Phimosis in Children: Causes, Symptoms & When to See Dr. Prabhu Karunakaran, Pediatric Urologist

Phimosis is a condition where the foreskin cannot be pulled back over the head of the penis. In young boys, this is a natural developmental stage, and the foreskin typically becomes retractable by the age of 6 to 7. However, when phimosis persists or causes discomfort, infections, or difficulty urinating, it may require medical attention.
Consulting a specialist like Dr. Prabhu Karunakaran, Pediatric Urologist, can help determine whether treatment is needed and the best course of action.
What Causes Phimosis?
Phimosis can be classified into two types:
Physiological Phimosis (Normal)
Seen in newborns and young children
Resolves naturally over time
No treatment is usually required
Pathological Phimosis (Problematic)
Occurs due to scarring, inflammation, or infections
May result from forceful retraction or conditions like Balanitis Xerotica Obliterans (BXO)
Can lead to pain, urinary issues, or recurrent infections
In cases of pathological phimosis, expert care from a pediatric urologist is recommended.
Signs That Phimosis May Need Treatment
Parents should be aware of the following symptoms:
Ballooning of the foreskin during urination
Abnormal urine flow (spraying or splaying)
Foreskin remains tight beyond age 7
Discoloration or thickening of the foreskin
Recurring infections or difficulty urinating
If your child experiences any of these, it’s best to consult Dr. Prabhu Karunakaran, Pediatric Urologist, for an evaluation.
Treatment Options
The treatment for phimosis depends on its severity:
Non-Surgical Treatment
Steroid creams can help soften the foreskin and improve retraction.
Surgical Treatment
Circumcision is recommended for cases with repeated infections, scarring, or conditions like BXO.
A pediatric urologist can determine the best treatment approach based on the child’s symptoms.

When to Consult Dr. Prabhu Karunakaran, Pediatric Urologist
Seeking expert advice is essential if your child has:
✔ Persistent phimosis beyond age 7
✔ Pain, swelling, or urinary problems
✔ Signs of infections or foreskin scarring

Expert Pediatric Urology Care in Hyderabad
Early evaluation can prevent complications and ensure the best outcomes for your child. If you suspect phimosis or related concerns, consult Dr. Prabhu Karunakaran, Pediatric Urologist, for expert guidance and treatment.