{"id":2249,"date":"2016-02-12T06:05:37","date_gmt":"2016-02-12T06:05:37","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/?page_id=2249"},"modified":"2020-04-27T04:04:30","modified_gmt":"2020-04-27T04:04:30","slug":"phimosis","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/phimosis\/","title":{"rendered":"Phimosis Treatment in NYC: Experienced Urologists Specialists"},"content":{"rendered":"

Phimosis Treatment for Men in New York City – Adult Circumcision Specialists<\/strong><\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5545<\/span><\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable prices with or without insurance<\/a>.<\/strong><\/span><\/p>\n

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What is Phimosis?<\/h2>\n

\"PhimosisPhimosis<\/strong> refers to the uncircumcised penis, where the foreskin cannot be pulled back<\/strong> 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.<\/p>\n

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

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

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

What is the Treatment for Phimosis?<\/strong><\/h2>\n

In general treatment for phimosis<\/strong> is either medical with a steroid cream or surgical with circumcision<\/a><\/strong>.  The most appropriate choice of treatment depends on the patient\u2019s age as well as the severity of phimosis.  At New York Urology Specialists, we offer same-day circumcision<\/a><\/strong>; most men are able to go back to work the next day.  Our circumcision prices<\/a><\/strong> are affordable with or without insurance.<\/span><\/p>\n

Creams for Treatment of Phimosis<\/h2>\n

Treatment with corticosteroid cream<\/strong> such as 0.05% betamethasone works about 40% of the time in children<\/strong>.<\/p>\n

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 <\/strong>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<\/strong> – it may improve symptoms temporarily while the cream is applied but phimosis typically recurs.   <\/p>\n

In patients who have fungal balanitis<\/a> <\/strong>(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<\/strong>, fungal balanitis tends to recur often, and circumcision is typically the preferred treatment option.<\/p>\n

Circumcision<\/a> 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.<\/strong><\/p>\n

Treatment of Phimosis in Adults<\/strong><\/h2>\n

In adults, phimosis tends to be more severe with more pronounced scarring of the foreskin<\/strong>.  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<\/strong> benefit from steroid cream or phimosis recurs after the cream is stopped<\/strong>.<\/p>\n

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

Circumcision is the most definitive treatment for phimosis in adults<\/strong><\/span> with a very low risk of recurrence of less than 5%.<\/p>\n

In adults, freestyle sleeve circumcision<\/strong> is usually performed.  When phimosis is severe, dorsal slit<\/strong> followed by sleeve circumcision is performed.<\/p>\n

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

What is Redundant Foreskin?<\/strong><\/h2>\n

Redundant prepuce<\/strong> or redundant foreskin is not<\/strong> the same as phimosis.  Redundant prepuce or redundant foreskin refers to a normal uncircumcised penis.<\/p>\n

Partial Circumcision or Dorsal Slit procedure<\/h2>\n

Dorsal slit procedure<\/strong><\/a> 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<\/a> <\/strong>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.<\/p>\n

Treatment of Phimosis in Children<\/strong><\/h2>\n

Phimosis in very young children<\/a><\/strong> 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.<\/p>\n

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

What is the Cause of Phimosis in Adults<\/strong><\/h2>\n

Phimosis<\/strong> is usually caused by abnormal scarring of the foreskin<\/strong> 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.<\/p>\n

Phimosis Stretching Exercises – Do They Work?<\/strong><\/h2>\n

Phimosis stretching exercises<\/strong> 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<\/strong> help and may often lead to more severe scarring and more pronounced phimosis.  Foreskin stretching is usually not effective in adults<\/strong>, as the problem tends to recur.<\/p>\n

Phimosis and Frenulum Breve<\/h2>\n

Phimosis often coexists with frenulum breve<\/strong>, which is a short frenulum of the penis,<\/a> 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<\/a> <\/strong>addresses both problems in one procedure.<\/p>\n

Where to Get Adult Circumcision in NYC?<\/h2>\n

At New York Urology Specialists, we offer same-day circumcision<\/a> treatment for men<\/strong>. <\/p>\n

Call\/text today: 1-646-663-5545<\/span><\/a> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online.  <\/span><\/span><\/strong><\/p>\n

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

What You Need to Know:<\/h2>\n