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Phimosis - Vanad Clinic



Phimosis is a condition in which the foreskin can’t be retracted (pulled back) from around the tip of the penis. A tight foreskin is common in baby boys who aren’t circumcised, but it usually stops being a problem by the age of 3.
Phimosis can occur naturally or be the result of scarring. Young boys may not need treatment for phimosis unless it makes urinating difficult or causes other symptoms. As these boys grow up, the need for treatment may increase.
The main symptom of phimosis is the inability to retract the foreskin by the age of 3. The foreskin usually loosens over time, but this process can take longer in some boys. By around the age of 17, a boy should be able to easily retract his foreskin.
Another common symptom of phimosis is a swelling of the foreskin while urinating.


In both conditions, your foreskin will be stuck in one place, either over the tip of the penis or behind. With phimosis, you might also have the following signs:
In the bathroom your foreskin will expand when you pee, like a balloon. It can be painful. You might see blood in the stream or in the toilet. The stream might seem weaker than normal.
When you have sex you might have pain with an erection.

  • Infections. You may get urinary tract infections. Symptoms include blood in your urine, pain or burning when you pee, the urge to go even when your bladder is empty, and pain or pressure in your lower abdomen or back.
  • Foreskin pain. You notice that your foreskin hurts. It might have discharge, too.
  • White ring. The opening of your foreskin has a white ring that looks like scar tissue.
You may have painful swelling in the head of your penis or in the whole organ.


  • Scar tissue – Infections can scar the foreskin, which might make the skin less stretchy. The tough tissue can make it hard to pull it back.
  • Pull and stretch – Don’t forcefully move your foreskin. Go easy on it. Even pulling or stretching it can cause tiny tears and inflammation that eventually lead to phimosis.
  • Aging – The same changes that happen on your face with age — wrinkles and looseness — happen to your foreskin. You are more likely to get it if you get fewer erections.
  • Medical conditions – If you have diabetes, you’re more likely to have balanitis, an infection of the tip of penis. Talk to your doctor about your complete medical history so he can treat you properly

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  • Normal erectile function can be affected by problems with any of the following systems:
  • Blood flow
  • Nerve supply
  • Hormones

Risk Factors.

If you have phimosis, you are more likely to get penile cancer. If left untreated, it can lead to increased swelling, and in extreme cases, gangrene, and eventually the loss of your penis.


A doctor will take a full history from the person, asking about any previous penis infection or injuries they might have had. They may also inquire about the impact of any symptoms on sexual activity. A physical examination will include them looking at the penis and foreskin.
The doctor may order urine tests to check for urine infections or take a swab from the foreskin area to check for bacteria.
Phimosis is a risk factor for type 2 diabetes. Adults presenting with a tight foreskin may be given blood and urine tests to check their blood sugar levels, as a result



Drug treatments

A- Homeopathic Medicines For Erectile Dysfunction

  • Agnus Castus :This remedy is indicated when erectile dysfunction arises from mental depression & exhaustion of nervous energy. Such exhausted nervous energy can occur from prolong stress, tension & worries. Patient feels his genitals are cold to touch & relaxed & his sexual desire is gone.
  • Caladium :This remedy is for patients with chronic habit of tobacco. This remedy cures erectile dysfunction aroused from bad effects of tobacco. Patient feels erections when half asleep & when he attempts for intercourse suddenly he loses his erections. Patient has mental excitement but penis is in loose and relaxed condition.
  • Selenium :This remedy is often indicated in elderly men, especially for prostatitis and sexual atony. Patient is generally very weak and often gets easily exhausted from slightest mental or physical exhaustion. Many a times patient has a history of some chronic disease in recent past like arthritis, diabetes etc. This remedy cures dribbling of semen in sleep.
  • Lycopodium :This remedy is useful for patient with erectile dysfunction & who has long term history of digestive disorders like chronic indigestion, acidity, constipation etc. Chronic digestive disorders increase the body heat and this remedy reduces down the heat in body. Patient has long term history of masturbation. Such a patient has premature looks like early age hair fall and wrinkles on face.
  • Avena Sativa : This remedy is useful for patients who works on high post like managers, CEO’s, lawyers etc. who have intense mental work rather than physical work. They have responsibilities and pressure of targeted deadlines. Such overuse of brain leads to decrease in sexual desire and also decreased ability to perform sexual act.
  • Nuphar Luteum : This remedy is often indicated in today’s youth generation. It cures erectile dysfunction aroused due to junk food, over eating, overuse of alcohol & tobacco, & also improper sleeping pattern. Such a patient has a history of chronic masturbation. This remedy has wonderful powers to cure night fall.

B- Ayurvedic Medicines for Erectile Dysfunction :

  • Shilajit :This medicine is known to us since ages & our ancient physician were useing it for vigor, stamina and to increase male libido. Now it is scientifically proved that this medicine can be used for low libido, premature ejaculation, erectile dysfunction and many sexually related disorders. This medicine is mainly used in old age individuals, patients suffering from diabetes, hypertension and also for people who had excessive masturbation.
  • Ashwagandha :This is the best medicine for person who needs both physical and mental energy. Person is tired both at physical and at mental sphere. This wonderful herb is also useful in digestive disorders such as constipation, indigestion and acidity.At the mind level person is stressed has poor concentration and very week Memory.
  • Tribulus Terrestris :Wonderful remedy for sexual complaints at all age groups. It increases desire for sex and also improves erection. It affects positively on sperm quality, quantity and its motility. It is one of the best medicine for infertility in men. Cures Azospermia. Helps a lot to reduce the prostate enlargement in elderly patients. Being rich in antioxidents it also has anti-aging effects.
  • Shatavari : Predominantly helpful for female patients. Irregular menses. Severe pain before, during and after menses. Loss of sexual desire in female patients. Extreme pain in breast before menses also indicate use of Shatavri in female patients. Shatavari increases the physical stamina in female patients and helps them against physical weakness.

C- Supplementary Medicines for Erectile Dysfunction :

  • Zinc It is a supplementary medicine for elderly patient suffering from erectile dysfunction due to testosterone deficiency. A 1996 study showed a very clear relationship between zinc and testosterone levels. Researchers showed that with increased zinc intake, testosterone levels in the elderly population almost doubled. This particular study concluded that in males, zinc has a positive effect on arousal and maintaining an erection.
  • Vitamin E : Vitamin E enhances the effects of some conventional drugs used for erectile dysfunctions, according to a small study published in December 2008 issue of “The Aging Male.” The authors found that the majority of the participants who did not respond well to standard therapy alone experienced increased rigidity of the penis when adding vitamin E daily. Supplementation with vitamin E may help individuals with sexual dysfunction because it also supports the production of hormones.

D – Allopathic Line of Treatment For Erectile Dysfunction

Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors.
Most of these pills are taken 30 to 60 minutes before sex – the best known being the blue-colored pill sildenafil (Viagra). Other options are:
Vardenafil (Levitra)
Tadalafil (taken as a once-daily pill called Cialis)
Avanafil (Stendra)

Disclaimer: Above information is only for knowledge purpose . Any medications should be taken only after consultation with qualified medical practitioner.

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