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  • Writer's pictureMr Brian MacCormack

Tight foreskin?

Updated: Aug 11, 2022

Are you worried that your son needs a circumcision? Well….you’re in the right place!

In this post I’m going to teach you what this means for your son, and how someone like me can fix it for them.

Circumcision is a procedure performed to remove a boy’s foreskin. I recommend this procedure for boys who have a scarred foreskin – a condition called BXO.

Most boys have a tight foreskin in early childhood. This is called a physiological phimosis and can persist into late childhood in some boys.

A persisting non-retractile foreskin can often be treated successfully with a bit of effort from your son with regards to gentle retraction every time he passes urine and sometimes with the help of a 6-week course of topical steroid cream.

If there is no sign of BXO or scarring, and your son is motivated enough, another option is to widen the foreskin in a procedure called a preputioplasty.

I perform a preputioplasty under general anaesthetic and it usually takes me about 20 minutes to complete. I make a single incision to release the tight ring of tissue that prevents your son’s foreskin from coming back. I then close this with dissolving stitches in a way that allows the foreskin to be easily pulled back.

Topical anti-bacterial cream is applied to the area twice daily for 1 week. For the preputioplasty to be successful your son needs to start retracting the foreskin 48 hours after the procedure and this can often be a little uncomfortable.

If there is BXO or we decide that a preputioplasty is not suitable for your son then I would perform a circumcision.

Again, I perform this procedure under general anaesthetic and place dissolving stitches to close. I prescribe anti-bacterial cream to be applied to the wound twice daily for 1 week following the procedure.

Like in any operation there are small risk such as bleeding or infection – but thankfully these are often straightforward to treat. Very occasionally the penis can be injured or the procedure need be revised due to cosmetic reasons – this is extremely rare. Lastly when a circumcision is performed (especially for BXO) the pee-hole can occasionally narrow down making it difficult for your son to pee afterwards – this is called meatal stenosis, and again is very rare.

After the procedure I would expect your son to go home the same day and be back to his normal activities within 5-7 days. For more information about the procedures click here.

So, if your worried that your son needs a circumcision or a preputioplasty – why not get in touch:

Until next time, take care of yourself and your family. Best wishes.

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