Understanding Phimosis in Adults

Phimosis is a medical condition in which the foreskin of the penis is too tight to be pulled back over the head (glans). This can lead to discomfort, pain, and potential health concerns in adult males. 

As renowned specialists in this field, the doctors at Gentle Procedures are here to provide you with the highest level of care and professionalism throughout your journey. If you have any questions or concerns, please do not hesitate to reach out.

Remember, you are not alone, and there are effective treatments available to help you regain your comfort and quality of life.

What Causes Phimosis in Adults?

Phimosis in adults can have various causes:

  • Congenital Phimosis: Some men are born with a naturally tight foreskin that doesn’t retract easily.
  • Scarring or Infections: Infections, inflammation, or injury to the foreskin can lead to scarring, making it difficult to retract.
  • Balanitis: This is the inflammation of the glans and foreskin, which can cause tightness and discomfort.
  • Poor Hygiene: Inadequate cleaning of the genital area can lead to the buildup of smegma, a substance that can contribute to phimosis.


Phimosis can also just occur naturally. Sometimes, it is unclear as to why it occurs in some boys and not others.

Men and boys who were circumcised as babies do not get phimosis.

painful non-retractable foreskin phimosis

Need more info about phimosis treatment? Book a consultation now.

Symptoms of Phimosis in Adults

Recognizing the symptoms of phimosis is essential for seeking timely medical attention. Common symptoms in adults include:

  • Difficulty Retracting the Foreskin: The most noticeable symptom is the inability to retract the foreskin, leading to discomfort during hygiene or sexual activity.
  • Pain or Discomfort: Tightness of the foreskin can cause pain, particularly during erections or sexual intercourse.
  • Redness or Irritation: The foreskin may become red, swollen, or irritated due to friction and difficulty retracting.
  • Recurrent Infections: Because of the challenge in cleaning beneath the foreskin, adults with phimosis are more prone to genital infections.


If any of these symptoms sound familiar to you, we recommend that you get in touch with us today.

Treatment for Phimosis in Adults

The good news is that phimosis in adults is treatable, and several options are available:

  • Topical Steroid Creams: In mild cases, your doctor may prescribe a steroid cream to reduce inflammation and gradually loosen the foreskin.
  • Stretching Exercises: Gentle stretching exercises under medical guidance can help to gradually improve foreskin mobility.
  • Dilation: Your doctor may use special instruments to gradually widen the foreskin opening during a minor procedure.
  • Circumcision: In severe or recurrent cases, circumcision, the surgical removal of the foreskin, may be recommended.

In cases where the foreskin has pathological changes due to BXO, or if there is chronic inflammation, urgent treatment may be appropriate. Intervention can reduce the risk of long term scarring and other damage to the penis.

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