Phimosis Treatment for Men in New York City – Adult Circumcision Specialists

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5545.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable prices with or without insurance.

What is Phimosis?

Phimosis in AdultsPhimosis refers to the uncircumcised penis, where the foreskin cannot be pulled back over the head of the penis.  Normally when the penis is uncircumcised, the foreskin can easily be pulled back for cleaning as well as during sex when putting condoms on.

When the foreskin cannot be pulled back, men have difficulty with sex, sometimes experience pain during sex, may experience small cuts and bleeding.  Men may develop swelling or infection of the foreskin.  It may also cause hygienic problems and infection (balanitis or inflammation of the foreskin of the penis) or UTI (urinary tract infection).

If phimosis is less severe, skin tightness, pain, and inability to pull back foreskin may only be present when the penis is erect.  When phimosis is more severe, the foreskin may be so tight that it cannot be pulled back when the penis is not erect.

Did you know?  Dr. Shteynshlyuger has performed over 1,000 penile surgeries including circumcisions, circumcision revisions, frenuloplasty, penile implants, correction of Peyronie’s disease, and congenital penile curvature.  He performs 150-200 penile surgeries a year.

What is the Treatment for Phimosis?

In general treatment for phimosis is either medical with a steroid cream or surgical with circumcision.  The most appropriate choice of treatment depends on the patient’s age as well as the severity of phimosis.  At New York Urology Specialists, we offer same-day circumcision; most men are able to go back to work the next day.  Our circumcision prices are affordable with or without insurance.

Creams for Treatment of Phimosis

Treatment with corticosteroid cream such as 0.05% betamethasone works about 40% of the time in children.

In adults corticosteroid cream is usually effective if the problem (phimosis) is new – has been present for less than 2-3 months and mild.  In adult men who have severe phimosis, corticosteroid cream is usually not effective. Men who have had phimosis all their adult life or more than a few months, corticosteroid cream is typically ineffective – it may improve symptoms temporarily while the cream is applied but phimosis typically recurs.   

In patients who have fungal balanitis (infection) causing phimosis, a combination of an antifungal cream such as 1% clotrimazole and betamethasone often helps if the problem is mild and new. When the problem keeps recurring or phimosis is severe, circumcision is recommended.  In men with diabetes, fungal balanitis tends to recur often, and circumcision is typically the preferred treatment option.

Circumcision is the most effective treatment option for phimosis with a greater than 95% success rate in curing phimosis.  Circumcision has a similarly high success rate in curing balanitis.

Treatment of Phimosis in Adults

In adults, phimosis tends to be more severe with more pronounced scarring of the foreskin.  While corticosteroid creams may be useful for some adults with less severe phimosis, men with more severe phimosis and with long-standing phimosis typically do not benefit from steroid cream or phimosis recurs after the cream is stopped.

In general, there is no downside in trying steroid cream except for the loss of time.  Typically, betamethasone cream or equivalent is used.  It is important to see an experienced urologist if the problem persists more than a few weeks as phimosis and balanitis may also be caused by penile cancer.

Circumcision is the most definitive treatment for phimosis in adults with a very low risk of recurrence of less than 5%.

In adults, freestyle sleeve circumcision is usually performed.  When phimosis is severe, dorsal slit followed by sleeve circumcision is performed.

Schedule a consultation for treatment of phimosis today or contact us or call   1-(646) 663-5545We see many men with phimosis who have waited for years before getting treatment. Their only regret is that they did not call us sooner.

What is Redundant Foreskin?

Redundant prepuce or redundant foreskin is not the same as phimosis.  Redundant prepuce or redundant foreskin refers to a normal uncircumcised penis.

Partial Circumcision or Dorsal Slit procedure

Dorsal slit procedure is usually performed in emergency situations.  The risks and recovery after dorsal slit procedure and circumcision are fairly similar.  Dorsal slit procedure results in suboptimal aesthetic outcomes.  Partial circumcision can be performed to leave some redundant foreskin but there is no advantage to it.  It may also cause functional problems.  For these reasons, full circumcision is usually performed.

Treatment of Phimosis in Children

Phimosis in very young children is a normal finding and typically resolves with age.  No treatment is necessary unless it causes problems such as infections, poor hygiene, or pain with urination.

In older children if phimosis does not resolve spontaneously, or if there is no obvious phimotic band (scar tissue), treatment with a corticosteroid cream is often effective.  If steroid cream does not help resolve phimosis, circumcision is an appropriate treatment option.

What is the Cause of Phimosis in Adults

Phimosis is usually caused by abnormal scarring of the foreskin usually caused by trauma, which may be microscopic and unrecognized. Microtrauma is very common during sex but usually heals without a problem. When it heals with a scar, phimosis may occur. Infections may also predispose to phimosis.  In men who have lifelong phimosis, the cause is not readily identifiable.

Phimosis Stretching Exercises – Do They Work?

Phimosis stretching exercises may be beneficial for some children and adult men with mild phimosis in combination with steroid cream.  For more severe phimosis, stretching typically does not help and may often lead to more severe scarring and more pronounced phimosis.  Foreskin stretching is usually not effective in adults, as the problem tends to recur.

Phimosis and Frenulum Breve

Phimosis often coexists with frenulum breve, which is a short frenulum of the penis, a tissue band on the underside of the penis that sometimes causes pain with erections.  When phimosis co-exists with frenulum breve, circumcision alongside with frenuloplasty addresses both problems in one procedure.

Where to Get Adult Circumcision in NYC?

At New York Urology Specialists, we offer same-day circumcision treatment for men

Call/text today: 1-646-663-5545 or make an appointment online.  

We perform cosmetic circumcision, circumcision revision, penile frenuloplasty, and offer treatment for phimosis, balanitis, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments. Our adult circumcision prices are affordable with or without insurance. 

What You Need to Know:

Read Real Stories of men who underwent circumcision at New York Urology Specialists.

Read RealStoriesCircumcision revision in Adult 

Read RealStories: Foreskin irritation and recurrent balanitis  

Read RealStories: Severe phimosis in an adult man

Read RealStories: ShangRing circumcision 73-year-old man with diabetes

Read RealStories: Correction of the penoscrotal web in a 41-year-old man

Read RealStories: Circumcision Phimosis for a 35-year-old man – International Patient

Why Choose New York Urology Specialists for Circumcision and Treatment of Penile Problems?

  • All treatment is performed by a board-certified urologist experienced in cosmetic circumcision, circumcision revision, and penile frenuloplasty. We treat men with phimosis, balanitis, BXO, penile skin bridges, and other penile problems such as symptoms of pain, irritation, and cuts on the penis, foreskin problems, and genital warts.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Extensive Experience: Thousands of men have been treated successfully using medical therapy, surgery including circumcision, circumcision revision, penile frenuloplasty, ShangRing Circumcision, as well as complex penile surgery including penile plication for Peyronie’s disease, and penile implant surgery for ED.

What do Penile Problems Look Like?

You can find pictures of circumcision as well as before and after treatment images in our image gallery.

Scheduling Appointments for Circumcision at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5545.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable prices with or without insurance.

Circumcision With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of sexual problems in men.  We understand the challenges that penile problems such as pain in the penis, cuts on the foreskin, irritation, and curvature create for our patients, their relationships, and their self-esteem.  We help you find a treatment for penile problems including appearance concerns, foreskin problems, premature ejaculation, erectile dysfunction that fit your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis.  We offer medical and surgical treatment for men’s sexual problems.

We Treat Some of the Most Complex Penis and Foreskin Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of sexual and erection problems in men using modern, effective, and proven treatment methods.  We offer circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5545.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable prices with or without insurance.

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