In uncircumcised males, the foreskin normally covers the head of the penis, but is retracted for urination or sexual activity. If the foreskin cannot be retracted, or is difficult or painful to retract, the condition is known as phimosis. If the foreskin is retracted but cannot be placed back over the head of the penis, the condition is known as paraphimosis, which is a medical emergency. Both conditions can at times be managed with topical steroids, but circumcision provides definitive management.
Symptoms may include, difficult or painful urination, painful erection or a medical emergency where the foreskin can’t return to its normal location once it’s retracted.
Diagnosis can be done through a physical examination.
Initial treatment includes manual reduction. Additional treatment may include pain and swelling management.