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→Circumcision
==== Manual stretching ====
The growth and hormonal surge during puberty alter both the size and size ratio of the [[penis]] and penile skin significantly. Also, the first [[masturbation]] aids in the process of [[stretching ]] of the skin and detachment of any remaining childhood fusion. Manual stretching causes [[tissue expansion]] and a wider, retractable foreskin.
If, after that, the [[foreskin]] still remains too tight, resulting in pain during sexual activities, and making genital hygiene difficult, treatment is indicated. The individual should engage in stretching exercises, if needed with the aid of corticosteroid cream, which is available by prescription. Depending on the active substances, success rates of 80-90% have been documented.<ref>{{REFjournal
Circumcision should be the treatment of last resort, to be used only after conservative methods of treatment fail.
Kumar ''et al''. (2017) graded phimosis from 0 to 5. They reported that circumcision is necessary to treat grades 4 and 5.<ref name="kumar2017">{{REFjournal
|last=Kumar
|first=
|init=JN
|author-link=
|last2=Neeraj
|first2=G
|init2=
|author2-link=
|last3=Rajesh
|first3=L
|init3=
|author3-link=
|last4=Kumar
|first4=
|init4=MS
|author4-link=
|etal=yes
|title=Phimosis: Nonsurgical Versus Surgical Management
|trans-title=
|language=English
|journal=Journal of Medical Science and Clinical Research
|location=
|date=2017-02
|volume=5
|issue=2
|article=
|page=
|pages=17556-60
|url=http://jmscr.igmpublication.org/v5-i2/57%20jmscr.pdf
|archived=
|quote=
|pubmedID=
|pubmedCID=
|DOI=
|accessdate=2021-01-14
}}</ref>
== Adult onset phimosis ==