Smegma Buildup: Concerns and Solutions for Uncircumcised Men

Q: Smegma Buildup: Concerns and Solutions for Uncircumcised Men

Hello： You can try soaking in warm water for about 15 minutes. <br>After soaking, see if it can come off. <br>If it doesn't, don't worry; soak for a few more days to minimize skin injury during the process. <br>Generally, the color of the glans is different from that of the fores

Smegma under the foreskin?

Hello, Doctor.
After successfully retracting my foreskin (although sometimes I can't pull it back), I noticed a large accumulation of smegma in the area, which seems to be along the sulcus.
It won't wash away with water, and when I tried to touch it, it felt like it was stuck inside.
When I pulled back the smegma, I saw that the glans was actually black, unlike the red tip.
Could this be due to not cleaning the smegma for a long time, causing the glans to turn black? Is there a way to restore it, or will it remain black? I'm a bit worried.
Should I see a urologist? I can retract it, so I don't want to undergo circumcision.

DD, 10~19 year old female. Ask Date: 2016/12/06

Dr. Du Shixi reply Urology

Hello: You can try soaking in warm water for about 15 minutes.
After soaking, see if it can come off.
If it doesn't, don't worry; soak for a few more days to minimize skin injury during the process.
Generally, the color of the glans is different from that of the foreskin, but it shouldn't be black.
I recommend that you consult a physician.
If you do not wish to undergo circumcision, explain your concerns to the doctor, as they cannot force you to have surgery.
Thank you for your inquiry.

Reply Date: 2016/12/06

More Info

Smegma buildup is a common concern for uncircumcised men, and it can lead to various issues if not properly managed. Smegma is a combination of dead skin cells, oils, and moisture that can accumulate under the foreskin. While it is a natural substance, excessive buildup can lead to hygiene issues, irritation, and even infections if not addressed.

From your description, it seems that you have noticed a significant amount of smegma buildup, which is not uncommon, especially if proper hygiene practices are not consistently followed. The appearance of the glans (the head of the penis) changing color, such as becoming darker, can be attributed to several factors, including prolonged exposure to smegma, irritation, or even a fungal infection. The discoloration itself is not necessarily permanent, but it can be a sign that the area has been irritated or inflamed.

Here are some important points to consider regarding your situation:
1. Hygiene Practices: It is crucial to maintain good hygiene, especially for uncircumcised men. Gently retracting the foreskin and cleaning the area with warm water daily can help prevent smegma buildup. Avoid using harsh soaps or chemicals that may irritate the sensitive skin of the glans.

2. Discoloration of the Glans: The darkening of the glans may be reversible with proper hygiene. Once the smegma is regularly cleaned away, the skin may return to its normal color. However, if the discoloration persists or if you experience any discomfort, it is advisable to consult a healthcare professional.

3. When to See a Doctor: If you are experiencing pain, persistent discoloration, or any signs of infection (such as swelling, redness, or discharge), it is important to see a urologist. They can provide a thorough examination and determine if there are any underlying issues that need to be addressed.
4. Avoiding Circumcision: Many men prefer to avoid circumcision, and it is possible to maintain a healthy penis without undergoing the procedure. Regular cleaning and monitoring for any changes in the area can help you avoid complications.

5. Potential Solutions: If you find that cleaning is difficult or uncomfortable, you might consider using a gentle, non-irritating cleanser specifically designed for sensitive skin. Additionally, if you have difficulty retracting the foreskin, you may want to discuss this with a healthcare provider, as they can offer advice or treatment options to help with this issue.

In summary, while smegma buildup is a common issue for uncircumcised men, it is manageable with proper hygiene. The discoloration of the glans may improve with regular cleaning, but if you have concerns or experience any discomfort, it is best to consult a urologist for a professional evaluation. They can provide personalized recommendations and ensure that your concerns are addressed appropriately.

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