Overview

Phimosis is a condition in which the foreskin of the penis cannot be fully retracted over the glans (head of the penis). It is common in children and may resolve naturally as they grow. However, in adolescents and adults, persistent or painful phimosis can cause discomfort, difficulty in urination, recurrent infections, or pain during intercourse.

The most effective and permanent treatment for phimosis is circumcision — a minor surgical procedure performed to remove the tight foreskin. Dr. Swapnil Gholap, a skilled urologist in Mumbai, specializes in both conventional and laser circumcision, offering safe, precise, and comfortable care for patients of all ages.

Causes of Phimosis

Phimosis can develop due to various factors, including:

• Congenital (physiological) tightness in children

• Chronic infections such as balanitis (inflammation of the foreskin or glans)

• Poor hygiene or repeated irritation

• Scarring (fibrosis) caused by trauma or infection

• Diabetes, which increases the risk of infections leading to phimosis

Symptoms of Phimosis

• Difficulty retracting the foreskin

• Pain or tightness during erections

• Swelling or redness of the foreskin and glans

• Recurrent urinary tract infections or balanitis

• Ballooning of the foreskin during urination

• Difficulty maintaining hygiene

Treatment Options

1. Conservative (Non-surgical) Management

• Topical steroid creams and gentle stretching exercises may help mild cases, especially in children.

• Proper hygiene and infection control are essential to prevent worsening.

2. Surgical Treatment – Circumcision

Circumcision is a minor outpatient surgery that involves the removal of the foreskin covering the glans. It can be performed using:

• Conventional surgical technique, or

• Laser circumcision, which offers minimal bleeding, faster healing, and better cosmetic outcomes.

Procedure Steps:

• Performed under local or general anesthesia.

• The tight foreskin is gently removed.

• The incision is closed with absorbable sutures.

• The procedure typically lasts 20–30 minutes, and patients can go home the same day.

Benefits of Circumcision

• Permanent solution for phimosis

• Prevents recurrent infections and inflammation

• Improves hygiene and ease of cleaning

• Reduces the risk of urinary and sexually transmitted infections

• Enhances sexual comfort and confidence

• Quick recovery and minimal scarring with laser technique

Recovery & Aftercare

• Mild swelling or tenderness for 2–3 days is normal.

• Avoid sexual activity and strenuous exercise for 3–4 weeks.

• Keep the area clean and dry.

• Use prescribed ointments and medications for faster healing.

• Follow-up visit ensures proper wound healing and hygiene.

Why Choose Dr. Swapnil Gholap

With extensive experience in urological and laser procedures, Dr. Swapnil Gholap ensures a comfortable and precise circumcision experience. He uses advanced laser technology for faster healing, minimal pain, and excellent cosmetic outcomes for patients of all ages.

FAQs – Phimosis & Circumcision

1. Is circumcision painful?
No, the procedure is performed under local or general anesthesia. You may experience mild discomfort after surgery, which is manageable with medication.

2. How long does it take to heal after circumcision?
Most patients recover within 7–10 days, and complete healing occurs within 3–4 weeks.

3. What is the difference between conventional and laser circumcision?
Laser circumcision offers less bleeding, faster healing, and better cosmetic results compared to the traditional surgical method.

4. Is circumcision necessary for all cases of phimosis?
Not always. Mild cases may improve with topical treatments, but surgery is recommended for recurrent, painful, or severe phimosis.

5. Can adults undergo circumcision?
Yes. Circumcision is safe and effective at any age when performed by an experienced urologist like Dr. Swapnil Gholap.

6. Does circumcision affect sexual performance?
No, circumcision does not negatively affect sexual function. In fact, many men report improved comfort and hygiene after recovery.