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Phimosis: Difference between revisions

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{{GraphicWarning}}
{{GraphicWarning}}
[[File:Phimosis.jpg|thumb|An erect penis with a case of phimosis]]
[[File:Phimosis.jpg|thumb|An erect penis with a case of phimosis]]
'''Phimosis''' (''fɪˈmoʊsɨs'' or ''faɪˈmoʊsɨs'', from the Greek ''phimos'' (φῑμός "muzzle"), in adults is a natural variant of the [[penis]] in which the [[foreskin]] cannot be fully retracted over the [[glans penis]] to uncover and expose the [[glans penis]] that occurs in about five percent of [[foreskinned]] adult males.<ref>{{URLwikipedia|Phimosis|Phimosis|2019-09-25}}</ref> A medical dictionary defines phimosis as "Tightness of the foreskin (prepuce) of such degree as to prevent retraction. This may be congenital or the result of inflammation. Severe phimosis that interferes with urination is an indication for circumcision. From the Greek <i>phmoun</i>, to gag or muzzle."<ref>{REFweb
'''Phimosis''' (''fɪˈmoʊsɨs'' or ''faɪˈmoʊsɨs'', from the Greek ''phimos'' (φῑμός "muzzle"), in adults is a natural variant of the [[penis]] in which the [[foreskin]] cannot be fully retracted over the [[glans penis]] to uncover and expose the [[glans penis]] that occurs in up to ten percent of [[foreskinned]] adult males.<ref>{{REFweb
|url=https://www.phimosis.care/
|title=phimosis.care
|last=Anonymous
|publisher=Thames Metal Designs
|date=2024
|accessdate=2026-04-25
}}</ref> A medical dictionary defines phimosis as "Tightness of the foreskin (prepuce) of such degree as to prevent retraction. This may be congenital or the result of inflammation. Severe phimosis that interferes with urination is an indication for circumcision. From the Greek <i>phmoun</i>, to gag or muzzle."<ref>{REFweb
  |url=https://medical-dictionary.thefreedictionary.com/phimosis
  |url=https://medical-dictionary.thefreedictionary.com/phimosis
  |title=Phimosis
  |title=Phimosis
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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]].
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==
==Positive aspects of phimosis==
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  |url=http://www.cirp.org/library/treatment/phimosis/beauge2/
  |url=http://www.cirp.org/library/treatment/phimosis/beauge2/
  |accessdate=2020-04-20
  |accessdate=2020-04-20
}}</ref> The condition may be treated by changing one's method of [[masturbation]] according to Beaugé.
}}</ref> According to Beaugé, the condition may be treated by changing one's method of [[masturbation]].


There are three possible causes of non-retractile foreskin:<ref name='hill2012">{{REFweb
There are three possible causes of non-retractile foreskin:<ref name='hill2012">{{REFweb
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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.
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==
==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
  |last=Rickwood
  |first=
  |first=
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  |doi=
  |doi=
  |accessdate=2024-01-13
  |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>
}}</ref>


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* Elongation of the frenulum with a [[skin]] graft.
* 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==
==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
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
  |last=Birley
  |init=HDL
  |init=HDL
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{{SEEALSO}}
{{SEEALSO}}
* [[Adolescent and adult circumcision]]
* [[Adolescent and adult circumcision]]
* [[Captain Hoodie]]
* [[Development of retractable foreskin]]
* [[Development of retractable foreskin]]
* [[Foreskin]]
* [[Foreskin]]
* [[Frenulum breve]]
* [[Frenulum breve]]
* [[Issues with American urologists and the practice of male circumcision]]
* [[Issues with American urologists and the practice of male circumcision]]
* [[Jojoba]]
* [[Longer foreskin is favored]]
* [[Longer foreskin is favored]]
* [[Mitosis]]
* [[Mitosis]]
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  |date=
  |date=
  |accessdate=2023-11-01
  |accessdate=2023-11-01
}}
* {{REFweb
|url=https://www.phimosis.care/
|title=phimosis.care
|last=Anonymous
|publisher=Thames Metal Designs
|date=2024
|accessdate=2026-04-25
}}
}}
* {{REFweb
* {{REFweb
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  |accessdate=2025-11-23
  |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
}}
* {{REFweb
|url=https://www.reddit.com/r/intact_chat/comments/1un88nz/is_it_common_for_guys_with_phimosis_to_leave_it/
|title=Is it common for guys with phimosis to leave it alone if it doesn't cause any problems?
|last=Anonymous
|publisher=Reddit
|date=2026-08-04
|accessdate=2026-07-08
}}
* {{REFweb
|url=https://circumcised.com/Thread-Phimosis-is-often-misunderstood-misdiagnosed-over-diagnosed-and-improperly-treated
|title=Phimosis is often misunderstood, misdiagnosed, over-diagnosed, and improperly treated
|last=Anonymous
|publisher=Circumcised
|website=https://circumcised.com
|date=2026-07
|accessdate=2026-07-25
}}
<hr>
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}}
{{REF}}


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