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Phimosis (from Greek φίμωσις phimōsis 'muzzling' [9] [10] [11]) is a condition in which the foreskin of the penis cannot stretch to allow it to be pulled back past the glans. [3] A balloon-like swelling under the foreskin may occur with urination. [ 3 ]
Phimosis is an inability to retract the foreskin fully. It is normal and harmless in infancy and pre-pubescence, occurring in about 8% of boys at age 10. According to the British Medical Association, treatment (topical steroid cream and/or manual stretching) does not need to be considered until age 19.
Preputioplasty or prepuce plasty, also known as limited dorsal slit with transverse closure, is a plastic surgical operation on the prepuce or foreskin of the penis, [1] to widen a narrow non-retractile foreskin which cannot comfortably be drawn back off the head of the penis in erection because of a constriction which has not expanded after adolescence.
English: In this video is demonstrated how a foreskin of an uncircumcised penis glides over the glans penis during masturbation. The video is taken from different angles. The male (age 35) seen in this video moves his foreskin back and forth over his erect glans penis by three fingers or by whole hand, no lubricant is used.
The foreskin responds to the application of tension to cause expansion by creating new skin cells though the process of mitosis. The tissue expansion is permanent. Non-surgical stretching of the foreskin may be used to widen a narrow, non-retractable foreskin. [7] Stretching may be combined with the use of a corticosteroid cream.
At birth, the foreskin cannot be retracted due to adhesions between the foreskin and glans, and this is considered normal (physiological phimosis). [59] Over time the foreskin naturally separates from the glans, and a majority of boys are able to retract the foreskin by age three. [59] Less than one percent are still having problems at age 18. [59]
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In some cases the foreskin may become swollen as a result of paraphimosis (foreskin trapped behind the glans) or other conditions such as severe balanitis. Should reduction of the swelling by conservative methods be unsuccessful, a dorsal slit is a common intervention of choice since circumcision is almost always excluded in such cases.