Living with a tight foreskin, medically referred to as phimosis, can be a source of significant physical discomfort and emotional distress for many men. This condition often affects one’s ability to maintain proper hygiene, leads to pain during sexual activities, and can cause embarrassment or anxiety due to its sensitive nature. I am Dr. V. Preethi, a General and Laparoscopic Surgeon with extensive experience at Hayagriva Hospital, Chennai. I specialize in treating various urological and surgical conditions, including foreskin disorders, with a focus on personalized care and advanced surgical techniques.
Phimosis is more common than many realize, and it can affect males of all ages—from infants and children to adults and elderly men. However, due to social stigma or lack of awareness, many delay seeking treatment, resulting in worsening symptoms and possible complications. In my practice, I emphasize a patient-first approach, offering detailed evaluations, clear communication, and tailored treatment plans that address both immediate concerns and long-term health. You can trust that your condition will be handled discreetly and professionally, ensuring you receive the best possible outcome.
Tight foreskin, or phimosis, is characterized by the inability to retract the foreskin fully over the head of the penis. It can be classified into two types: physiological and pathological. Physiological phimosis is a natural state in infants and young children where the foreskin remains non-retractable as part of normal development. This usually resolves with age without any intervention. On the other hand, pathological phimosis occurs due to infections, inflammation, scarring, or other medical conditions that cause the foreskin to become abnormally tight and inflexible.
Pathological phimosis can lead to significant discomfort, affecting not only sexual function but also general hygiene. If the foreskin cannot be retracted, bacteria and smegma can accumulate under it, increasing the risk of infections such as balanitis and urinary tract infections. The condition may also cause painful erections, difficulties in urination, and emotional stress due to embarrassment or fear.
Symptoms of tight foreskin vary widely, depending on the severity and whether it is physiological or pathological. The most obvious sign is the inability or difficulty in retracting the foreskin over the glans, which can be noticed during hygiene routines or sexual activity. Many patients experience pain or discomfort during erections, as the tight foreskin restricts natural movement. This pain can range from mild discomfort to severe, sharp pain that disrupts normal sexual function and lowers quality of life.
Additionally, tight foreskin may cause swelling, redness, and irritation beneath the foreskin, often due to poor hygiene or secondary infections like balanitis. Recurrent infections are common and may present with symptoms such as itching, burning sensations, and foul-smelling discharge. In children, parents might observe urinary symptoms such as spraying, dribbling, or ballooning of the foreskin during urination.
Surgery for tight foreskin is generally considered when conservative treatments such as topical steroids or stretching exercises fail to alleviate symptoms or when complications develop. It becomes necessary when the tight foreskin causes significant pain, recurrent infections, or functional problems like obstructed urination or painful intercourse.
Surgical options range from circumcision, which involves the complete removal of the foreskin, to less invasive techniques like preputioplasty that preserve the foreskin while relieving tightness. Thanks to advances in minimally invasive techniques, these procedures can be performed with minimal discomfort, shorter hospital stays, and faster recovery times. Under my care, I ensure that every patient receives comprehensive support before, during, and after surgery to achieve the best possible results.
My approach to treating tight foreskin is patient-centric, evidence-based, and tailored to each individual’s unique needs. It begins with a thorough medical history review and physical examination to understand the severity and impact of the condition. For mild cases, I recommend conservative treatments such as the application of prescribed topical steroid creams, gentle foreskin stretching exercises, and meticulous hygiene practices.
When surgery is required, I employ modern, minimally invasive techniques designed to minimize pain and accelerate healing. I carefully explain all available options, including circumcision and foreskin-preserving procedures, helping patients make informed decisions that align with their preferences and lifestyle. Post-treatment care is equally important, so I provide detailed guidance on wound care, infection prevention, and sexual health to ensure a smooth recovery and long-lasting results.
Selecting the right surgeon for your tight foreskin treatment is critical to ensure safe, effective, and respectful care. I am Dr. V. Preethi, a Board-Certified General and Laparoscopic Surgeon with fellowship training in Minimal Access Surgery (FMAS, FIAGES) and over 500 surgeries successfully performed. My academic background includes an M.B.B.S. from Government Chengalpet Medical College and an M.S. in General Surgery from Government Kilpauk Medical College, which form the foundation of my surgical expertise.
At Hayagriva Hospital, I provide treatment in a modern, well-equipped facility that prioritizes patient safety and comfort. I understand the sensitive nature of foreskin conditions and approach every case with empathy, confidentiality, and professionalism. My commitment to continuous learning ensures that I stay updated on the latest surgical advancements and best practices.
Living with tight foreskin should never hold you back from enjoying life fully and comfortably. Whether you are experiencing mild irritation or severe pain, timely treatment is crucial to restore your physical health and confidence. I invite you to take the first step toward relief by scheduling a confidential consultation at Hayagriva Hospital, where expert care meets compassionate support.
Together, we will discuss your symptoms, evaluate your condition, and design a personalized treatment plan tailored to your specific needs and preferences. My goal is to provide you with clear information, effective treatments, and continuous care, ensuring a smooth recovery and lasting improvement. Don’t let tight foreskin affect your quality of life any longer — your path to comfort and confidence begins here.
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