Phimosis: Difference between revisions

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Phimosis is classed as [[physiological phimosis]] or [[pathological phimosis]]. The physiological phimosis condition in adults is a natural variant, not a disease, so it does not threaten health. Men may elect to treat it or not treat it. Some men live their entire lives with a non-retractile foreskin. [[Sex with phimosis| They are able to have sexual intercourse and father children]].

[[Adult circumcision]] is an elective surgical [[amputation]]. One choses to be [[circumcised]] and must first grant [[informed consent]]. When a man states, "I had to have a circumcision," it is usually a lie.

==Positive aspects of phimosis==

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* Alternative Intimacy Experiences: Individuals with phimosis sometimes develop unique approaches to intimacy that focus on broader sensual experiences rather than conventional techniques.

Some men state that they prefer non-retractable foreskin over retractable foreskin.

==Physiologic phimosis==

[[Michel Beaugé| Beaugé]] (1997) states that adult phimosis persists when the individual uses unusual methods of [[masturbation]] that fail to stretch the narrow foreskin of [[Foreskin#Foreskin_in_infancy_and_childhood| childhood]].<ref name="beauge1997">{{REFjournal

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A [[Adolescent and adult circumcision| circumcision]] may be indicated in severe cases of pathological phimosis, where neither non-surgical methods with corticosteroid cream nor foreskin-preserving [[preputioplasty]] are promising (for example with chronic [[balanitis xerotica obliterans]]) or have failed in previous attempts.

==Pathological phimosis==

Pathologic phimosis is phimosis caused by lichen sclerosis et atrophicrus (LSA), formerly known as [[balanitis xerotica obliterans]] (BXO), on the [[foreskin]].<ref name="rickwood1980">{{REFjournal

Pathologic phimosis is phimosis caused by lichen sclerosis et atrophicrus (LSA), formerly known as [[balanitis xerotica obliterans]] (BXO), on the [[foreskin]].<ref name="milos2022-09-19">{{REFweb

|url=https://intactamerica.org/ask-marilyn-can-a-tight-foreskin-be-treated-without-circumcision/

|title=Ask Marilyn—Can a Tight Foreskin be Treated without Circumcision?

|last=Milos

|first=

|init=MF

|author-link=Marilyn Fayre Milos

|publisher=Intact America

|date=2022-09-19

|accessdate=2024-10-24

}}</ref> <ref name="rickwood1980">{{REFjournal

|last=Rickwood

|first=

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|doi=

|accessdate=2024-01-13

~~}}</ref> <ref name="milos2022-09-19">{{REFweb~~

~~|url=https://intactamerica.org/ask-marilyn-can-a-tight-foreskin-be-treated-without-circumcision/~~

~~|title=Ask Marilyn—Can a Tight Foreskin be Treated without Circumcision?~~

~~|last=Milos~~

~~|first=~~

~~|init=MF~~

~~|author-link=Marilyn Fayre Milos~~

~~|publisher=Intact America~~

~~|date=2022-09-19~~

~~|accessdate=2024-10-24~~

}}</ref>

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* Elongation of the frenulum with a [[skin]] graft.

Circumcision is not appropriate or necessary to treat [[frenulum breve]]. Patients must be careful when consulting a urologist, because urologists earn an attractive fee from performing a circumcision, so may be quick to recommend inappropriate and unnecessary injurious [[circumcision]] to an unwary patient.

Circumcision is not appropriate or necessary to treat [[frenulum breve]]. Patients must be careful when consulting a urologist, because urologists earn an attractive fee from performing an [[adult circumcision]], so may be quick to recommend inappropriate and unnecessary injurious [[circumcision]] to an unwary patient.

==Hygiene==

The normal non-retractable [[foreskin]] may be easily flushed out with warm water and a [https://www.amazon.com/Syringe-Removing-Syringing-Medi-Grade/dp/B0842B1XMR?sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1 rubber-bulb type ear syringe]. Excessive washing and the use of soap should be avoided.<ref name="Birley1991">{{REFjournal

|last=Birley

|init=HDL

|author-link=

|last2=Wasker

|init2=MM

|last3=Luzzi

|init3=GA

|etal=yes

|title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing

|journal=Genitourin Med

|date=1993-10-01

|volume=69

|issue=5

|pages=400-3

|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf

|quote=

|pubmedID=8244363

|pubmedCID=1195128

|DOI=10.1136/sti.69.5.400

|accessdate=2025-12-05

}}</ref>

==Video==

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|accessdate=2025-11-23

}}

* {{REFweb

|url=https://www.reddit.com/r/Intactivists/comments/1nwbfkw/belgium_drops_coverage_for_circumcisions_for/

|title=Belgium drops coverage for circumcisions for phimosis

|last=Anonymous

|first=

|init=

|author-link=

|publisher=REDDIT

|date=2025-10

|accessdate=2026-01-07

}}

The following link contains graphic images and is only for those who are 18 years of age and older.

* {{NSFW}} {{REFweb

|url=https://www.reddit.com/r/Phimosisappreciation/

|title=Phimosis appreciation

|last=Anonymous

|publisher=Reddit

|accessdate=2026-03-11

}}

@@ Line 14: / Line 14: @@
 Phimosis is classed as [[physiological phimosis]] or [[pathological phimosis]]. The physiological phimosis condition in adults is a natural variant, not a disease, so it does not threaten health. Men may elect to treat it or not treat it. Some men live their entire lives with a non-retractile foreskin.  [[Sex with phimosis| They are able to have sexual intercourse and father children]].
+[[Adult circumcision]] is an <i>elective</i> surgical [[amputation]]. One choses to be [[circumcised]] and must first grant [[informed consent]]. When a man states, "<b>I had to have a circumcision</b>," it is usually a lie.
 ==Positive aspects of phimosis==
@@ Line 25: / Line 27: @@
 * <b>Alternative Intimacy Experiences:</b> Individuals with phimosis sometimes develop unique approaches to intimacy that focus on broader sensual experiences rather than conventional techniques.
+Some men state that they prefer non-retractable foreskin over retractable foreskin.
 ==Physiologic phimosis==
 [[Michel Beaugé| Beaugé]] (1997) states that adult phimosis persists when the individual uses unusual methods of [[masturbation]] that fail to stretch the narrow foreskin of [[Foreskin#Foreskin_in_infancy_and_childhood| childhood]].<ref name="beauge1997">{{REFjournal
@@ Line 567: / Line 572: @@
 A [[Adolescent and adult circumcision| circumcision]] may be indicated in severe cases of pathological phimosis, where neither non-surgical methods with corticosteroid cream nor foreskin-preserving [[preputioplasty]] are promising (for example with chronic [[balanitis xerotica obliterans]]) or have failed in previous attempts.
 ==Pathological phimosis==
-Pathologic phimosis is phimosis caused by lichen sclerosis et atrophicrus (LSA), formerly known as [[balanitis xerotica obliterans]] (BXO), on the [[foreskin]].<ref name="rickwood1980">{{REFjournal
+Pathologic phimosis is phimosis caused by lichen sclerosis et atrophicrus (LSA), formerly known as [[balanitis xerotica obliterans]] (BXO), on the [[foreskin]].<ref name="milos2022-09-19">{{REFweb
+ |url=https://intactamerica.org/ask-marilyn-can-a-tight-foreskin-be-treated-without-circumcision/
+ |title=Ask Marilyn—Can a Tight Foreskin be Treated without Circumcision?
+ |last=Milos
+ |first=
+ |init=MF
+ |author-link=Marilyn Fayre Milos
+ |publisher=Intact America
+ |date=2022-09-19
+ |accessdate=2024-10-24
+}}</ref> <ref name="rickwood1980">{{REFjournal
   |last=Rickwood
   |first=
@@ Line 601: / Line 616: @@
   |doi=
   |accessdate=2024-01-13
-}}</ref> <ref name="milos2022-09-19">{{REFweb
- |url=https://intactamerica.org/ask-marilyn-can-a-tight-foreskin-be-treated-without-circumcision/
- |title=Ask Marilyn—Can a Tight Foreskin be Treated without Circumcision?
- |last=Milos
- |first=
- |init=MF
- |author-link=Marilyn Fayre Milos
- |publisher=Intact America
- |date=2022-09-19
- |accessdate=2024-10-24
 }}</ref>
@@ Line 631: / Line 636: @@
 * Elongation of the frenulum with a [[skin]] graft.
-Circumcision is not appropriate or necessary to treat [[frenulum breve]]. Patients must be careful when consulting a urologist, because urologists earn an attractive fee from performing a circumcision, so may be quick to recommend inappropriate and unnecessary injurious [[circumcision]] to an unwary patient.
+Circumcision is not appropriate or necessary to treat [[frenulum breve]]. Patients must be careful when consulting a urologist, because urologists earn an attractive fee from performing an [[adult circumcision]], so may be quick to recommend inappropriate and unnecessary injurious [[circumcision]] to an unwary patient.
+==Hygiene==
+The normal non-retractable [[foreskin]] may be easily flushed out with warm water and a [https://www.amazon.com/Syringe-Removing-Syringing-Medi-Grade/dp/B0842B1XMR?sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1 rubber-bulb type ear syringe]. Excessive washing and the use of soap should be avoided.<ref name="Birley1991">{{REFjournal
+ |last=Birley
+ |init=HDL
+ |author-link=
+ |last2=Wasker
+ |init2=MM
+ |last3=Luzzi
+ |init3=GA
+ |etal=yes
+ |title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing
+ |journal=Genitourin Med
+ |date=1993-10-01
+ |volume=69
+ |issue=5
+ |pages=400-3
+ |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf
+ |quote=
+ |pubmedID=8244363
+ |pubmedCID=1195128
+ |DOI=10.1136/sti.69.5.400
+ |accessdate=2025-12-05
+}}</ref>
 ==Video==
@@ Line 830: / Line 858: @@
   |accessdate=2025-11-23
 }}
+* {{REFweb
+ |url=https://www.reddit.com/r/Intactivists/comments/1nwbfkw/belgium_drops_coverage_for_circumcisions_for/
+ |title=Belgium drops coverage for circumcisions for phimosis
+ |last=Anonymous
+ |first=
+ |init=
+ |author-link=
+ |publisher=REDDIT
+ |date=2025-10
+ |accessdate=2026-01-07
+}}
+The following link contains graphic images and is only for those who are 18 years of age and older.
+* {{NSFW}} {{REFweb
+ |url=https://www.reddit.com/r/Phimosisappreciation/
+ |title=Phimosis appreciation
+ |last=Anonymous
+ |publisher=Reddit
+ |accessdate=2026-03-11
+}}
 {{REF}}