{"id":1376,"date":"2026-04-09T13:51:56","date_gmt":"2026-04-09T13:51:56","guid":{"rendered":"https:\/\/darkcyan-pheasant-754087.hostingersite.com\/?page_id=1376"},"modified":"2026-04-11T13:57:12","modified_gmt":"2026-04-11T13:57:12","slug":"lapsen-kipea-esinahka","status":"publish","type":"page","link":"https:\/\/lastenkirurgia.fi\/en\/lapsen-kipea-esinahka\/","title":{"rendered":"A child's sore foreskin"},"content":{"rendered":"
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Foreskin stenosis and circumcision in a child<\/h2>

Phimosis is a common condition in children, but not all cases require surgery. It is important to distinguish between a normal developmental stage and a condition that requires treatment.<\/p>

\u00a0<\/p>

Note:<\/b>\u00a0Our practice only performs circumcisions for medical reasons. We do not perform religious circumcisions.\u00a0<\/strong><\/p>

\u00a0<\/p>

When is it okay to do nothing to the foreskin?<\/h3>

The foreskin of a prepubescent child is often physiologically tight, which is normal. If the child has no symptoms, the condition does not need to be treated and may resolve on its own as the child grows.<\/p>

When should treatment be considered?<\/h3>

Treatment is necessary if a tight foreskin causes the child problems, such as:<\/p>

  • Recurrent foreskin infections (surgical treatment is extremely rare, infections usually subside with age with proper care instructions)<\/p><\/li>

  • The foreskin is often sore or cracks and bleeds.<\/p><\/li>

  • The urine stream is abnormal (the pee stream does not hit the penis or the foreskin \u201cballs\u201d when urinating).<\/p><\/li><\/ul>

    Lichen planus (BXO) \u2013 The most common reason for surgery<\/h3>

    In Finland, the most common reason for circumcision of a child or adolescent is\u00a0Balanitis Xerotica Obliterans<\/b>. It is a scarring disease of the foreskin that makes the skin tight, pale, and inelastic.<\/p>

    • To white lichen\u00a0the only effective treatment<\/b>\u00a0is the removal of scarred skin, or circumcision.<\/p><\/li><\/ul>

      Treatment options<\/h3>

      The choice of treatment depends on the symptoms and possible underlying disease:<\/p>

      1. Medicated cream (Bemetson):<\/b>\u00a0If it is a simple congestion without signs of lichen planus, you can try a strong cortisone cream (Bemetson) for about two weeks. The cream softens and loosens the skin.<\/p><\/li>

      2. Foreskinoplasty:<\/b>\u00a0If the skin is tight and there is no scarring, plastic surgery may be considered. This procedure does not remove the skin, but rather reshapes it to make it looser.<\/p><\/li>

      3. Circumcision:<\/b>\u00a0If cream treatment does not help or it is lichen planus, circumcision is performed, in which the narrowed or diseased part of the foreskin is removed.<\/p><\/li><\/ol>

        Instructions for those undergoing surgery<\/h3>

        The surgery is usually performed under anesthesia to make the procedure painless and fear-free for the child.<\/p>

        Recovering at home:<\/b><\/p>

        • Pain management:<\/b>\u00a0Regular pain medication is important for the first few days (e.g. paracetamol and ibuprofen).<\/p><\/li>

        • Hygiene:<\/b>\u00a0The area is kept clean by showering daily. Loose, soft cotton underwear is recommended.<\/p><\/li>

        • Recovery time:<\/b>\u00a0You can usually return to school or daycare after a few days.<\/p><\/li>

        • Trammels:<\/b>\u00a0Exercise, sports, saunas and swimming should generally be avoided.\u00a0about two weeks<\/b>\u00a0after surgery.<\/p><\/li><\/ul><\/div><\/div>

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          Esinahan ahtaus ja ymp\u00e4rileikkaus lapsella Esinahan ahtaus eli fimoosi on lapsilla yleinen vaiva, mutta kaikki tapaukset eiv\u00e4t vaadi leikkaushoitoa. On t\u00e4rke\u00e4\u00e4 erottaa toisistaan normaali kehitysvaihe ja hoitoa vaativa sairaus. \u00a0 Huomautus:\u00a0Vastaanotollamme tehd\u00e4\u00e4n ymp\u00e4rileikkauksia ainoastaan l\u00e4\u00e4ketieteellisin perustein. Emme suorita uskonnollisia ymp\u00e4rileikkauksia.\u00a0 \u00a0 Milloin esinahalle ei tarvitse tehd\u00e4 mit\u00e4\u00e4n? Esimurrosik\u00e4isen lapsen esinahka on usein fysiologisesti ahdas, mik\u00e4 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_angie_page":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1376","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages\/1376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/comments?post=1376"}],"version-history":[{"count":4,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages\/1376\/revisions"}],"predecessor-version":[{"id":1583,"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/pages\/1376\/revisions\/1583"}],"wp:attachment":[{"href":"https:\/\/lastenkirurgia.fi\/en\/wp-json\/wp\/v2\/media?parent=1376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}