Severe phimosis is a medical condition characterized by an abnormal narrowing of the foreskin, preventing its normal retraction over the head of the penis. This issue can cause pain, recurrent infections, and difficulty urinating or engaging in sexual activity. The most effective and permanent solution for severe phimosis is circumcision, a well-established and safe surgical procedure.
Causes and Symptoms of Severe Phimosis
Severe phimosis can be congenital or acquired. In children, it often resolves spontaneously with growth, but in some cases, it persists into adulthood. Common causes include chronic infections, post-inflammatory scarring, or skin conditions like lichen sclerosus. Typical symptoms are pain, swelling, redness, difficulty uncovering the glans, and, in severe cases, problems urinating.
The Circumcision Procedure
Circumcision involves the surgical removal of the foreskin, allowing complete exposure of the glans. The procedure is usually performed under local or general anesthesia, depending on the patient’s age and the surgeon’s preference. The surgery takes approximately 30 minutes and involves absorbable sutures.
Benefits of Circumcision
Circumcision offers several advantages, including:
Permanent resolution of severe phimosis
Improved intimate hygiene
Reduced risk of urinary tract infections and balanoposthitis
Lower incidence of sexually transmitted diseases
Potential reduction in penile cancer risk
Post-Operative Recovery
Recovery is generally quick. Swelling and mild pain may occur in the first few days but can be managed with pain relievers. It is advisable to avoid sexual activity and intense physical exertion for at least four weeks. Full recovery typically occurs within a month.
The surgical procedures shown in this video were performed by Prof. Gabriele Antonini. Some of these images, intended for a medical audience and educational purposes, may be intense for those not accustomed to surgical scenes.
