Phimosis | Treatment for Adults and Children

At Andrología Málaga, Dr. Rodrigo España provides diagnosis and treatment of phimosis in adults and children. Each case is addressed individually, with effective and minimally invasive solutions to improve your intimate health and quality of life.

What is phimosis and when should it be treated?

Phimosis is a condition in which the foreskin (the skin covering the glans) cannot be retracted properly. It can cause discomfort, difficulty urinating or during sexual activity, and increase the risk of infections.

At Andrología Málaga, Dr. Rodrigo España evaluates each case individually and provides the best treatment options, ranging from conservative approaches to minimally invasive surgery. The goal is to help you safely restore your intimate well-being without complications.

What types of phimosis exist and why does it occur?

Phimosis can occur at any age, and its causes vary depending on the type:

1

Physiological Phimosis

Common in young children, it usually resolves naturally as they grow. No treatment is needed unless it causes discomfort or infections.

2

Pathological Phimosis

Occurs when the foreskin becomes stiff or scarred, preventing retraction. It can be caused by:

  • Recurrent infections (balanitis)

  • Chronic inflammation

  • Scarring from pulling or forced retraction

  • Skin conditions such as lichen sclerosus

At Andrología Málaga, Dr. Rodrigo España helps you identify the type of phimosis you have and determines the best treatment approach to prevent complications.

When should I consult for phimosis?

You may have phimosis if you notice any of the following symptoms:

  • Difficulty retracting the foreskin over the glans

  • Pain or discomfort during sexual activity

  • Frequent infections of the glans or foreskin

  • Difficulty or pain when urinating

  • Inflammation, redness, or cracks in the foreskin

If you experience one or more of these symptoms, it is recommended to consult a specialized andrologist. At Andrología Málaga, Dr. Rodrigo España will help you resolve the issue safely, discreetly, and effectively.

How is phimosis treated?

Treatment depends on the type of phimosis, the symptoms, and the patient’s age. The main options include:

1

Corticosteroid Creams

In mild cases, especially in children, topical treatments can help soften the foreskin and allow gradual retraction without surgery.

2

Conventional Circumcision

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This is the most well-known option. It involves partial or complete removal of the foreskin through a simple surgical procedure. It is performed under local anesthesia and allows for a quick recovery.

3

Scalpel-Free Circumcision

This is our preferred technique at Andrología Málaga. Dr. Rodrigo España is an expert in this modern approach, which does not require a scalpel or visible stitches. A special device is used to cut and seal simultaneously, reducing bleeding, minimizing pain, and speeding up recovery.

Main advantages:

  • Outpatient procedure (no hospital stay required)

  • Less postoperative inflammation and discomfort

  • Natural aesthetic results

  • Shorter recovery time

Choosing this technique allows phimosis to be resolved quickly, safely, and comfortably, with minimal discomfort and excellent tolerance.

Frequently Asked Questions About Phimosis

Yes. Although it often resolves during childhood, many men reach adulthood with phimosis, either due to natural causes or scarring from infections. It is more common than it seems.

Scalpel-free circumcision is a modern technique that uses a special device to remove the foreskin without a scalpel or visible stitches. Unlike conventional surgery, this method is less invasive, causes less bleeding, and allows for a faster and more comfortable recovery.

No. It is performed under local anesthesia, and the procedure is practically painless. After the intervention, discomfort is mild and can be easily managed with pain relievers. Many patients report that they expected it to be more uncomfortable and are pleasantly surprised at how well they tolerate it.

The procedure usually takes 20 to 30 minutes. It is an outpatient procedure, meaning no hospital stay is required and you can go home the same day.

You should keep the area clean and dry, apply any creams or ointments recommended by the specialist, and avoid intense physical activity for a few days. In general, recovery is quick and well tolerated. Dr. Rodrigo España will explain all the aftercare steps in detail.

Many patients resume their usual activities (work, walking, driving) within 2 to 3 days. Sexual activity should be avoided for 3 to 4 weeks, depending on healing progress and the doctor’s recommendations.

Yes. One of the major advantages of scalpel-free circumcision is its excellent aesthetic result. Since no external stitches are needed, healing is cleaner and the appearance is very natural.

 
 

Do you suspect you may have phimosis and want an evaluation with a male health specialist?

At Andrología Málaga, Dr. Rodrigo España, a urologist specialized in male health, will provide personalized and attentive guidance on the diagnosis and treatment of phimosis according to your needs.

Contact us to get all your questions answered. We are here to help.