Do I Have Phimosis or Excess Foreskin? Your Condition - Urology

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Is there phimosis or excessive foreskin?


My foreskin completely covers the glans when not erect, and I can slowly retract it to the coronal sulcus without pain.
However, when erect, I can only retract the foreskin to about one-fifth (when dry) or half (when wet in the shower).
Do I have phimosis or excessive foreskin? Is there a need for circumcision? Additionally, at what age is it recommended to apply the cholesterol ointment for the best effect?

Wo hen qiú xī, 10~19 year old female. Ask Date: 2016/04/25

Dr. Li Xinyi reply Urology


It sounds fine.
Do not self-medicate; it's advisable to wait until after puberty to make a proper assessment.

Reply Date: 2016/04/25

More Info


Phimosis and excess foreskin are conditions that can cause concern for many men, particularly regarding their sexual health and hygiene. Based on your description, it seems that you are experiencing some difficulty with the retraction of your foreskin during an erection, which may indicate a form of phimosis. However, since you mentioned that you can retract the foreskin when not erect and that it does not cause pain, it may not be a severe case.

Understanding Phimosis:
Phimosis is a condition where the foreskin cannot be fully retracted over the glans (the head of the penis). This can be due to a tight band of skin or scarring. In your case, since you can retract the foreskin when not erect, it suggests that you may not have a complete phimosis, but rather a partial one that becomes more pronounced during an erection.
Excess Foreskin:
Excess foreskin, on the other hand, refers to having more foreskin than is typical, which can sometimes lead to difficulties in hygiene or discomfort during sexual activity. If you find that the excess skin is causing issues, such as irritation or difficulty maintaining cleanliness, it may be worth discussing further with a healthcare provider.

Surgical Intervention:
As for whether you need a circumcision (surgical removal of the foreskin), this is typically recommended if phimosis is causing pain, recurrent infections, or significant hygiene issues. Since you are not experiencing pain and can retract the foreskin to some extent, it may not be necessary at this time. However, it is essential to consult with a urologist or healthcare provider who can assess your specific situation and provide personalized advice.

Cholesterol Ointment:
Regarding the cholesterol ointment you mentioned, it is often used to help with conditions related to the foreskin, such as phimosis. The effectiveness of such treatments can vary, and they are generally more effective when started at a younger age, ideally before puberty. However, the exact age can depend on individual circumstances and the specific formulation of the ointment. It is best to discuss this with your healthcare provider, who can give you guidance based on your age and condition.

Conclusion:
In summary, while your symptoms suggest a mild form of phimosis, it does not seem severe, especially since you can retract the foreskin when not erect. Surgical intervention may not be necessary unless you experience pain or hygiene issues. For the cholesterol ointment, consulting with your healthcare provider will provide clarity on its use and effectiveness for your situation. Always prioritize open communication with your healthcare provider to ensure you receive the best care tailored to your needs.

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