Definition

A foreskin that is difficult or impossible to retract. Non-retractability may be normal in young children.

Symptoms

Discomfort, cracks, repeated inflammation or painful erections; sometimes no symptoms.

How it may be discovered

Found during childhood examination or after new narrowing in adulthood.

When to seek care

Consult for pain or recurrent inflammation. A swollen foreskin trapped behind the glans is an emergency.

Investigations and tests

Usually clinical examination; selected assessment for skin disease or diabetes in adults.

Reaching a diagnosis

Distinguish normal development and adhesions from scarring.

Treatment options

Do not force retraction. Observation, prescribed topical treatment or surgery according to indication; childhood circumcision is not automatic.

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