Overview

Phimosis is tightness of the foreskin that may prevent full retraction. It can be physiologic in children or pathologic in adults.

Possible causes or associations

  • Physiologic tightness
  • Scarring
  • Inflammation
  • Infection

Assessment and management considerations

  • Gentle stretching if advised
  • Treat inflammation
  • Review severe or recurrent cases

Normal variation note

Tight foreskin is common in childhood and may resolve; adult phimosis may need assessment.

Key points

  • May be normal in children
  • Can cause hygiene issues
  • Balanitis may contribute
  • Treatment depends on severity

When to seek care

  • Painful retraction
  • Swelling or discharge
  • Difficulty with hygiene