Penis problems

The foreskin cannot, and should not, be retracted in newborn babies.  It should gradually begin to separate in the first few years of life.

Recurrent balanitis leads to scarring around the meatus, so that you cannot see the slit opening of the penis itself.  In this case, the foreskin will balloon on passing urine (a minor degree of this can still be seen in children without scarring.

Can try application of topical steroid creams: 0.05% betamethasone cream should be used twice daily for 2 to 4 weeks.  Gently retract foreskin without causing any discomfort and apply a thick layer of cream to the tightest part of the foreskin.  Steroid creams of higher potency may be tried if this fails.

Circumcision if significant phimosis and steroid creams fail.

Smegma pearls

Retained smegma can accumulate into substantial but painless lumps down the shaft of the penis.  Can be ignored.

Balanitis Xerotica Obliterans

A form of lichen sclerosus affecting the tip of the penis, causing white, crinkly thickening.