Tight foreskin

Uncomplicated phimosis

Treat with 4/52 of a moderate to strong steroid cream (e.g. 0.1% Betamethasone), applied to the foreskin but avoiding the glans, and review 1 – 2 weeks later. If symptoms are still troublesome, refer for consideration of circumcision.

Condom use can be helpful with sexual symptoms. In diabetics, improved diabetic control can help. Stretching of the foreskin is not recommended as it can produce scarring.

Other reasons for referral

  • Non-reducible paraphimosis – refer same-day.
  • Hard palpable lump – refer as 2ww.
  • Balanitis xerotica obliterans (which gives a whitish dull hue) should be referred, though no timescale given.

BMJ 8.10.16 76 – 77.

(NB – Did this as a module on BMJ Learning, but for some reason it’s registering as incomplete. As I did do it and make the notes, I’ll put it down as my own learning; I’m keeping records and will be sure not to count it twice.)


About Dr Sarah

I'm a GP with a husband and two young children.
This entry was posted in Credits 2016, Urology. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s