not tightened is the narrowing of the foreskin such that it is impossible to uncover, even partially, the glans during an "erection".
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Non-serrated phimosis can be congenital or acquired. Congenital non-serrated phimosis is a condition with unknown causes, which can also resolve spontaneously with growth; acquired non-serrated phimosis, on the other hand, is a condition with very specific causes (including balanitis, balanoposthitis and lichen sclerosus), which always needs proper treatment.
Diagnosed quickly by physical examination, non-tight phimosis causes symptoms such as pain in the penis and pain in the foreskin when trying to force the glans to be uncovered.