Foreskin problems

Common foreskin problems

Conditions that may affect the foreskin include:

• Inflammation – sore and red foreskin. Common causes include forced retraction, irritants such as bubble baths or dirty nappies.

• Infection – the most common include posthitis and balanitis. Posthitis is infection of the foreskin, usually caused by fungus thriving in the hot and moist conditions. Balanitis is infection of the foreskin and glans, and is usually caused by poor hygiene. Smegma encourages the growth of infection-causing germs.

• Chronic infections – for some males, posthitis or balanitis tends to recur. A complication of chronic infections is scar tissue, which could stick the foreskin to the glans and make retraction impossible. Chronic infections of the penis and foreskin also increase the risk of urinary tract infections. Repeated kidney infections can affect kidney function.

• Phimosis – the foreskin is abnormally tight, which prevents it from retracting. This can cause recurrent balanitis because good hygiene is difficult or impossible. An erection may cause the foreskin to split and bleed. The tight foreskin can also hinder urination – in some cases, the foreskin fills up with urine like a little balloon. Phimosis is the most common reason for circumcision after infancy.

• Paraphimosis – permanently retracted foreskin. The foreskin gathers like a tight rubber band around the penis, causing swelling and pain. This condition is the second most common reason for adult circumcision.

• Tumour – rarely, abnormal growths develop on the foreskin. In some cases, the tumour is cancerous. Penile cancer is extremely rare in circumcised men.

• Zipper trauma – the foreskin (or other parts of the genitals, commonly the scrotum) gets caught in a zipper. Wearing underpants is the best prevention.

 

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