Phimosis Treatment consultation | Oxford Online Pharmacy

Is this medication or treatment for you?

Yes

No

This question is required and must be answered.

Please confirm your age in years.

Please confirm that you understand the following:

If you are 55 years of age or over, we are unable to prescribe via this service. Please see your GP as there may be an underlying cause for your phimosis that requires investigation eg infection, penile cancer or other.

Yes, I confirm

This question is required and must be answered.

Have you been diagnosed with phimosis by a doctor or healthcare professional?

Yes

No

This question is required and must be answered.

How would you describe your symptoms? Please select all that apply to you.

Unable to retract foreskin at all Partially retractable foreskin Pain or discomfort when attempting to retract Pain during erections Discomfort during sexual activity Difficulty passing urine Swelling or inflammation around the foreskin Recurrent infections under the foreskin Other

This question is required and must be answered.

How long have you had these symptoms?

Have you previously received any treatment for phimosis?

Yes

No

This question is required and must be answered.

Your Medical History

Do you take any medication, or have any medical conditions?

Yes

No

This question is required and must be answered.

Do you have any skin conditions such as lichen sclerosus, eczema, psoriasis, or any other inflammatory skin condition?

Yes

No

This question is required and must be answered.

Do you have diabetes?

Information: Diabetes can increase the risk of recurrent infections and may be associated with tightening of the foreskin.

Yes

No

This question is required and must be answered.

Do you have any liver or kidney problems, including reduced kidney function or chronic liver disease?

Yes

No

This question is required and must be answered.

Do you have any known allergies? E.g. Penicillin, egg protein or peanuts or an allergy to the ingredients in some medication eg lactose?

Yes

No

This question is required and must be answered.

Safety Checks for our Prescribers

Please do not use this service if you have any of the following - seek immediate medical attention instead:

Paraphimosis (foreskin trapped behind the head of the penis and unable to return to normal position)
Pain on urination or difficulty in passing urine
Any lumps, ulcers, unusual skin changes, or swollen lymph nodes in the groin area

Yes, I confirm

This question is required and must be answered.

Do you have any signs of active infection around the foreskin, such as discharge, unusual odour, severe redness, or fever?

If you do please do NOT use this service — seek immediate or urgent medical attention instead.

Yes

No

Tell us about your skin condiition

How would you describe the skin around the affected area?
Please select all that apply to you

Tight / restricted Dry or flaky Red or inflamed Pale / whitened patches Thickened or scarred Cracked or sore Other

Do you experience any of the following during erections or sexual activity?

Pain or discomfort Skin tearing or bleeding No issues during erections Not sexually active Other

This question is required and must be answered.

Do you experience recurrent infections or irritation under the foreskin (balanitis)?

Yes

No

This question is required and must be answered.

About Your Treatment

Important information about this treatment:

The recommended treatment for phimosis is a 12-week course of betamethasone valerate cream or ointment applied twice daily to the tight area of the foreskin.

This guidance may differ from the patient information leaflet; please follow the instructions provided by our clinical team.

Yes, I confirm

This question is required and must be answered.

Do you confirm you understand and are able to follow the application instructions provided?

Instructions: Apply a pea-sized amount to the tightest area of the foreskin twice daily for 12 weeks, with gentle stretching exercises as the foreskin begins to loosen.

Yes, I confirm

This question is required and must be answered.

Your GP details and Consent to Treatment

Do you give us permission to inform your NHS surgery, about this prescription?

Yes

No

It is important to tell your doctor of any medication you have been prescribed for them to be able to treat you appropriately, safely and to avoid any drug interactions.

Do you have any information or communication needs because of a disability (for example ADHD, ASD or Learning Difficulties), impairment or sensory loss that we should be aware of, in order to provide you with the best possible care?

This will help our clinicians and pharmacy team to allow you access all our services safely.

Yes

No

This question is required and must be answered.

I am over 18 and this is for my sole use. I understand this is a non emergency service. I confirm I have answered all questions accurately and understand the doctor will use this information to prescribe safely for me.

Yes, I confirm

This question is required and must be answered.

Important Consent Confirmation

By providing us with your details you confirm that you have read, understood and agreed to the legal terms and you consent to the sharing of your data to use our service.

I consent to treatment and an identity check as outlined in our Privacy Policy.

Yes, I confirm

This question is required and must be answered.

Important Information

I give consent for the pharmacist to access and store relevant information from my NHS Summary Care Record, where needed to prescribe safely.

We will only record relevant information needed for your treatment with us.

Yes, I confirm

This question is required and must be answered.

Online Consultation for Phimosis Treatment

Start a new Consultation

Your Medical History

Safety Checks for our Prescribers

Tell us about your skin condiition

About Your Treatment

Your GP details and Consent to Treatment

Surgery Search

Surgery Selected