This site discusses phimosis in its specific forms of phimotic ring, frenulum breve, adhesions or skinbridges. During erection these conditions inhibit the relationship between foreskin and glans. This functionally restricts the erection, and thus has an effect on the sexuality. With our culture's attitudes on health care, it would be appropriate to monitor boys before puberty and encourage early prevention.

2012 : note from author: My previous idea of monitoring boys before puberty is impractical, unecessary and now only of historical interest. please see Postscript.

FIBROTIC RING DEVELOPS

I am 50 years old and have had phimosis for the past two years. It just sort of set in and took over until it became impossible for me to retract my foreskin.

I am in the US (New York City). Can you possibly recommend someone here whom I may contact regarding a solution (surgery or whatever else is possible short of a full circumcision). I think your research will give many some hope. Thanks.

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Ok so often phimosis starts in middle or old age and frankly there is no cure apart from surgery, ... anything else will take a lot of time and worry and has no proved success rate, you will need to consider a dorsal slit or partial circumcision, involving just cutting off the overhang, the phimotic ring affects (almost certainly) only the end half inch of the foreskin so a partial circumcision is all that is needed, ....

To find a doctor, you'll need to overcome any embarrassment, and ring around and speak to the doctors assistants and ask them if their doctor can do (i.e. if he has already done a few times) a partial circumcision, .... I imagine this might be a bit tricky in the USA, maybe one in ten will understand your wishes, .... my suggestion is to forget the surgeons and go for urologists ... surgeons seem to feel that nothing short of heart surgery is really worth worrying about ...
good luck
Robin