Stretching

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Stretching of the tight foreskin is a well-known and the recommended treatment of phimosis and paraphimosis.

Contents

Methods

Human skin can be stretched and normally returns to its normal size and position. But when stretching is done over a longer period of time, chances are that this stretching causes new skin cells to grow. We all know this from the skin which covers e.g. the human stomach or the breast area.

Basically, all curative or constructive stretching of human skin should be accompanied by applicating a cream or lotion to the skin. Betamethasone[1] is the most commonly recommended active ingredient. A cream with 0.05% betamethasone appears effective in treating phimosis in boys,[2] and often averts the need for circumcision.[3][4][5] It has replaced circumcision as the preferred treatment method for some physicians in the British National Health Service.[6][7]

Other recommended ingredients include Mometasone furoate 0.1%,[8] and Clobetasone 0,05%.[9]

Fingers

Where the phimosis is very mild it may be possible to stretch the foreskin by pulling it back tightly against the head of the penis. Or the fingers can be inserted into the opening and used to stretch the foreskin. If the foreskin is only slightly tight, a minor case of phimosis, then the stretching can be accomplished using fingers inserted into the opening in the foreskin and applying outward pressure.[10]

Devices

There are various medical devices available on the market which promise to help stretching the tight foreskin.

See also

References

  1. ↑   Betamethasone, Wikipedia. Retrieved 21 December 2020.
  2. ↑   Moreno G, Corbalán J, Peñaloza B, Pantoja T. Topical corticosteroids for treating phimosis in boys. The Cochrane Database of Systematic Reviews. 2 September 2014; 9(9): [CD008973]. PMID.
  3. ↑   Van Howe RS. Cost-effective treatment of phimosis. Pediatrics. 1998; 102(4): [E43]. PMID. DOI.
  4. ↑   Esposito C, Centonze A, Alicchio F, Savanelli A, Settimi A. Topical steroid application versus circumcision in pediatric patients with phimosis: a prospective randomized placebo controlled clinical trial. World Journal of Urology. April 2008; 26(2): 187–90. PMID. DOI.
  5. ↑   Zampieri N, Corroppolo M, Zuin V, Bianchi S, Camoglio FS. Phimosis and topical steroids: new clinical findings. Pediatr Surg Int. April 2007; 23(4): 331–5. PMID. DOI.
  6. ↑   Berdeu D, Sauze L, Ha-Vinh P, Blum-Boisgard C. Cost-effectiveness analysis of treatments for phimosis: a comparison of surgical and medicinal approaches and their economic effect. BJU Int. 2001; 87(3): 239–44. PMID. DOI.
  7. ↑   Chu CC, Chen KC, Diau GY. Topical steroid treatment of phimosis in boys. J Urol. 1999; 162(3 Pt 1): 861–3. PMID. DOI.
  8. ↑   Mometasone, Wikipedia. Retrieved 21 December 2020.
  9. ↑   Clobetasone, Wikipedia. Retrieved 21 December 2020.
  10. ↑   How can I cure phimosis?. Retrieved 21 December 2020.
  11. ↑   Foreskin Stretching with Phimosis Rings. Retrieved 21 December 2020.
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