• Do you have a tight foreskin?
  • Is it not retractable even in a flaccid state?
  • Does it result in painful erections or intercourse?
You might be suffering from a Phimosis or tightening foreskin.
You might also be at risk of BXO which may result in squamous cell carcinoma of the penis, a form of penile cancer.

What exactly is a Phimosis?

Standard Coverage

  • Under normal circumstances, the foreskin should be able to retract over the glans or head of the penis especially in a flaccid state
  • A phimosis is a condition in men where the foreskin cannot retract fully over the glans of the penis
  • In some cases it is impossible for the foreskin to slide back over the glans or the head of the penis even in a flaccid state
  • It might be present since early childhood although a small percentage of males develop a phimosis in adulthood.
  • With every erection or during intercourse when the foreskin is stretched, small linear tears occur in the foreskin
  • This in turn creates scar tissue in the foreskin and the phimosis becomes tighter and tighter
  • Every time this happens the scar tissue rips and more scar tissue forms, increasing the tightness but also the skin itself

Why should it be corrected?

  • Because of the fibrotic nature of the development, the phimosis wont recover and might only get worse over time
  • It can lead to problems with hygiene:
  • Can’t clean behind the foreskin.
  • Smegma (sebaceous secretions) accumulating under the skin
  • Foul/potent odours from the penis
  • Urine/semen accumulating under the foreskin
  • Bacteria and fungi can culture under the foreskin
  • An irritable itch
  • Acute or chronic balanitis, an infective, inflammatory disease of the foreskin and shaft which can be precancerous
  • Possibility to transfer infections to partners during intercourse
  • Psychological implications affecting your sex life or intimate relationship with your partner
  • Risk of a paraphimosis, a surgical emergency:
  • The foreskin pulls back behind the glans or head of the penis but is too tight to pull over again.
  • This leads to reduced blood supply to the glans and is extremely painful. The glans swells up and if left untreated could lead to necrosis of the glans
  • This might require emergency surgical correction
  • Development of BXO

Frequently Asked Questions

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What is BXO?

BXO or Balanitis Xerotica Obliterans is a chronic, sometimes progressive disease which can lead to phimosis or urethral stenosis (narrowing of the opening of the urethra). It can affect both urinary and sexual function and might lead to Squamous Cell Carcinoma, a form of penile cancer.
Balanitis – recurrent chronic and acute infections of the glans and under the foreskin
Xerotica – White skin or loss of the normal color of the skin – the skin takes on the appearance of scarred skin with the loss of the normal light to dark brown color of the foreskin
Obliterans – Obliterating – closing up or tightening of the foreskin
It is important if you start to identify your problem fitting the description above to seek immediate help as BXO can or might be indicative of early sinister skin disease including cancer of the penis / foreskin – so you really should attend of medical opinion immediately – DO NOT WAIT


You’re treated so well, l they make you feel like a friend

For years I’ve suffered from extremely tight foreskin, it took me a long time to go about getting it sorted. I’m only sorry I didn’t find Dr Sam sooner as I’ve gone years in silence with this issue. I got a partial circumcision as my choice and I’m so happy with the results it’s a couple of weeks since the surgery. I’ve never felt as happy with the result. In the process I needed part of skin tested as lesion was found Dr Sam had it tested and all was ok. Another thing I have to say about Dr Sam is that he stays in touch with you regularly to make sure you are doing good and recovering well. I really liked that and it showed the good character this man has. I have a generalised anxiety disorder for as long as I can remember. I’m an extremely nervous person in my daily life we won’t go too much into that here. Going for this procedure I was beyond the point of tears I was so anxious but I knew deep down I was in good hands with Dr Sam after our previous consultation few weeks prior. He calmed me so much and reassured me everything will be ok. Played my favourite music allowed a friend to come in beforehand which made me even more relaxed. He is a true gentleman and he takes his work very seriously. A lot of places you call or attend for consultations is very in and out we want your money bye type vibe. By no means is this the case at this practice. I love a good distance from Malahide and I’m happy a made the trip. You’re treated so well, l they make you feel like a friend in a relaxed environment. I’m sorry I didn’t find you sooner Dr Sam thank you for everything forever grateful to

Doctor Sam

A top doctor, top clinic and very comfortable, painless experience

Classic circumcision and frenuloplasty. For years I had been suffering from ongoing infections/balanitis under the foreskin despite keeping myself clean. Post intimacy give or take a few days, balanitis would rear its ugly head constantly (excuse the pun). A number of years back I was sent to a urologist and I booked in the surgery but pulled out at the last second. A number of my buddies had adult circumcisions done and said it was going to be a painful recovery. Fast forward a few years and I wanted not to go through the whole process of waiting for surgery for months (again), but started looking online and came across Arte Novi. I am 1 week post my op and I can honestly say I have had ZERO pain since I first sat in the comfortable operating chair. The only bit of discomfort (minimal discomfort) is being awoken in the early hours with nocturnal tumescence. I was given a cream for these occurrences which I haven’t had to use once! Would highly recommend Arti Novi to anyone looking for a top doctor, top clinic and very comfortable, painless experience and really fast recovery! I told some folks at work I was getting an up on my leg, to preempt a limp I may have had on my return to work a few days later but there is no limp whatsoever! I chose Arte Novi because of the reviews I had read online on and I am glad I had my procedure done here. The clinic is in a beautiful location of Malahide. It is a spotless, friendly clinic and Dr. Sam is the man! A top surgeon, top guy. He is very friendly and makes his patients feel at ease from the very first discussion on the phone. A genius with that laser used to do the procedure (which ensures much much faster recovery) and I know Dr. Sam is a top hair transplant surgeon too. I have a bald patch so that could well be next on the

Doctor Sam

Grateful for excellent care and attention to my situation.

I have been suffering from phimosis for many years now and I always thought there would be no way to eradicate it. I stumbled across this clinic on the internet and decided to make a consultation with Dr. Sam. I was apprehensive prior to my consultation because of my feeling of embarrassment but Dr. Sam possesses an approachable and extremely friendly manner that diminished any negative feeling I had. Dr. Sam talked me through the procedure of partial circumcision and gave me an operation date scheduled the week after my consultation. The operation went perfectly and it was over before I knew it. Since then I have been recovering quickly with no issues arising. Dr. Sam has been consistently in contact with me regarding my recovery. This is something I greatly appreciate given the difficult nature of the situation, having Dr. Sam guide me through the motions has made the whole process so easy. I’m now a little over a week since my surgery and my recovery is going perfectly. Dr. Sam is still in regular contact with me and any questions I’ve had have been answered quickly with great effect. I would definitely recommend Dr. Sam to anyone struggling with a similar condition, I already feel like a new person. All I can say is I wish I did it sooner! I cannot stress how grateful I am of Dr. Sam’s constant care and attention to my

Adam S
Dr. Samuel van Eeden / Nuacell Clinic

I would definitely recommend it

I had a circumcision done with no problems. I had it done for cosmetic reasons. I would definitely recommend it done here. It costs €1050 plus €10 for a cream which you can get in pharmacist across from clinic. Dr Sam was excellent made me feel very comfortable and there were no problems with the procedure. Having it done with laser makes it heal quicker and it looks good. Plus I got a quick bit to eat before I

Doctor Sam

5 Star Service

Even before going to NuaCell, Dr Sam had assured me of the necessary steps and really put my mind at ease. The operation was painless and quick, just as promised. The knowledge and care shown by Sam and his team was unbelievable. For anyone who is looking at getting A Circumcision done or any work at all, I can not recommend NuaCell enough. A top class team providing top results. To add, the recovery has been smooth sailing, with Dr Sam on call at any time if needed and his thorough list of aftercare steps. Huge thank you

Ryan C
Doctor Sam

You're  in Good Hands


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