{"id":5856,"date":"2026-06-28T20:42:55","date_gmt":"2026-06-28T18:42:55","guid":{"rendered":"https:\/\/www.beleyurologie.fr\/test2\/phimosis"},"modified":"2026-10-02T19:24:54","modified_gmt":"2026-10-02T17:24:54","slug":"phimosis","status":"publish","type":"besoin_patient","link":"https:\/\/www.beleyurologie.fr\/en\/besoins-urologie\/phimosis","title":{"rendered":"Phimosis"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Understanding and treating foreskin tightness Phimosis is a common condition that prevents the glans from being fully retracted due to a tightness of the foreskin. It can be congenital (present\u2026<\/p>\n","protected":false},"featured_media":6681,"menu_order":0,"template":"","class_list":["post-5856","besoin_patient","type-besoin_patient","status-publish","has-post-thumbnail","hentry"],"acf":{"beley_subtitle":"Understanding and treating foreskin tightness","beley_intro":"Phimosis is a common condition that prevents the glans from being fully retracted due to a tightness of the foreskin. It can be congenital (present from birth) or acquired as a result of infections, inflammation, or trauma.","beley_related_expertises":"","beley_related_besoins":"","beley_card_excerpt":"A tightening of the foreskin preventing retraction, treatable by creams or surgery depending on the severity.","beley_form_shortcode":"","beley_primary_label":"consultation appointment","beley_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/sebastien-beley","beley_secondary_label":"surgery appointment","beley_secondary_url":"https:\/\/www.beleyurologie.fr\/en\/surgery-appointment","beley_card_image":6682,"beley_hero_image":3987,"beley_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=aKs3Yq-GVhY","title":"Patient Journey"},{"url":"https:\/\/www.youtube.com\/watch?v=rkATWkJKKVM","title":"How to treat phimosis without surgery?"},{"url":"https:\/\/www.youtube.com\/watch?v=vi8B2Veg1MU","title":"Phimosis in 1 minute"}],"beley_video_eyebrow":"","beley_video_section_title":"","beley_video_section_text":"","beley_faq_title":"FAQ \u2013 Frequently Asked Questions","beley_faq_items":[{"question":"Can phimosis be treated without surgery?","answer":"Yes, in moderate cases. Topical treatment with a corticosteroid cream, combined with gentle foreskin stretching exercises, can avoid surgery in some cases. If this fails, if the phimosis is severe, or if it recurs, surgery is recommended."},{"question":"Is circumcision the only surgical solution?","answer":"No. Depending on the severity of the phimosis and your preference, a preputial plasty (which preserves the foreskin) can be performed. Circumcision, partial or total, remains the most lasting solution for severe or recurring phimosis."},{"question":"What are the next steps after the operation?","answer":"The procedure is performed on an outpatient basis. Pain is moderate and well controlled with simple analgesics. Healing takes 2 to 4 weeks, and sexual intercourse can generally be resumed after 4 to 6 weeks."},{"question":"What are the risks of not treating phimosis?","answer":"Untreated phimosis can lead to foreskin tears, recurrent local infections (balanitis), pain during intercourse, and, more rarely, paraphimosis, which is a medical emergency. In adults, any persistent phimosis warrants a consultation."}],"beley_sidebar_rdv_title":"","beley_doctor_band_title":"","beley_doctor_band_text":"","beley_doctor_band_points":null,"beley_doctor_band_image":"","beley_page_cta_title":"","beley_page_cta_text":"","beley_closing_highlights":null,"beley_blocks":[{"acf_fc_layout":"text_block","eyebrow":"","title":"Introduction","content":"Severe <strong>phimosis<\/strong> can lead to pain, infections, and urinary or sexual complications. The good news is that solutions exist. Appropriate treatment can restore comfort and well-being to daily life."},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"What is phimosis?","content":"<strong>Phimosis<\/strong> is a narrowing of the <strong>foreskin<\/strong> that prevents or makes it difficult <strong>to retract<\/strong> the foreskin. It is normal in young children but should gradually disappear during adolescence. In adults, it can be bothersome or even pathological. <strong>Some statistics:<\/strong><ul><li> Approximately 10% of 3-year-old children still have phimosis.<\/li><li> It persists in 1% of adolescents and adults and can cause discomfort.<\/li><li> Aggravating factors: infections, inflammation, trauma, painful sexual intercourse.<\/li><\/ul>","image":1729},{"acf_fc_layout":"video_section_block","eyebrow":"","title":"S\u00e9bastien Beley - Patient journey in practice","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=aKs3Yq-GVhY"},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"What are the symptoms?","content":"<strong>Phimosis<\/strong> can be asymptomatic, but when it becomes problematic, several signs may appear:<ul><li> Difficulty or impossibility of retracting the foreskin of the glans<\/li><li> Pain during erections or sexual intercourse<\/li><li> Frequent infections (balanitis, urinary tract infections)<\/li><li> Redness, swelling and inflammation of the <strong>foreskin<\/strong><\/li><li> Urinary discomfort in cases of significant narrowing<\/li><\/ul> It can develop gradually. Prompt treatment helps prevent complications.","image":3987},{"acf_fc_layout":"text_block","eyebrow":"","title":"What are the causes of phimosis?","content":"<strong>Phimosis<\/strong> can be of <strong>congenital origin (present since childhood).<\/strong><ul><li> <strong>Foreskin<\/strong> naturally tight from birth<\/li><li> This can persist if retraction of the <strong>foreskin<\/strong> has never been possible.<\/li><\/ul> <strong>Acquired (development in adulthood)<\/strong><ul><li> Chronic infections and inflammations (balanitis, posthitis)<\/li><li> Repeated microtrauma (forced retraction of the foreskin, excessive friction)<\/li><li> Excessive scarring due to inflammation or trauma<\/li><\/ul>"},{"acf_fc_layout":"video_section_block","eyebrow":"Expertise","title":"Dr. S\u00e9bastien Beley: How to treat phimosis without surgery?","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=rkATWkJKKVM"},{"acf_fc_layout":"text_block","eyebrow":"","title":"Impact on daily and intimate life","content":"It can lead to various complications, impacting comfort, health, and sexual life:<ul><li> Pain during sexual intercourse (dyspareunia)<\/li><li> Difficulty or impossibility of maintaining proper personal hygiene<\/li><li> Increase in urinary and genital infections<\/li><li> Aesthetic discomfort and loss of self-confidence<\/li><\/ul> It is essential to consult a specialist to avoid further deterioration and to regain a life free from pain and discomfort."},{"acf_fc_layout":"text_block","eyebrow":"","title":"What solutions exist?","content":"<strong>Drug treatments (mild to moderate cases)<\/strong><ul><li> Corticosteroid-based creams (betamethasone): soften the <strong>foreskin<\/strong> and facilitate its widening.<\/li><li> Local antiseptics in case of associated inflammation.<\/li><li> Antibiotics if an infection is present.<\/li><\/ul> Creams are often effective in children and adolescents, but less so in adults. <strong>Surgical treatments (severe or persistent cases):<\/strong> If medication is insufficient, surgery may be recommended.<ul><li> Posthectomy (partial or total <strong>circumcision<\/strong> ): removes all or part of the foreskin.<\/li><li> Preputial plasty: widens the opening to allow <strong>retraction<\/strong> without completely removing the foreskin.<\/li><\/ul> Surgery is a definitive and effective solution, suitable for cases resistant to local treatments."},{"acf_fc_layout":"video_section_block","eyebrow":"Experience","title":"Phimosis #phimosis #urology #doctor","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=vi8B2Veg1MU"},{"acf_fc_layout":"text_block","eyebrow":"","title":"Why consult a specialist?","content":"A consultation allows you to:<ul><li> To assess the severity of <strong>phimosis<\/strong> and its consequences<\/li><li> To consider appropriate treatment (creams, exercises or surgery)<\/li><li> To avoid complications and regain comfort and well-being<\/li><\/ul> Don't let it ruin your daily life. The earlier it's addressed, the simpler the treatment."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Patient Journey","content":"Let me introduce you to the typical patient journey, my approach to urology, and how I work."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Are you suffering from phimosis?","content":"Don't let this problem affect your comfort and your intimate life.<ul><li> Urology Clinic Paris Op\u00e9ra \u2013 Paris 17th<\/li><li> In-person or teleconsultation<\/li><li> Book your appointment today<\/li><\/ul>"}]},"_links":{"self":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/5856","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient"}],"about":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/types\/besoin_patient"}],"version-history":[{"count":1,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/5856\/revisions"}],"predecessor-version":[{"id":5928,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/5856\/revisions\/5928"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/media\/6681"}],"wp:attachment":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/media?parent=5856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}