Phimosis Treatment 2018

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treatment of phimosis tight foreskin without operation by streching prepuce and use of lignox if necessary by Best Sexologist Mumbai Ghatkopar East Ashok Koparday

Phimosis Treatment 2018

Date last updated:

Phimosis treatment 2018

By TOP SEXOLOGIST in Mumbai Dr. Ashok Koparday

डॅाक्टर अशोक कोपर्डे

TOP FEMALE SEXOLOGIST, Mumbai Dr. Hetal Gosalia

डॉक्टर हेतल गोसालिआ

SAMADHAN HEALTH STUDIO, Mumbai,
Center of Excellence

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फायमॉसिस का इलाज

Hey! You have come to the right place to seek medical opinion.

Treatment of phimosis without circumcision


1. Handpractice


2. Condom


3. Immediate reposition


4. Stretching


5. After marriage

(If necessary) Frenulum slit

Phimosis Treatment Without Surgery

5

Tips by Sexologists @Samadhan Health Studio
Phimosis Treatment Without Surgery/Circumcision
 

Chambdi puri tarah piche nahi jati

I prefer to call this condition as non-retractable prepuce instead of phimosis.
Phimosis sounds like grave ‘illness’ or ‘abnormality’, which it is not.

Phimosis treatment:

Sunta (surgery/circumcision) karne ki jarurat nahi

How to Cure Phimosis at Home in Adults by Stretching Exercises?

KEEP YOUR CURSOR HERE

What is phimosis?

लिंग का सुपडा पिछे नही जाता।
लिंगावरची पुढची चांबडी पूर्णपणे मागे जात नाही.
Phimosis is a condition when in an adult the prepuce cannot be retracted fully in a nonerect penis thereby causing difficulty in sexual intercourse or voiding of urine.

There has to be pain during sexual intercourse to call this condition as phimosis.
Otherwise, simply call it, nonretractable prepuce (foreskin).

What is prepuce?
Foreskin/aagey ki chambadi or chuppada/चुपडा.

How common is phimosis?

Nonretractable prepuce is not uncommon.
In the majority, by the end of adolescence, the prepuce becomes fully retractable.
However, in some boys, the nonretractable state persists in adulthood.
Guys who never notice this do not have problems.
Some young men who notice this and their parents often become scared.
Just because foreskin does not go back fully they (wrongly) believe that there will be pain during sexual intercourse in future. This anticipation of pain leads them to venture into surgery.

New Frontiers in Medical Science

Is phimosis overdiagnosed?
Can circumcision be avoided?

click to read, “When should surgery be done for the treatment of phimosis?”

This is based on Dr. Ashok Koparday’s clinical experience of over 25 years. Please refer to the changing consensus of doctors world over about diagnosis and treatment of phimosis. Click here.

  • Bina sunta Bina Operation Ilaj

    Bahot ladkon ki aage ki chambdi puri tarah pichey nahi aati.

    Puri tarah pichey na aane par bhi un ladkon ko na sex may

    samasya hoti hai na bacchey rehne may.

    Kuch doctor sunta (circumcision) karne ki salah dete hai.

    Mere patient ko kisi ko sunta (operation) karne ki jarurat nahi padi.

    चमडी पिछे नही जाती

    Fir bhi sex karne may taklif NAHI hoti hai. Isliye circumcision (sunta) karne ki jarurat nahi hai

    Gharelu upay kya hai?

    लिंग के आगे कि चमडी पुरी पिछे नही जाती. कभी पिछे पुरी जानेपर

    दर्द करती है अौर अासानी से आगे नही आती.

    १. बार बार चमडी को पिछे खिंचने का अभ्यास करो

    २. Chambdi pichey jake yadi atak ti hai दर्द बहोत हो तो

     

    लिग्नोकेन [click]

    लिग्नोकेन जेल लगाके चमडी को वापस आगे लाना.

    ३. सेक्स के समय निरोध/कामसुत्र कोइ कंडोम पहन ना

    Sare PICTURES DEKH LENA

    फायमॅासिस का इलाज बिना ऑपरेशन

  • TREATMENT WITHOUT CIRCUMCISION

    ICD-10-CM officially replaces ICD-9-CM on October 1, 2014 diagnosis code

    In most people, if the foreskin (called as prepuce) does

    not come back completely during erection it does

    not cause any problem whatsoever during sex.

    Sometimes if the foreskin comes back during sex it pains

    if it gets stuck behind like a rubber band. In such cases

    it is NOT ALWAYS necessary to do the removal of this foreskin

    by circumcision or any other operation.

    What is the substitute treatment to Surgical circumcision?
    The substitute for surgery is to

    practice stretching of the foreskin as far backwards

    as pain permits.

    Do this often (usually masturbation is the right time to practice stretching.)

    .
    If it ever gets stuck behind like a rubber band then with

    LIGNOX 2% [click to see picture] ointment pull it forcefully forward to bring it

    to its former position covering the entire tip of the penis (glans penis).

    See pictures given on this website.

In my clinical practice, it is not uncommon to come across penises where the foreskin cannot be retracted completely even in the flaccid state. All married people do not have hindrance in sexual intercourse due to their non-retracting foreskin. These people are often oblivious to the fact that in some people the foreskin does come back fully.

Will I have difficulty in sexual intercourse due to phimosis?

Usually no.

What are the risks or dangers of phimosis?


KEEP YOUR CURSOR HERE

During vigorous sexual intercourse the prepuce may come back and if the boy does not push it ahead so as to cover the glans in its normal position immediately thereafter it can lead to paraphimosis.

Adult Phimosis: What precautions should I take?

If I do not circumcise the penis as treatment what precautions do I need to take?
If you find the foreskin has completely come behind the glans remember to reposition it with your hand so that it is brought forward and covers the glans.

What is the treatment for phimosis in a child?

In the majority of children by the time adolescence is completed prepuce becomes fully retractable (Physiological phimosis).

1.

Phimosis Effective Treatment without Surgery

Masturbate with your hand, the most commonly practiced way. This method of masturbation is preferable to the method of friction by lying on the bed in the prone position. Masturbation causes the foreskin to ***move forward and backward.

Phimosis Treatment Without Surgery/Circumcision by Best Sexologist Mumbai, Samadhan Health Studio.

2.

In case you notice pain during sexual intercourse use a condom. That solves the matter.

Phimosis Treatment Without Surgery/Circumcision by Best Sexologist Mumbai, Samadhan Health Studio.

3.

Anytime if the prepuce (foreskin) comes behind remember to re-position it so as to cover the glans as it usually does. Failing to do this can lead to para-phimosis (the only actual risk).

My doctor has advised circumcision for the treatment of phimosis.

Can I avoid circumcision as treatment of phimosis?

Some doctors do advice circumcision as the treatment for phimosis. I have not required even a single person to undergo circumcision or preputioplasty for treating phimosis.

Phimosis Treatment Without Surgery/Circumcision by Best Sexologist Mumbai, Samadhan Health Studio.

Phimosis Treatment Without Surgery: Circumcision or Preputioplasty

The treatment of phimosis without surgery is easy. It can be done at home.
It’s not rocket science.

Treatment Phimosis: Stretching of foreskin

4.

Stretching

PrepucePicture ForeskinClick here to see animated picture of foreskin sliding back and forth. or the foreskin is the elastic extra skin, which often responds to forceful stretching in an adult having phimosis.
The substitute for surgery is to practice stretching of the foreskin as far backward as pain permits.
Do this often (usually masturbation is the right time to practice stretching.). If in the flaccid state the prepuce does not slide behind then you can do this stretching at any time of the day (need not be only during masturbation).

Principle:
Skin that is under tension
expands Tissue Expansion Tissue expansion is a technique used by plastic and restorative surgeons to cause the body to grow additional skin, bone, or other tissues. by growing additional cells.
Note: Foreskin may not come back completely (in that sense it is not cured), but you won’t have difficulty during sexual intercourse.

Treatment Phimosis: Use of cream/ointment for cure

Lignocaine Picture LIGNOX Click to see picture of lignox 2% (lidocaine) 2% gel is a local anesthetic. This ointment is not essential. Lignocaine anesthetic cream 2% can be applied 10 minutes prior to stretching of the foreskin. Use of this cream helps you go beyond the limit of your pain.


KEEP YOUR CURSOR HERE

Role of steroid ointments
Some doctors advise the use of steroid ointment while practicing streching exercise.
I do not recommend steroid cream/ointment.

This anesthetic cream is very useful (indispensable) in case you land up with
paraphimosis.Click to KnowRead details with picture about what to do if the foreskin gets stuck behind causing pain and swelling.

Treatment Phimosis: Ayurvedic kit Homeopathy

There is no specific Ayurvedic medicine or Homeopathy that cures phimosis.
Ayurvedic ointment/cream can be used to facilitate stretching of the prepuce. Soap (while bathing) or oil can be used instead of Lignox cream when doing the stretching exercise.

What if I have problem in sexual intercourse after marriage?

Phimosis Treatment Without Surgery/Circumcision by Best Sexologist Mumbai, Samadhan Health Studio.

5.

If after marriage phimosis does cause problem then at that time you may consider circumcision, which is a minor surgical procedure. See http://doctortells.blogspot.in/2008/08/circumcision.html
Instead of circumcision modern techniques of minimal surgery are practised.

  1. Dorsal slit (superincision)
  2. Ventral slit (subincision)
  3. Incision of frenulum
  4. Preputioplasty

Who does the surgery?

This surgery is a minor procedure.
It can be done by a General Surgeon or an Urosurgeon.

Please SEE THE PICTURES we have if you are concerned about your foreskin not coming back.
Phimosis Treatment Without Surgery/Circumcision by Best Sexologist Mumbai, Samadhan Health Studio.

Conclusion:

Treatment of phimosis without surgery at home.


1. Masturbation with hand (the usual way) that causes the foreskin to ***move forward and backward is preferable to the method of friction by lying on the bed in prone position.


2. In case you notice pain during sexual intercourse use a condom. That solves the matter.


3. Any time if the prepuce (foreskin) comes behind remember to re-position it so as to cover the glans as it usually does. Failing to do this can lead to para-phimosis (the only actual risk).
Can I avoid circumcision?


4. Stretching exercises.


5. If after marriage it does cause problem then at that time you may consider circumcision, which is a minor procedure. http://doctortells.blogspot.in/2008/08/circumcision.html

This should be useful to you http://mydoctortells.com/picture-foreskin-penis-animated/

Recently added for doctors

When is surgery necessary?

Many boys and parents get EXTREMELY worried.
Will I be able to do sex?
The fear of anticipated problem is intense, especially because a number of doctors tell them to go for circumcision.
See REFERENCES given below.
What do medical health professionals world over say?
Is phimosis overdiagnosed by doctors?
Why circumcision is unnecessary?

Surgery: When and How

See details of newer surgical procedures as an alternative to circumcision above.

When should this condition of the non-retractable foreskin (called elsewhere as phimosis) be treated with surgery?
1.

Ballooning while urinating.

Think of surgery When the foreskin is so tight that while urinating urine gets trapped in the foreskin leading to balloon-like swelling.

2.

Painful erection.

Think about a surgical correction when the foreskin is so tight that erection itself is painful.

3.

Painful sexual intercourse.

If every time there is pain during sexual intercourse due to tight prepuce think about circumcision.

4.

Paraphimosis.

When the foreskin accidentally gets caught behind the glans.
and
When you do not reposition the foreskin immediately after that.
or
If manual repositioning has failed
thus causing excessive swelling and severe pain due to the constriction band.

5.

Infection.

Predisposition to infection in people with diabetes.

By Sexologist Ashok Koparday

References

[1]
“Is phimosis overdiagnosed in boys and are too many circumcisions performed in consequence?
The Royal College of Surgeons of England
A. M. Rickwood and J. Walker
https://www.ncbi.nlm.nih.gov/pmc/utils/ctxp/?ids=PMC2499015&report=nbib&format=nbib
Retrieved on February 16, 2018

[2]
Sukhbir Kaur Shahid

. 2012; 2012: 707329.
Published online 2012 Mar 5. doi:  10.5402/2012/707329

Retrieved on February 16, 2018

[3]
“Cost-effective treatment of phimosis”
American Academy of Pediatrics
Robert S. Van Howe
Retrieved on February 16, 2018

[4]
A
Conservative treatment of phimosis
Written by Dr. Robert Van Howe, MD, FAAP
Dr. Robert Van Howe calls this condition as ‘preputial stenosis’ instead of phimosis.
 
Retrieved on February 16, 2018

[4]
B
Michel Beauge in a systematic study concurs with the method of treatment of phimosis described here.
*** Beaugé, Michel (1991). “Conservative Treatment of Primary Phimosis in Adolescents”. Faculty of Medicine, Saint-Antoine University.

[5]
ICD-10-CM officially replaces ICD-9-CM on October 1, 2014 diagnosis code

[6]
doctortells.blogspot.in
Circumcision Dos’ and Don’ts
Retrieved in 2008

[7]
Medicinet.
This usually causes no problems and nothing needs be done.

Retrieved on February 16, 2018

[8]
Tissue expansion
Retrieved on February 16, 2018

[9]
Paraphimosis Treatment by Dr. Ashok Koparday
Retrieved 2011

[10]
Picture of parphimosis by Ashok Koparday
WordPress
Retrieved 2014

Dr. Hetal Gosalia


Dr. (Mr.) Ashok Koparday

M.B.B.S., F.C.S.E.P. (International)
Accreditation:
Ex. Teaching Faculty

&

and

&
,
Dr. Ashok Koparday is practicing over 20 years as
Consultant in Psycho-Sexual Medicine &
Marriage counselor
Member:
Fellow:
Ashok Koparday
Senior Sexologist (Experience 20 years)
Consulting Hours:

Rated 4.9 out of 5 Based on 50 Google reviews

Samadhan Health Studio

A1, Namdeep, Barrister Nath Pai Road,
Near Vikrant Circle, Barrister Nath Pai Nagar,

,
Mumbai , Maharashtra, India400077
09867788877



Homepage:
License: CC-BY-NC-SA-4.0 Attribution as given here:
By Ashok Koparday with a link to http://mydoctortells.com/

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Samadhan Health Studio


Date published:
Date created: 2015

Connect with the Best Sexologists Mumbai: Dr. Ashok Koparday Dr. Hetal Gosalia


1 Comment

Charit

November 17, 2013 at 11:35 pm

Hello Doctor,

Im a 28 year old guy n im planning to get married in next 3 months. I believe I have problem of phimosis wherein my foreskin is attached to the head. I tried moving it backwards through regular masturbatio but tht is very painful. Need to get the skin back as it will cause problems during sex without condom. Kindly suggest some home remedy / oinment or a clinic where circumcision can be done without any risks

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