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The usual cause of phimosis is from scarring of the foreskin, and the usual treatment for phimosis is surgical excision of the foreskin, also called a circumcision. If there is another condition present that is causing infection, inflammation, or swelling of the foreskin, the doctor may try to treat that condition first. An infection of the foreskin can be bacterial or fungal, and treatment would need to be oriented towards the specific type of germ that is present. Inflammation would typically be treated with steroids.
If you have not yet seen a doctor, then it would be important for you to do so quickly. Phimosis is not an emergency, but a tight foreskin may get stuck down around the head of the penis, called paraphimosis, and if it cannot return to its normal position, it can interfere with blood flow to the head of the penis and become a surgical emergency.
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