Phimosis and Inflammation: Symptoms and Treatment Options - Urology

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Phimosis and inflammation issues?


Hello Doctor, I have often experienced a burning sensation during urination since high school.
The symptoms come and go; sometimes it feels better, and other times it flares up.
I have a problem with phimosis and have not previously retracted the foreskin properly, just cleaning it directly.
Recently, after making an effort to retract it, I found that the foreskin is attached to the urethral opening, and there is a layer of tissue covering the area where it adheres to the urethra, along with some redness and swelling nearby.
There is no significant discharge, but there is a stinging sensation when touched.
After visiting the hospital for an examination, the doctor said it was inflammation caused by the foreskin and strongly recommended circumcision.
I was prescribed oral medication and an ointment to apply, but I haven't noticed significant improvement after a day of treatment.
I would like to ask the doctor: 1.
Is it possible for the foreskin to adhere to the urethral opening? 2.
Could my symptoms potentially indicate penile cancer? 3.
How long does the circumcision procedure typically take? Thank you, Doctor.

Qing, 20~29 year old female. Ask Date: 2016/07/30

Dr. Sun Hongshun reply Urology


Hello: Chronic long-term inflammation can potentially cause the foreskin to adhere to the glans, which is an inflammatory response.
As you mentioned, not seeing significant improvement after one day of medication is normal, as the effects of medication are not immediate.
A circumcision typically takes about 30 minutes to 1 hour, with a recovery period of approximately one week.
Regarding whether it is penile cancer, I cannot provide a definitive answer without a personal examination.
I recommend visiting a major hospital for an in-person consultation.

Reply Date: 2016/07/30

More Info


Phimosis, or the inability to retract the foreskin over the glans of the penis, can lead to various complications, including inflammation and infection. Your symptoms of burning during urination, along with the observation of a sticky area between the foreskin and the urethral opening, suggest that you may be experiencing a condition known as balanitis, which is inflammation of the glans and possibly the foreskin. This inflammation can occur due to poor hygiene, infections, or irritation, particularly in cases of phimosis.

1. Can the foreskin adhere to the urethral opening?
Yes, in cases of phimosis, the foreskin can become adherent to the glans, leading to a condition called "preputial adhesions." This can cause discomfort and may contribute to inflammation. The presence of a "meaty" layer you described could be a sign of inflammation or irritation, which can occur when the foreskin is not easily retractable. This condition can lead to further complications, such as recurrent urinary tract infections or balanitis.

2. Is there a possibility of penile cancer with these symptoms?
While your symptoms are concerning and warrant attention, it is important to note that penile cancer is relatively rare, especially in younger individuals. The symptoms you describe—burning sensation, redness, and irritation—are more commonly associated with infections or inflammatory conditions rather than cancer. However, persistent lesions, changes in skin texture, or non-healing sores should be evaluated by a healthcare professional. It is essential to follow your doctor's recommendations and continue monitoring your symptoms.

3. What is the recovery time for circumcision?
Circumcision is a common procedure for treating phimosis and associated complications. The recovery time can vary depending on individual factors, but generally, patients can expect to return to normal activities within a week or two. Pain and swelling are common post-operative symptoms, but these can usually be managed with prescribed pain relief and proper care of the surgical site. It is crucial to follow your surgeon's post-operative care instructions to ensure proper healing and minimize the risk of complications.

In addition to surgical options, it is essential to maintain good hygiene practices, especially if you are experiencing recurrent symptoms. Regular cleaning of the area can help prevent infections and inflammation. If you are using topical medications as prescribed, ensure that you apply them consistently and as directed.

If you do not notice improvement with the current treatment or if your symptoms worsen, it is vital to follow up with your healthcare provider. They may consider further evaluation or alternative treatments based on your specific situation. Remember, open communication with your doctor about your symptoms and concerns is key to effective management and recovery.

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