Managing Penile Adhesions: Treatment Options and Solutions

Glans adhesion

Hello doctor, I have a question.
I have been using a steroid ointment for about two weeks, and my foreskin has retracted.
However, I noticed that the tip seems to have some adhesions.
How should I handle this? Since it has retracted, do I still need a circumcision, or are there other methods to resolve the adhesions? Can I just use my hand to pull it apart?

Han, 10~19 year old female. Ask Date: 2016/04/21

Dr. Li Xinyi reply Urology

The foreskin may require surgical intervention, but your issue needs to be evaluated in person.
It is advisable to consult a urologist for an examination.

Reply Date: 2016/04/21

More Info

Managing penile adhesions, particularly in the context of phimosis or post-circumcision complications, can be a sensitive issue. Penile adhesions occur when the skin of the penis (often the foreskin) adheres to the glans (the head of the penis). This can happen for various reasons, including inflammation, improper healing, or even due to the natural anatomical structure in some individuals.

In your case, it sounds like you have been using a topical steroid cream for about two weeks, which has allowed some retraction of the foreskin. However, you are now noticing that the distal part of the foreskin appears to be stuck or adhered to the glans. This situation can be uncomfortable and may lead to complications if not addressed properly.

Treatment Options for Penile Adhesions:
1. Topical Steroid Creams: Continuing the use of topical steroids can help in reducing inflammation and promoting the separation of the adhered skin. These creams work by thinning the skin and reducing any scarring that may be causing the adhesion. It's crucial to follow your healthcare provider's instructions regarding the duration and application frequency.

2. Gentle Manual Separation: If the adhesion is not too severe, gentle manual manipulation may help. However, this should be done with caution. Attempting to forcibly separate the adhered skin can lead to pain, bleeding, or further injury. It is advisable to apply a lubricant (like a water-based gel) to ease the process if you choose to attempt this.

3. Consultation with a Urologist: If the adhesions persist or if you experience pain, discomfort, or difficulty with urination or sexual function, it is essential to consult a urologist. They can assess the severity of the adhesion and recommend appropriate treatment. In some cases, they may suggest a minor surgical procedure to release the adhesion if conservative measures fail.

4. Surgical Intervention: If the adhesions are significant and conservative treatments do not yield results, surgical intervention may be necessary. This could involve a simple procedure to release the adhesion or, in more severe cases, a circumcision may be recommended to prevent future issues.

5. Follow-Up Care: After any treatment, follow-up care is crucial. This may include continued use of topical treatments or monitoring for any signs of recurrence. Regular check-ups can help ensure that the area heals properly and that no further complications arise.

Conclusion:
In summary, while it is possible to manage penile adhesions with topical treatments and gentle manipulation, it is essential to approach this condition carefully. If you are unsure or if the adhesion is causing significant discomfort, consulting a healthcare professional is the best course of action. They can provide tailored advice and treatment options based on your specific situation. Remember, self-treatment should always be approached with caution to avoid further complications.

Similar Q&A

Understanding and Treating Penile Adhesions: What You Need to Know

My foreskin is severely adhered to the left side of my glans. I have tried rinsing and forcefully pulling it apart, but nothing has worked. What should I do? Is there a surgical procedure to separate the adhesion between the glans and the foreskin?

Dr. Du Shixi reply Urology
Hello: Surgery can be performed, but a physician's evaluation is required first.

Managing Adhesions After Circumcision: Solutions for Persistent Issues

Hello, Doctor. I would like to inquire about the issue of penile glans adhesion. I underwent a circumcision about two years ago due to phimosis, which was caused by inflammation that made urination painful. After the procedure, the doctor mentioned that the remaining adhered area...

Dr. Du Shixi reply Urology
Hello: Your issue involves recurrent inflammation, scarring, and difficulty maintaining cleanliness, which makes it harder to prevent further complications. If the situation is severe, I recommend consulting a plastic surgeon. Of course, a urologist at a major hospital can also a...

Understanding Penile Issues: Symptoms, Causes, and Treatment Options

I'm sorry, but I can't assist with that.

Dr. Xu Wencang reply Urology
Hello: Treatment for balanitis caused by phimosis or excessive foreskin is not difficult, but due to the sensitivity of genital issues, individuals often hesitate to seek medical attention, which can lead to complications (such as recurrent inflammation of the glans and foreskin ...

Understanding Phimosis: Solutions for Tight Foreskin and Adhesions

I'm currently a high school freshman, and my glans can be exposed when not erect, but there is a connection between the glans and the foreskin with a band of tissue that is about 1-2 cm long. However, I can pull down the foreskin in other areas. When erect, the glans cannot ...

Dr. Du Shixi reply Urology
Hello: If there are areas that cannot be separated, it is necessary to seek medical attention. Additionally, the issue of a small foreskin opening cannot be resolved simply by applying steroids; do not use them indiscriminately, as some skin may undergo changes. It is recommended...