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What are Preputial Adhesions?

Preputial adhesions refer to the fusion of the foreskin to the glans penis, which can cause discomfort and difficulty retracting the foreskin. This condition is common in uncircumcised males, particularly in children.

What causes Preputial Adhesions?

Preputial adhesions can occur due to poor hygiene, infections, inflammation, or trauma to the penis. In some cases, the adhesions may be present from birth.

What are the symptoms of Preputial Adhesions?

The symptoms of preputial adhesions may vary from person to person. In some cases, there may be no noticeable symptoms. However, some common symptoms include the following:

  1. Difficulty retracting the foreskin
  2. Pain or discomfort during sexual intercourse
  3. Inflammation or redness of the penis
  4. Foul odour
  5. Discharge from the penis

How are Preputial Adhesions diagnosed?

A doctor can diagnose preputial adhesions by physically examining the penis. The doctor may also recommend additional tests, such as a urine test, to rule out any underlying infections.

How are Preputial Adhesions treated?

The treatment for preputial adhesions may depend on the severity of the condition. In some cases, the adhesions may resolve on their own without any treatment. However, if the adhesions are causing discomfort or difficulty retracting the foreskin, the doctor may recommend one of the following treatments:

  1. Gentle manual retraction: The doctor may try to separate the adhesions by gently retracting the foreskin.
  • Topical corticosteroids: The doctor may prescribe a cream or ointment that contains corticosteroids to reduce inflammation and promote the separation of the adhesions.
  • Surgery: In some cases, surgery may be required to release the adhesions.

Prevention of Preputial Adhesions

Preventive measures for preputial adhesions include maintaining good hygiene by cleaning the penis regularly. Parents should also teach their children how to clean the penis during bath time properly. It is also essential to treat any infections or inflammation promptly.


Preputial adhesions are a common condition that can cause discomfort and difficulty retracting the foreskin. It is essential to seek medical attention if you experience any symptoms. With proper diagnosis and treatment, preputial adhesions can be effectively managed, and complications can be avoided.

Author: Mr Neil A Haldar

Consultant Urological Surgeon

The Pelvic Specialists

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