Phimosis in men – When the Foreskin Becomes a Problem

Phimosis may sound like a complicated medical term at first, but it’s actually quite simple: the foreskin can no longer be fully retracted over the glans
Many men tend to put the topic off, out of embarrassment or because they think, “Ah, it’ll be fine on its own.” The truth? Early evaluation can prevent pain, infections, and annoying problems during sex – and it’s often quicker and simpler than you might think.

Dr. med. Daniel Seiler

19. January 2026

What are the symptoms of phimosis?

  • Difficulty or pain when retracting the foreskin
  • Recurring redness or inflammation of the glans or foreskin
  • Problems during sex
  • Occasional discomfort when urinating
  • Recurring irritation

Tip: Not every tight foreskin is a problem. But as soon as you feel discomfort, it is worth getting checked by a urologist – this can help prevent more serious problems.

Causes

  • Scarring due to infections or skin diseases (e.g., lichen sclerosus)
  • Recurring infections
  • Injuries or scars after accidents
  • Rare: congenital narrowing that only becomes noticeable in adulthood

Treatment

There are several ways to treat phimosis, depending on the severity of the symptoms:

Conservative therapy

Apply cortisone creams to the foreskin to soften the skin. The success rate of this measure is rather low in adults. Often, there is only a temporary improvement or the symptoms return after some time.

Surgical options

Circumcision: Complete removal of the foreskin – permanent and safe (Circumcisions are performed in our practice from the age of 16. For children under 16, the procedure is carried out through pediatric surgery)

Preputioplasty: The narrowing is widened, the foreskin is preserved

Circumcision procedure

Time to get your foreskin back in shape!

A tight foreskin doesn't have to be a problem—we can help you get things back on track. Whether it's gentle treatment or minor surgery, we'll work with you to find the right solution.

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