Treatment for either problem may include steroid cream, lubrication, or surgery to remove the foreskin.
This can prevent normal blood flow in the penis, and may cause serious problems. Paraphimosis is when the foreskin is retracted but can’t move back up. Phimosis is when a foreskin can’t be pulled down (retracted) from the tip of the penis. Phimosis and paraphimosis are problems with the foreskin of the penis. Key points about phimosis and paraphimosis in children Symptoms that don’t get better, or get worse When should I call my child’s healthcare provider?Ĭall the healthcare provider if your child has: What are possible complications of phimosis and paraphimosis in a child?ĭeath of tissue (necrosis) in the tip of the penis Talk with your child’s healthcare providers about the risks, benefits, and possible side effects of all treatments. Having surgery to remove all or part of the foreskin (circumcision) Making a small cut (incision) in the foreskin Lubricating the foreskin and tip of the penis, then gently squeezing the tip of the penis while pulling the foreskin forward Having surgery to remove all or part of the foreskin (circumcision) for a child age 10 or older who still has bulging of the foreskin when urinating Putting a steroid cream on the foreskin up to 3 times a day for 1 month. Treatment for repeated phimosis may include: It will also depend on how severe the condition is. Treatment will depend on your child’s symptoms, age, and general health. How are phimosis and paraphimosis treated in a child? The physical exam will include examining the penis and foreskin. He or she will give your child a physical exam. The healthcare provider will ask about your child’s symptoms and health history. How are phimosis and paraphimosis diagnosed in a child? Seek medical care right away if you think your child has paraphimosis. A paraphimosis is an emergency medical condition. Have your child see his healthcare provider for a diagnosis. The symptoms of phimosis and paraphimosis can seem like other health conditions. Tip of the penis is dark red or blue in color Not able to pull the foreskin back over the tip of the penis
Swelling of the tip of the penis when the foreskin is pulled back The most common symptoms of paraphimosis include: Not able to fully retract the foreskin by age 3. The most common symptoms of phimosis include: Symptoms can be a bit different in each child. What are the symptoms of phimosis and paraphimosis in a child? The foreskin is too tight to be moved back to the tip of the penis. Paraphimosis is caused when the foreskin is retracted behind the crown (corona) of the penis. This can stop the foreskin from retracting in the future. Phimosis can also occur if the foreskin is forced back before it is ready. By age 17, most boys will be able to fully retract their foreskin. Over time the foreskin loosens and can be pulled down more easily. Phimosis is caused by a tightening of the opening of the foreskin. What causes phimosis and paraphimosis in a child? Phimosis and Paraphimosis in Children What is phimosis and paraphimosis in children?