Diagnosis of Phimosis

The diagnosis of phimosis is easy to make with a medical history and examination.  It does not usually require any further tests or investigations.

medical_history

Medical history

Medical history

A medical history will help determine the cause of the phimosis as well as the possible risk factors.  Any other illness or medical conditions which the patient is suffering from should be discussed. Any treatment that the patient is taking should be recorded.  The patient’s sexual history and history of sexually transmitted diseases are important.  Medication which the patient is taking as well as any other medical conditions which the patient may have is important for the medical practitioner to know.
 
 
 

Medical_examination

Medical examination

Medical examination

On medical examination the medical professional should be able to easily see and demonstrate that the patient’s foreskin is too tight and is not able to be pulled back over the glans of the penis.  The foreskin should be carefully examined to see if any signs of infection or discharge are present.  A general medical examination is always important.  This includes a brief systemic evaluation and recording of vital signs.
 
 
 

Swab Kit

Swab Kit

Pus swab

If a discharge is present it is a good idea to send a sample of the discharge on a swab to a laboratory for microscopy, culture and sensitivity testing.  This will help determine which antibiotic would be the most effective if an infection is present.