Phimosis is a condition in which the foreskin of the penis cannot be pulled back past the glans. In young children, it is normal not to be able to pull back the foreskin. Typically, it resolves without treatment by the age of three.
The majority of cases that present to either primary care or the emergency department are physiological phimosis. True phimosis is caused by forcible retraction of the foreskin leading to a tight circular band of scar tissue. Some studies suggest an increased incidence of balanitis xerotica obliterans BXO.
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The genital organs are in a very immature stage of development at birth. The growth and development continues through puberty and into adulthood. This page and the indexed articles provide information on that normal development.
NCBI Bookshelf. Phimosis usually goes away on its own within the first few years of a child's life. If it causes problems — for instance, when urinating peeing — it may need to be treated.
Acute scrotal pain or swelling. Children requiring care above the level of comfort of the local hospital or their treating medical team. Penis and foreskin care.
Penile inflammatory skin conditions such as balanitis and posthitis are common, especially in uncircumcised males, and feature prominently in medical consultations. The accumulation of yeasts and other microorganisms under the foreskin contributes to inflammation of the surrounding penile tissue. The clinical presentation of inflammatory penile conditions includes itching, tenderness, and pain. Penile inflammation is responsible for significant morbidity, including acquired phimosis, balanoposthitis, and lichen sclerosus.
Ballooning is a normal and harmless occurrence for many intact boys. At birth, the foreskin is fused to the glans head of the penis by a delicate membrane. This connective tissue dissolves naturally over time due to hormonal changes and natural exploration.
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