{"id":1701,"date":"2020-10-02T08:00:00","date_gmt":"2020-10-02T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1701"},"modified":"2026-08-30T05:37:29","modified_gmt":"2026-08-29T22:37:29","slug":"%d8%ae%d8%aa%d8%a7%d9%86-%d8%a7%d9%84%d8%a7%d8%b7%d9%81%d8%a7%d9%84-%d9%8a%d8%ad%d8%aa%d8%a7%d8%ac%d9%87-%d8%a7%d9%84%d8%a7%d8%b7%d9%81%d8%a7%d9%84","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ar\/2020\/10\/02\/pediatric-circumcision-kids-need\/","title":{"rendered":"Phimosis in Boys: Does Every Child Need Circumcision?"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ar\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, 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Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a 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1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 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0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">No parent wants their child to have an operation he did not need. A foreskin that cannot be pulled back \u2014 <strong>phimosis<\/strong> in medical terms \u2014 is one of the commonest reasons boys are brought to a urology clinic, and it comes with a predictable set of questions. Does my son have to be circumcised? Is it dangerous to leave it? When is the right time to operate? Is there anything that works other than surgery?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article deals only with phimosis as a medical condition. Circumcision performed for religious or cultural reasons is a separate matter and is not discussed here.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1707\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ar\/2020\/09\/25\/testicular-infection\/baby-plays-with-own-feet\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-1.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.2&quot;,&quot;credit&quot;:&quot;SHANGAREY&quot;,&quot;camera&quot;:&quot;NIKON D700&quot;,&quot;caption&quot;:&quot;naked babe lying plays with own feet&quot;,&quot;created_timestamp&quot;:&quot;1366830401&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.003125&quot;,&quot;title&quot;:&quot;Baby plays with own feet&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Phimosis is one most common concerned among parents\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Phimosis is one most common concerned among parents&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-1.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-1.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A young boy at a urology consultation for phimosis\" class=\"wp-image-1707\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-1.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-1.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-1.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-1.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Phimosis is one of the commonest worries parents bring to the clinic.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Two kinds of phimosis \u2014 and the difference matters<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Physiological phimosis<\/strong> \u2014 the normal, natural state, present in up to 96% of newborns. Nothing has gone wrong; the foreskin has simply not separated yet.<\/li>\n\n\n\n<li><strong>Pathological phimosis<\/strong> \u2014 caused by an inflammatory process such as recurrent skin infection or a pre-cancerous lesion, leaving scarring behind.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Almost every boy brought to me falls into the first group. That distinction is the whole basis of the answer, because physiological phimosis mostly needs patience, while the pathological form is the one that genuinely needs treating.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is one specific condition worth naming, because it is the exception to most of this article. <strong>Balanitis xerotica obliterans<\/strong> (also called lichen sclerosus) produces a pale, firm, scarred ring at the tip of the foreskin. It does not resolve with time, it usually does not respond to cream, and it is the clearest situation in which circumcision is genuinely the right operation rather than a default. A doctor examining your son can usually recognise it by sight \u2014 which is one reason an in-person look matters before any decision is made either way.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1708\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ar\/2020\/09\/25\/testicular-infection\/happy-asian-family-are-enjoy-with-son-in-studio\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-2.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;7.1&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D750&quot;,&quot;caption&quot;:&quot;Happy Asian family are enjoy with son in studio&quot;,&quot;created_timestamp&quot;:&quot;1559842012&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;125&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Happy Asian family are enjoy with son in studio&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Happy child bring happiness to his parents\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Happy child bring happiness to his parents&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-2.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-2.jpg?resize=800%2C534&#038;ssl=1\" alt=\"A healthy happy young boy after reassurance that no surgery is needed\" class=\"wp-image-1708\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-2.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-2.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-2.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Ped-circum-2.jpg?resize=768%2C513&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">In most boys, the reassuring answer is the correct one.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Two things parents often mistake for a problem<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Soft white lumps under the foreskin.<\/strong> These are collections of shed skin cells, sometimes called preputial pearls or smegma, trapped where the foreskin has not yet separated from the glans. They look alarming through the skin and are frequently mistaken for pus or a cyst. They are harmless, they need no treatment, and they work their way out on their own as the foreskin separates. Nothing needs to be squeezed, opened or pulled back to deal with them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ballooning of the foreskin during urination.<\/strong> This is the classic thing that brings a family to the clinic, and on its own it is not an indication for surgery. What matters is whether urine is actually getting out: a boy who balloons a little but then passes a normal stream, empties comfortably and is otherwise well does not have obstruction. A boy who strains, dribbles, takes a long time, or has repeated urinary infections is a different question and should be examined. Ballooning by itself is a description, not a diagnosis.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Not every boy needs circumcision<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The typical presentation of physiological phimosis is the foreskin ballooning slightly during urination, most often noticed around the age of 3. The single most useful thing a urologist can do here is reassure the family that it usually resolves on its own \u2014 and the figures back that up. Phimosis persists in only <strong>10% of boys by age 3, and in just 1% by age 17<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Waiting is not the only option, though. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24044098\/\">Published evidence<\/a> supports applying a <strong>topical steroid cream<\/strong> directly to the tight foreskin: a 4-week course has a reported success rate of nearly 70%, carries low risk, and can be repeated if the first course does not do it. For most families, this is where the conversation should start.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">How it is applied matters as much as which cream is used. A thin smear goes onto the tight ring at the tip of the foreskin, twice a day, and it is combined with drawing the foreskin back <em>gently, only as far as it moves easily, and never to the point of pain or resistance<\/em>. The cream softens the ring; the gentle stretching is what lets it give. Forcing it does not speed anything up and does the opposite of helping. If nothing has changed after four weeks, go back rather than continuing indefinitely \u2014 a second course is reasonable, an open-ended one is not.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Circumcision is the last option, not the first.<\/strong> It becomes the right answer when phimosis is causing recurrent penile skin infections, when it obstructs urination, when topical treatment has been given a fair trial and failed, or where there is scarring or a pre-cancerous change. Outside those situations, an operation is rarely what a young boy needs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is also worth stating plainly what is on the other side of that decision, because a good argument for waiting needs it. Circumcision is a safe and routine operation, but it is still an operation: bleeding, infection, an unsatisfactory cosmetic result and, uncommonly, narrowing at the opening are all recognised, and in a small child it usually means a general anaesthetic. Those risks are entirely worth accepting when there is a real indication. They are not worth accepting for a foreskin that would have sorted itself out.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One practical note for parents: <strong>do not try to force the foreskin back<\/strong> to see whether it will retract. Forcible retraction tears the skin, and the scarring that heals from those tears is one way physiological phimosis turns into the pathological kind \u2014 turning a condition that would have resolved itself into one that needs surgery.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">When your son needs to be seen the same day<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Most of this article is about waiting. These are the situations that should not wait. <strong>Take him to an emergency department the same day \u2014 in Thailand you can call 1669:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The foreskin has been pulled back and will not go forward again<\/strong>, and the head of the penis is becoming swollen, tight or dark. This is called paraphimosis. It is the one true emergency here, it is painful, and it needs treating quickly rather than watching to see whether it settles.<\/li>\n\n\n\n<li><strong>He cannot pass urine at all<\/strong>, or is straining with an increasingly full, uncomfortable lower abdomen.<\/li>\n\n\n\n<li><strong>The penis is swollen, red, hot or clearly painful<\/strong>, or there is pus, particularly with a fever.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Paraphimosis is worth knowing about specifically because of how it happens: someone retracts a tight foreskin \u2014 during a bath, a nappy change, a well-meant attempt to clean underneath, or an examination \u2014 and it does not come forward again. That is the practical reason behind the advice above. If the foreskin is drawn back for any reason, it must always be returned to its normal position straight away.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If your son has phimosis or you are considering circumcision and would like a specialist opinion, Dr. Soarawee Weerasopone offers consultations at Bangkok Hospital Headquarters. <strong>Please note the age range: boys from 3 years old and above are seen. Infants and babies under 3 are not assessed or treated here and are better seen by a paediatric urologist<\/strong> \u2014 which fits the medicine anyway, since a non-retractile foreskin in a baby is almost always the normal physiological kind and needs nothing done to it. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>. Questions about the cost of consultation or surgery should go to the hospital directly \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital also runs a Telemedicine service for families who cannot attend in person, including those living abroad \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. A video consultation is useful for talking through whether any treatment is needed at all, although the foreskin itself has to be examined in person before a decision about surgery is made. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Circumcision and Phimosis in Children<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">Does my son need circumcision if he has phimosis?<\/strong> <p class=\"schema-faq-answer\">Not necessarily. Phimosis &#8211; the inability to retract the foreskin &#8211; is extremely common in newborns and young boys. Up to 96% of newborns have physiologic phimosis, which resolves naturally as boys grow. Only 10% still have it at age 3, and just 1% at age 17. Circumcision is not always required and should be considered only after conservative options have been tried.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">What is the difference between physiologic and pathological phimosis?<\/strong> <p class=\"schema-faq-answer\">Physiologic phimosis is a normal developmental stage where the foreskin is naturally non-retractile in infants and young children. It typically resolves on its own without treatment. Pathological phimosis is caused by scarring or inflammation, such as from recurrent skin infections or a condition called balanitis xerotica obliterans (BXO), and is more likely to require medical or surgical intervention.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Is there a non-surgical treatment for phimosis in children?<\/strong> <p class=\"schema-faq-answer\">Yes. Topical steroid cream applied directly to the tight foreskin is a well-established first-line treatment for phimosis in children. The recommended course is 4 weeks of twice-daily application, with a reported success rate of nearly 70%. It is safe, low-risk, and can be repeated if needed. This treatment can often avoid the need for surgery entirely.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">When should circumcision in a child actually be performed?<\/strong> <p class=\"schema-faq-answer\">Circumcision is indicated when phimosis causes recurrent penile skin infections, significant urinary obstruction, or when topical treatment has failed after adequate trials. Pathological phimosis with scarring or pre-cancerous changes also warrants surgical intervention. The decision should always be made in consultation with a urologist who can assess the individual case.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">At what age is it safe to perform circumcision in children?<\/strong> <p class=\"schema-faq-answer\">Circumcision can be performed at any age when medically indicated, but the timing depends on the clinical situation. For disease-related phimosis, many urologists prefer to wait until the child is old enough for safe general anesthesia and cooperative post-operative care. For elective or religious circumcision, timing varies by practice and parental preference. Always discuss the optimal timing with your urologist.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice, and it cannot substitute for an examination of your own child. No medical advice, diagnosis or prescription is provided through personal messaging channels or social media. Never force a young boy&#8217;s foreskin back. Always consult a qualified healthcare professional before starting any medical treatment. In an emergency, attend the nearest emergency department \u2014 in Thailand the emergency number is 1669.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/02\/pediatric-circumcision-kids-need\/#medicalwebpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/02\/pediatric-circumcision-kids-need\/\",\n      \"name\": \"Phimosis in Boys: Does Every Child Need Circumcision?\",\n      \"headline\": \"Phimosis in Boys: Does Every Child Need Circumcision?\",\n      \"description\": \"Phimosis in young boys is usually physiological and resolves with time; a four-week course of topical steroid cream clears most of the rest. Circumcision is reserved for recurrent infection, obstructed urination, scarring, or failure of conservative treatment. Includes what parents mistake for a problem and the signs that need same-day care.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2020-10-02T08:00:00+07:00\",\n      \"dateModified\": \"2026-08-30T00:00:00+07:00\",\n      \"lastReviewed\": \"2026-08-30\",\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"medicalAudience\": [\n        { \"@type\": \"Patient\", \"requiredMinAge\": 0, \"requiredMaxAge\": 17 },\n        { \"@type\": \"MedicalAudience\", \"audienceType\": \"Parents and carers of boys with a non-retractile foreskin\" }\n      ],\n      \"disambiguatingDescription\": \"Two separate things should not be confused here. The educational content applies to boys of any age, including newborns, because a large part of it explains that a non-retractile foreskin in a baby is normal and needs nothing done to it. The clinical service does not: Dr. Soarawee Weerasopone sees children from the age of 3 upward, as a general urologist rather than as a paediatric urology subspecialist, and infants and children under 3 years of age are not assessed or treated at Bangkok Hospital Headquarters and are referred to a paediatric urologist. That limit rarely costs anything clinically, because phimosis at that age is almost always the physiological kind requiring no treatment. Paraphimosis, a retracted foreskin that will not go forward again with the glans swelling or darkening, is an emergency at any age and should go to an emergency department rather than to this clinic; in Thailand the emergency number is 1669.\",\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/02\/pediatric-circumcision-kids-need\/#condition\" }\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/02\/pediatric-circumcision-kids-need\/#condition\",\n      \"name\": \"Phimosis\",\n      \"alternateName\": \"Non-retractile foreskin\",\n      \"description\": \"Phimosis means the foreskin cannot be drawn back over the glans. Two forms must be told apart, because the answer to the parents question depends entirely on which one it is. 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If the foreskin is drawn back for any reason it must be returned to its normal position immediately, because a retracted foreskin left in place can cause paraphimosis.\"\n      },\n      \"possibleTreatment\": [\n        {\n          \"@type\": \"MedicalTherapy\",\n          \"name\": \"Expectant management (watchful waiting)\",\n          \"description\": \"For physiological phimosis, time and ordinary hygiene are the treatment. The great majority separate on their own during childhood, so reassurance rather than intervention is the correct answer.\",\n          \"indication\": { \"@type\": \"MedicalIndication\", \"description\": \"A non-retractile foreskin in a boy with no infection, no obstruction to urination and no scarring.\" }\n        },\n        {\n          \"@type\": \"MedicalTherapy\",\n          \"name\": \"Topical corticosteroid cream\",\n          \"description\": \"A four-week course applied twice daily as a thin smear to the tight ring at the tip of the foreskin, combined with gentle retraction only as far as the foreskin moves easily and never to the point of pain or resistance. Reported success rate close to 70%, low risk, and repeatable if the first course does not succeed. 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Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains when circumcision is genuinely needed and when it is not.<\/p>","protected":false},"author":185281453,"featured_media":10076,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Does your son need circumcision? Dr. Soarawee explains phimosis in children, when surgery is truly necessary, and the non-surgical topical steroid treatment option.","jetpack_seo_html_title":"Pediatric Circumcision & Phimosis in Boys: Do All Kids Need It? | Dr. Soarawee Urology","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1375],"tags":[1466],"class_list":["post-1701","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pediatric-urology","tag-pediatric-circumcision"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-rr","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Pediatric-Circumcision.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/posts\/1701","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/comments?post=1701"}],"version-history":[{"count":22,"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/posts\/1701\/revisions"}],"predecessor-version":[{"id":11827,"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/posts\/1701\/revisions\/11827"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/media\/10076"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/media?parent=1701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/categories?post=1701"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ar\/wp-json\/wp\/v2\/tags?post=1701"}],"curies":[{"name":"\u0648\u0648\u0631\u062f\u0628\u0631\u064a\u0633","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}