What Is Phimosis?
Phimosis is the painful condition characterised by inability of the person to retract the foreskin of the penis. There is a chance of injury to the penis when this adhered foreskin is retracted forcefully. Phimosis can also occur physiologically in infants. But this condition may get corrected on its own with advancement of the age i.e. resolved at the age seven or may by age of 16.
This disease has a very good correlation in Ayurvedic texts with Nirudhpraksh. Acharyas had described the causes, pathophysiology and clinical features along with treatment of nirudhprakash in brief, which will be discussed later on in this article.
Sign and Symptoms Of Phimosis
Clinical features of phimosis can vary from person to person. Few of the common manifestations include swelling of the foreskin, difficulty in urination or semen ejaculation, inflammation at the tip of penis, pain while erection, inability to pull the foreskin back, bruising may appear at the tip of penis, and high grade fever (> 101 ° F).
Causes Of Phimosis
The exact cause of this disease is not known, it most commonly affects the younger individuals during old age. Few factors considered responsible for the development of phimosis are aging– with increase in age there is a gradual loss of elasticity of skin leading to the phimosis in the persons with very less erections, recurrent pulling and stretching the foreskin can cause tiny tears on foreskin which later turns into inflammation and ended up as a phimosis. Several diseased conditions such as diabetes or balanitis (penis tip infection) can also lead to phimosis. Also several infections (e.g. sexually transmitted diseases) of the penis can result in scar tissue formation which makes the foreskin skin less stretchy and harder, which also is a factor contributing to the phimosis formation.
Ayurvedic View On Phimosis
As mentioned earlier, Phimosis is best correlated with the condition Nirudhpraksh mentioned in many Ayurvedic texts. It is also termed as nirudhmani. Acharya Sushruta had given the brief detail about the diseases as Due to atimardan– excessive rubbing, peedan -pressing or abhighatadi (traumatic etc.) causes lead to the vitiation of vata dosha which got localise to glans (mani), and prepuce (shishangra twacha), and produce adhesions (aashlesh) in both of them, resulting in blockage/obstruction in the passage of urine (mutrastrotso rundhi), which is characterised by thin stream of urine without excessive pain (manddhaaramavednam) and the glans can’t be exposed. Then this diseased condition is termed as Nirudhpraksh. This disease is also believed to be caused due to the incomplete recovery from the injuries of a disease named Avapatika (paraphimosis – a condition opposite to phimosis where the foreskin is retracted back from the glans or tip of penis and remains stuck there).
Whenever, the kid or the person affected from this disease try to retract the foreskin forcefully, it may result in breaking down of those adhesions (scar tissue) and which leads to severe pain, commonly followed by bruising and injuries to the glans and the prepuce. What is Balanitis?
Treatment For Phimosis
Planet Ayurveda is a manufacturing hub that formulates herbal medicines based on ayurvedic texts and principles. these formulations are being obtained from natural resources and are processed and formulated in herbal medicines under the strict guidance of the team of expert ayurvedic physician with ancient time tested formulas.
Planet Ayurveda’s expert suggested a group of herbal formulations for internal use and local application for the management of the phimosis. These include:
- Male Support Formula
- Atirasadi Churna
- Jatyadi Oil
- Tri-Bull Oil
1. Male Support Formula
Male Support Formula is an effective combination of herbs formulated in capsule form by Planet Ayurveda’s experts for male wellness. It consists of Gokshura (Tribulus teresteris), Ashwagandha (Withania somnifera) and Shilajit (Asphaltum), these three are having best aphrodisiac activity and these promote the strengthening of male reproductive organs. These herbs increase the blood flow to the penis and thus enhance the fast removal of toxins and pathogens from the tip and prevent further infection and also anti-inflammatory action of shilajit and ashwagandha helps in reducing the inflammation of foreskin. Moreover, the diuretic action of gokshura also facilitates in clearing the obstruction in free passage of urine due to phimosis.
Dosage: Two capsules twice daily with plain water after meals.
2. Atirasadi Churna
Atirasadi Churna is a traditional formulation made from 13 herbs such as Safed musli (Chlorophytum borivilianum), Shatavari (Asparagus racemosus), Varahi kand (Dioscorea tuberosa), Kesar (Crocus sativus) etc. like other herbs. This churna will improve the blood flow and also are dhatu poshak (nourishing the bodily fluids) and making the shukra dhatu (the hormones and fluids involved in male reproductive system), thus enhancing the erection and ejaculation related discomforts in the males due to phimosis.
Dosage: 1 teaspoon twice daily with lukewarm water after meals.
3. Jatyadi Oil
Jatyadi Oil is the classical herbal oil preparation made for fastening up the healing process. Its ingredient includes Chameli (Jasminum officinale), Neem (Azadirachta indica), Haridra (Curcuma longa), Mulethi (Glycyrrhiza glabra) and Patola patra (Stereospermum chelonoides) like herbs which have amazing role in healing process. The regular use of this oil will prevent further infections and also heal up the damaged scar tissue or bruising due to phimosis.
4. Tri-Bull Oil
Tri-Bull Oil is an effective polyherbal oil formulation made for enhancing the male strength. The ingredients of this oil include Gambhari chal (Gmelina arborea), Ashwagandha, Shatavari (Asparagus racemosus) and Kaner root (Nerium oleander) like herbs. Tri-Bull Oil will help in maintaining the reproductive wellness of the affected male despite his phimosis condition.
Method Of Application: Mix both Jayatadi thailam and Tri-Bull oil and massage gently over the affected part (i.e. foreskin and try to retract it backward slowly), one time daily.
This is the best herbal method for treating the phimosis rather than going for surgical procedures, which may have many post-surgical complications. These ayurvedic formulations not only treat the phimosis but also promote the male sexual wellness, enhance men’s stamina and make the body’s immune system powerful to tackle many infectious or auto-immune disorders in relatively lesser risks of side effects.