Foreskin Care: Common Concerns and Solutions

Prepuce issues

I recently started cleaning smegma for the past 1-2 days.
Currently, I don't have any major issues with my penis; urination and DIY activities are normal.
I haven't retracted the foreskin during DIY.
I noticed a slight redness at the urethral opening, and it feels a bit painful when touched.
Is this normal? I can retract the foreskin to the glans when not erect, but I have difficulty doing so when erect.
I'm cautious and taking my time with the retraction.

However, when I try to clean smegma while not erect, I feel discomfort when touching the glans; it’s quite sensitive and feels slightly prickly.
Additionally, I can't seem to remove the smegma, which makes me hesitant to touch it.
Can I just rinse it gently with water, or do I need to use my hands to gently rub it? What should I do now? Is it okay to rinse it daily and touch it a little to eventually retract it? I realized this issue a bit late; am I running out of time? What could be the reasons for the smegma not coming off? Would soaking it in water for 10 minutes help? After soaking for 10 minutes, is there a risk that the foreskin won't retract? Can not cleaning smegma for such a long time lead to penile cancer? I apologize for the lengthy message, but I hope you can respond quickly.
I've seen a lot of alarming information online recently, and I'm very anxious, fearing there might be something wrong with my penis.

Niming, 20~29 year old female. Ask Date: 2016/11/03

Dr. Du Shixi reply Urology

Hello, it seems that you have a narrow band of foreskin, which makes it difficult to retract during an erection.
If you gently try to retract it while showering daily, some individuals find that the tightness gradually loosens over time, allowing for retraction during an erection.
However, take your time and do not rush this process.
If there is no improvement after a few weeks, some doctors may recommend a circumcision.
Regarding smegma, you can rinse it with warm water during your daily showers.
After several days, it should soften and come off.
Avoid forcefully removing it, as this can cause redness and sensitivity in the underlying skin, which may be uncomfortable.
It is advisable to use a gradual approach (after the smegma has come off, clean the area daily with warm water and dry it properly; it is not necessary to use soap or body wash every day).
As for penile cancer, it is associated with smegma but is quite rare.
Just maintain proper hygiene moving forward.
If you have concerns, consult a urologist.
Additionally, many people experience some redness and sensitivity around the urethral opening, but as long as urination is normal, there is no need to be overly concerned.
Thank you for your inquiry.

Reply Date: 2016/11/03

More Info

Understanding foreskin care is essential for maintaining genital health, especially for those who are uncircumcised. It’s common for individuals to have concerns about hygiene, sensitivity, and potential complications related to the foreskin and glans (the head of the penis). Here’s a comprehensive overview addressing your concerns and providing guidance on proper foreskin care.

Common Concerns
1. Foreskin Sensitivity: It’s normal for the glans to be sensitive, especially if it has not been exposed frequently. This sensitivity can lead to discomfort when cleaning or touching the area. Over time, as you gradually expose the glans, sensitivity may decrease.

2. Foreskin Retraction: Difficulty retracting the foreskin, especially during an erection, is a common issue. This condition, known as phimosis, can be physiological (normal in younger individuals) or pathological (caused by scarring or infection). If you can retract the foreskin when flaccid but experience difficulty when erect, it’s advisable to proceed cautiously. Forcing retraction can lead to pain or injury.

3. Cleaning and Hygiene: Regular cleaning is crucial to prevent the buildup of smegma, a combination of dead skin cells, oils, and moisture. If you’re experiencing discomfort while cleaning, it’s best to use warm water and gentle movements. You can soak the area in warm water for about 10 minutes to help soften any smegma, making it easier to clean. Avoid using harsh soaps or scrubbing vigorously, as this can irritate the sensitive skin.

4. Pain and Discomfort: A slight redness or discomfort at the urethral opening can occur, especially if there has been irritation or friction. If the pain persists or worsens, or if you notice any unusual discharge, it’s important to consult a healthcare provider to rule out infections or other conditions.

5. Concerns About Cancer: While poor hygiene can increase the risk of infections, which may lead to complications, the direct link between smegma buildup and penile cancer is not well established. However, maintaining good hygiene is important for overall health and can help prevent infections that might contribute to more serious conditions.

Recommendations for Care
- Gentle Cleaning: When cleaning, use warm water and gently retract the foreskin if possible. If you encounter resistance, do not force it. Instead, continue to clean the area gradually over time.

- Soaking: Soaking in warm water can help soften smegma. After soaking, gently wipe the area with a soft cloth or your fingers to remove any buildup.

- Avoiding Irritants: Steer clear of scented soaps or lotions that can irritate the sensitive skin of the glans and foreskin.

- Monitoring Symptoms: Keep an eye on any changes in color, discharge, or persistent pain. If you notice any concerning symptoms, such as swelling, severe pain, or unusual discharge, seek medical advice.

- Consulting a Healthcare Provider: If you have ongoing difficulties with retraction or experience significant discomfort, it’s advisable to consult a urologist. They can provide guidance tailored to your specific situation and may recommend treatments if necessary.

Conclusion
It’s understandable to feel anxious about genital health, especially with the plethora of information available online. The key is to maintain a routine of gentle cleaning and to be mindful of any changes in your body. Remember, it’s never too late to start caring for your foreskin properly. If you have ongoing concerns or experience pain, don’t hesitate to reach out to a healthcare professional for personalized advice and reassurance. Taking proactive steps now can help ensure your long-term genital health and comfort.

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