Is it acceptable to leave phimosis untreated?
Jun 09, 2022
Source: Cainiu Health
Dr. Luo Yong
Introduction
Circumcision is generally recommended for patients with phimosis. However, circumcision is specifically indicated only in adult patients who continue to experience phimosis. Additionally, circumcision is warranted in patients with phimosis who suffer recurrent balanoposthitis due to repeated irritation of the inner preputial surface and glans penis.
Patients with phimosis are generally advised to undergo surgical intervention promptly. However, not all individuals with redundant prepuce require circumcision. Circumcision is indicated only for adults who continue to experience persistent phimosis.
Circumcision is specifically recommended for patients with phimosis complicated by recurrent balanoposthitis—i.e., repeated inflammation of the preputial inner surface and glans penis due to chronic irritation. If the foreskin can be easily retracted manually to fully expose the glans without any history of balanoposthitis, surgical intervention is unnecessary.
Failure to address severe phimosis surgically may lead to complications, including urinary or ejaculatory dysfunction—particularly in cases of severe phimosis; discomfort or pain during sexual intercourse, or inability to engage in intercourse; increased risk of recurrent balanoposthitis; elevated risk of penile cancer; and potential psychological distress.
Men should cultivate good hygiene habits, including regular bathing and frequent changing of undergarments, to effectively minimize bacterial proliferation. Regular physical exercise helps enhance overall immunity. Maintaining a consistent sleep schedule helps prevent endocrine imbalances and associated fatigue or lethargy.
