Editor Notes: In this case you can see the red meatus (peehole) which nearly all phimosis cases have. I hazard a guess that this is caused by damage done while masturbating. I do not think it is inflammation caused by a disease. Whatever the cause is, it isn't a normal thing - and may be key to understanding phimosis. Another feature seen in most cases is the dark line called the raphae. Other things to note about this case is that the top of the foreskin looks very red and raw. Has he been rubbing on it or applying too much pressure to it? If so that may be the cause of his phimosis.

Source: http://www.network54.com/Forum/244184/thread/1397649154/last-1397658222/Do+I+need+a+circumcision-+%28pics%29
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