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How can phimosis be treated in adults?

Dear Doctor,

My name is Erwin Schulze and I am reaching out to you with a question regarding a very personal issue. I have been suffering from phimosis for some time now, which is causing me increasing problems. Phimosis is a narrowing of the foreskin, making it difficult for me to retract it. This makes hygiene in the genital area challenging and I also experience pain and restrictions during sexual intercourse.

I am concerned that phimosis could have long-term health effects and I am wondering about the best way to treat it. Are there conservative measures, such as stretching exercises, that I can do myself to loosen the foreskin? Or is a surgical treatment in the form of a circumcision necessary? What risks and complications are associated with such an operation?

I would greatly appreciate your expert assessment and recommendations to alleviate my symptoms and avoid long-term health issues. Thank you in advance for your assistance.

Best regards,
Erwin Schulze

Otto Wolf

Dear Mr. Schulze,

Thank you for your message and your trust in my expertise as a urologist. I am sorry to hear that you are suffering from phimosis and experiencing problems in the intimate area. Phimosis can indeed lead to restrictions in hygiene and sexual intercourse, so it is important that you seek appropriate treatment.

First and foremost, it is important to know that there are different degrees of phimosis. In milder cases, attempts can be made to loosen the foreskin through regular stretching exercises. The foreskin is gently stretched over a longer period of time to resolve the narrowing. However, it is important that these exercises are performed under the guidance of a specialist to avoid possible complications.

In more severe cases or if conservative measures do not yield the desired effect, circumcision may be necessary. During this operation, the foreskin is partially or completely removed to eliminate the narrowing. It is a relatively simple procedure that is usually performed on an outpatient basis and is well tolerated. The risks and complications of circumcision are generally low and may include infections, bleeding, or a prolonged healing time. Your treating physician will provide you with comprehensive information about potential risks.

It is important that you seek a urologist in your area if you continue to experience symptoms or have any uncertainties, in order to receive an accurate diagnosis and discuss suitable treatment options. Phimosis can have long-term health consequences, so it is important that you seek appropriate treatment to avoid potential complications.

I hope this information is helpful to you, and I am available to answer any further questions you may have. I wish you all the best and a speedy recovery from your symptoms.

Best regards,
Otto Wolf

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