Phimosis (Tight Foreskin) Treatment in London
A tight foreskin that does not pull back over the head of the penis is known as phimosis. It is common and can often be treated simply. For some men, however, it can cause soreness, difficulty with hygiene, pain during sex or problems when passing urine.
Our consultant urologists provide discreet assessment and treatment for phimosis in London. We will identify the likely cause and explain the medical or surgical options that may be appropriate for you.
What is a tight foreskin (phimosis)?
Phimosis is the medical term for a foreskin that is too tight to pull back fully over the head of the penis.
It is normal for the foreskin to be non-retractable in young boys and it often becomes more flexible naturally over time. In adults, a tight foreskin can sometimes cause symptoms or need treatment.
There are several possible reasons why phimosis develops. Recurrent inflammation or infection can lead to swelling and scarring. Skin conditions, including lichen sclerosus, can also affect the foreskin. Some men notice pain or tightness during erections, redness or soreness, difficulty cleaning beneath the foreskin or discomfort during sex.
A tight foreskin may also cause ballooning when passing urine or affect the direction of the urine stream. A planned consultation can help establish what is causing the problem and which treatment may help.
Common symptoms of phimosis
You may experience one or more of the following symptoms.
Tightness or discomfort
Difficulty pulling the foreskin back, or pain and tightness during erections.
Soreness and inflammation
Redness, swelling, itching or recurrent irritation around the foreskin or head of the penis.
Hygiene and urinary problems
Difficulty cleaning under the foreskin, ballooning during urination or a spraying urine stream.
Discomfort during sex
Pain during sexual activity or tearing of the foreskin.
How we assess phimosis
A consultation and discreet examination are often enough to establish the degree of tightness and plan the appropriate treatment.
Examination
Your consultant will assess the foreskin and look for signs of inflammation, scarring or an underlying skin condition.
Swabs or tests where needed
If infection or a skin condition is suspected, simple tests may be recommended to help guide treatment.
Assessment of symptoms
Your consultant will discuss any difficulties with hygiene, urination, erections or sexual activity, and how symptoms are affecting you.
Treatment options
Steroid cream and gentle stretching
For some men, a prescribed steroid cream and a gradual stretching programme can help improve flexibility of the foreskin. Your consultant will advise whether this approach is appropriate and how to use treatment safely.
Circumcision
Circumcision is a procedure to remove the foreskin. It may be recommended where phimosis is persistent, severe, linked to scarring or caused by an underlying skin condition. Your consultant will explain what the procedure involves and whether it is the right option for you.
From assessment to treatment
Treatment is guided by the cause and severity of phimosis. Milder cases may improve with conservative treatment, including prescribed steroid cream, gentle stretching and advice on hygiene.
If there is significant scarring, recurrent problems or symptoms that have not improved with non-surgical treatment, a procedure may be considered. Your consultant will explain the potential benefits, risks and practical considerations of each suitable option.
Why choose The Forbury Clinic for tight foreskin treatment in London?
A sensitive concern handled discreetly
We understand that intimate symptoms can feel difficult to raise. Your consultation is private, professional and judgement-free.
The least invasive approach considered first
Where creams and simple measures are likely to help, these can be discussed before surgery is considered.
Clear advice when a procedure is needed
If circumcision may be appropriate, your consultant will explain why, what to expect and any alternatives that may be available.
Consultant-led care in London
You will be assessed by a consultant urologist at The Forbury Clinic, 45 Queen Anne St, London W1G 9JF.
Frequently asked questions
Is a tight foreskin serious?
Phimosis is usually not serious, but it can cause discomfort, hygiene difficulties, recurrent inflammation or pain during sex. In some cases, it may be associated with a skin condition that needs treatment. Assessment can help clarify the cause.
Will I always need circumcision?
No. Many cases can improve with prescribed steroid cream and gentle stretching. Circumcision may be considered when non-surgical treatment has not helped, or where there is significant scarring or an underlying skin condition.
Is the assessment embarrassing?
It is understandable to feel apprehensive about an intimate examination. Our consultants handle this common concern respectfully and discreetly, and will explain what the assessment involves beforehand.
What is paraphimosis?
Paraphimosis occurs when a foreskin that has been pulled back becomes trapped behind the head of the penis and cannot be returned to its normal position. It requires urgent medical attention.
Do I need a GP referral?
No. You are welcome to self-refer and arrange a consultation directly with our team.
Get a tight foreskin assessed discreetly
If a tight foreskin is causing discomfort, recurrent soreness or worry, a confidential consultation can help establish the cause and discuss the right next steps.
- AppointmentBook a consultation
- Reception0118 920 7055
- Location
The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J
