
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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Suggest Treatment For Phimosis

Brief Answer: It can be managed non surgically Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Mr XXXXXXX There is nothing to be embarrassed or worried about. It's a common problem faced by young individual. Do not worry it can be taken care off non surgically. Do not forcefully pull it back for two reasons 1. It will lead to paraphimosis 2. Raw surface created on both prepuce and glans and cause further adhesion I would suggest you the following 1. Hot Seitz bath : To a tub of lukewarm water add handful of common table salt. Sit in it for 15 to 20 minutes. Gently pull back the skin and clean it. Remove the white secretion which is known as a smegma. Pull it back slightly and not completely. Over a period of time you will be able to retract in completely. Replace back the skin and take a bath. Do this procedure twice a day. 2. Local application: After bath, dry the body. Take soframycin and Betnovate ointment. Empty both the ointment tubes In a small clean plastic container and mix well. Gently pull back the foreskin and apply the ointment mixture and replace back the skin. Apply it twice a day for 3 weeks. Betnovate is steroid ointment and will prevent future adhesion and will help in gentle retraction. Majority of my patients benefit from it . If phimosis still persists , simple out patient procedure like prepucial separation will help. Keep me updated. Also send me clinical photograph for assessment. Take care Best regards Dr Deepak XXXXXXX MBBS, MS, MCh