Pediatric Phimosis: Causes & Treatment

Phimosis is a common condition in children where the foreskin (the skin covering the penis) cannot be pulled back to expose the head of the penis (glans). It is often noticed at birth or in early childhood.

Causes of Phimosis

• Normal development: In many children, the foreskin covers the glans at birth and gradually retracts as they grow. In some cases, this process is delayed or does not happen naturally.
• Infections: Repeated infections under the foreskin can make the skin tight, leading to phimosis.
• Injury: Trauma or swelling of the foreskin may also cause the condition.

Symptoms of Phimosis in Children

• The glans cannot be fully seen.
• Difficulty or pain while urinating.
• Urine dribbling or spraying.
• Pain, swelling, or irritation of the glans.
• Pus buildup under the foreskin.

Treatment Options

• Observation: In many cases, especially in children under 3–5 years old, phimosis improves naturally over time. Doctors may recommend waiting and monitoring.
• Steroid cream: Sometimes doctors prescribe topical creams to soften the foreskin, making retraction easier.
• Surgery (Circumcision): If conservative treatment fails or complications arise, surgery may be required to remove the foreskin.

Benefits of Surgery

• Complete removal of foreskin.
• Easier urination and improved comfort.
• Lower risk of infections.
• Better genital hygiene.

Risks of Surgery

• Bleeding
• Infection
• Reaction to anesthesia

When to See a Doctor

Seek medical advice if your child:

• Cannot retract the foreskin at all.
• Experiences pain or burning during urination.
• Shows pus buildup under the foreskin.
• Faces repeated urinary problems.

Conclusion

Phimosis in children is usually not a serious concern. However, if your child shows symptoms of discomfort or difficulty, consult a pediatric specialist. At Evercare Hospital Chattogram, our experienced doctors provide safe, effective, and compassionate treatment for phimosis and related conditions.