Phimotic foreskin is a medical condition where the foreskin cannot be fully retracted over the glans, causing difficulties during urination, painful intercourse, and recurrent infections. This condition can be congenital or acquired and is often associated with chronic inflammation or infections. Lichen sclerosus, on the other hand, is a chronic inflammatory skin disease that primarily affects the genitals, causing thickening, scarring, and atrophy of the tissue. When these two conditions coexist, surgical treatment, such as circumcision, often becomes necessary to alleviate symptoms and prevent complications.
Circumcision for phimotic foreskin is a surgical procedure that involves the total or partial removal of the foreskin. This operation not only resolves the issue of phimosis but can also improve genital hygiene and reduce the risk of infections. During the procedure, the surgeon removes the damaged or diseased foreskin tissue, leaving the glans intact. The procedure is generally performed under local or general anesthesia, depending on the severity of the condition and the patient’s preferences.
Lichen sclerosus, if left untreated, can lead to serious complications, such as urethral stricture or penile cancer. Therefore, it is crucial to diagnose and treat this condition promptly. Circumcision can be an effective therapeutic option for lichen sclerosus as well, especially when the disease is localized in the foreskin. However, in some cases, additional medical treatment, such as the application of corticosteroid or immunosuppressive creams, may be necessary.
The surgical procedures you see 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 unaccustomed to surgical scenes.
