Phimosis Treatment for Men in New York City – Adult Circumcision Specialists
by Alex Shteynshlyuger MD
What is Phimosis?
Phimosis 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 and 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.
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.
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 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 greater than 95% success rate in curing phimosis. Circumcision has 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) 663-5545. We 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.
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.
Why Choose New York Urology Specialists for your Circumcision?
- All circumcisions are performed by a Board-certified urologist experienced in performing adult circumcisions, not an assistant. Our circumcision dr is one of the most experienced specialists who perform adult circumcision.
- We are one of the few practices in the region to offer circumcision under local anesthesia and same-day circumcision. We are the first practice in the US to offer ShangRing circumcision
- We offer circumcision under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
- Experience: Hundreds of Successful circumcisions performed under local anesthesia at the Circumcision Center at New York Urology Specialists.
- We are conveniently located within 30-60 minute commute to men who are seeking circumcision in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx and New Jersey.
- Men from outside New York area can easily reach us via local airports: JFK and La Guardia
What You Need to Know:
- Balanitis and Balanoposthitis in Men
- Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus of the Penis
- Before and After Circumcision: What to Expect
- Circumcision Choices: Type of Anesthesia and Location
- Circumcision in Diabetic Men in NYC
- Phimosis Insurance Coverage
Learn More About:
- Frenuloplasty (Frenulectomy) of the Penis for Treatment of Short Frenulum
- Paraphimosis of the Penis: Foreskin that Cannot Be Pulled Back – Specialized Care in NYC
- Gallery: Phimosis – Circumcision Before and After
- Reasons Our Patients Have Adult Circumcision
If you have any questions about circumcision, frenuloplasty or circumcision revision, schedule a consultation, contact us or call 1-646-663-5545. We have excellent reviews from patients and their partners.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.
Phimosis is Treatable in Nearly Every Man
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of penile problems in men including phimosis and balanitis. We understand the challenges that foreskin problems create for our patients, their relationships and their self-esteem. We help you find a treatment for penile and foreskin problems that fits your needs, your lifestyle and your preferences.
Urologists are doctors specializing in the treatment of men with phimosis, balanitis, and erectile dysfunction. By the 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 ED. We offer medical and surgical treatment for sexual problems in men.
We Treat Some of the Most Complex Health Problems in Men Including:
- erectile dysfunction in men (ED)
- Premature Ejaculation
- Prostate Cancer.
- Infertility and low sperm count
- Peyronie’s Disease
- Erectile dysfunction in men for whom Viagra and Cialis do not work.
- No-scalpel vasectomy
- Erection problems in men with low testosterone.
by DAM BEN STANTON on Sep 24, 2018
From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.
by Winston on Sep 15, 2018
I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex
by Lee St. James on Sep 01, 2018
Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee
by Christopher cato on Aug 16, 2018
by juanito creque on Apr 11, 2018
I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.
by JD on Jan 15, 2018
Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis
by Jacob on Dec 05, 2017
"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via HealthGrades.com 12/5/2017
by Bob Brown on Nov 19, 2017
I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.
by Raymond M. on Nov 18, 2017
The attention and care that I received were reassuring and superb. My uneasiness was quickly dispelled by the skill and efficiency they demonstrated during the brief procedure. As a result, my comfort and appearance has improved considerably, and I highly value both Dr. Alex and his staff.
by Clarence Brown on Sep 14, 2017
I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.
by Scott Cameron on Aug 18, 2017
Received circumcision from Dr. Shteynshlyuger. Dr. Shteynshlyuger is a very good specialist who cares for his patients. He was always concerned with my physical and mental comfort prior, during and post-operation. Dr. Alex is very thorough in his work to assess any problems and provide the necessary solution. Being that he has recently moved to a new location, this may afford for speedier appointments and easier flow of patients in and out. In addition, more personal space for waiting patients. If there was any con, it would be, the lack of space at his prior office and being able to see his patients at the appointed time, but a necessary sacrifice for good, careful work. I would recommend him as a very good doctor.
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by George & Sally R on Jan 07, 2013
Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013
by Joanne R. on Sep 17, 2012
Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.
by Joyce T on Feb 16, 2012
Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men using modern effective and proven treatment methods. 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.