Phimosis: Concerns About Foreskin and Glans Exposure

Issues related to the foreskin?

I would like to ask about phimosis.
My foreskin can be freely retracted, but I have a problem: when I pull back the foreskin in a dry state, it tends to stay at the base of the glans (I hope this makes sense).
However, when I shower or get it wet, I can pull the foreskin all the way back, exposing the entire glans.
In a dry state, I notice that during masturbation, the outer foreskin appears red, but when I retract it, the color returns to its normal skin tone.
There is no pain, just a change in color.
Should I be concerned about this? Also, if I have phimosis, is it possible to keep the glans exposed regularly?

Mr. Zhang, 10~19 year old female. Ask Date: 2016/04/18

Dr. Li Xinyi reply Urology

It seems there is no issue.
In the case of phimosis, the glans typically cannot be exposed.

Reply Date: 2016/04/18

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). It can be a source of concern for many, especially regarding hygiene, sexual function, and potential complications. In your case, it seems that you have some degree of phimosis, but you can retract the foreskin when wet, which is a positive sign. However, when dry, you experience some difficulty, and you notice a change in color of the skin when you manipulate the foreskin.

The redness you observe when the foreskin is retracted could be due to several factors. When the foreskin is pulled back, it exposes the glans, which may not be accustomed to direct contact with air or friction, leading to temporary irritation or increased blood flow, resulting in a reddish appearance. This is generally not a cause for concern, especially since you report no pain. However, if the redness persists, is accompanied by pain, swelling, or discharge, it would be advisable to consult a healthcare professional.

Regarding your question about exposing the glans regularly, it is essential to consider a few factors. First, if you can retract the foreskin without pain and maintain hygiene, exposing the glans can be beneficial for cleanliness and reducing the risk of infections. However, if you experience discomfort or if the foreskin becomes stuck, it is crucial to avoid forcing it back, as this can lead to further complications, such as paraphimosis, where the retracted foreskin cannot return to its original position.

If you are considering keeping the glans exposed regularly, it is advisable to do so gradually. Start by exposing it for short periods and observe how your body reacts. If you notice any discomfort or adverse reactions, it may be best to revert to a more conservative approach. Additionally, maintaining proper hygiene is vital. Ensure that the area is clean and dry to prevent irritation or infections.

In some cases, if phimosis is causing significant issues, medical intervention may be necessary. Options include topical steroid creams to help loosen the foreskin or, in more severe cases, surgical procedures such as circumcision or preputioplasty. These procedures can alleviate the symptoms of phimosis and improve comfort.

In summary, while your current situation does not seem to indicate a severe problem, it is essential to monitor any changes and maintain good hygiene. If you have concerns about the appearance or function of your foreskin, or if you experience any pain or complications, seeking advice from a healthcare provider specializing in urology or men's health would be beneficial. They can provide tailored advice and treatment options based on your specific condition.

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