Phimosis
I would like to ask, when I am not erect, my foreskin covers the glans and can be pulled back for cleaning.
When I am erect, it sometimes exposes half of the glans, and I can also manually retract it.
Does this mean I have phimosis? Do I need a circumcision? I have no issues with urination and no inflammation.
Mr. Sun, 20~29 year old female. Ask Date: 2017/02/24
Dr. Du Shixi reply Urology
Hello: If you can retract the foreskin manually without feeling tightness or pain, and you can maintain cleanliness, even though you have phimosis, surgery may not be necessary.
Thank you for your inquiry.
Reply Date: 2017/02/24
More Info
Phimosis is a condition where the foreskin cannot be fully retracted over the glans (the head of the penis). It can be classified into two types: physiological phimosis, which is common in infants and young boys and usually resolves on its own as they grow older, and pathological phimosis, which occurs due to scarring, inflammation, or other medical conditions.
Based on your description, it seems that your foreskin can be retracted when not erect, and it partially exposes the glans when erect. This indicates that you may not have a significant problem with phimosis. In fact, many men have a foreskin that does not fully retract during an erection, and this is often considered normal as long as it does not cause pain, discomfort, or hygiene issues.
Here are some key points to consider regarding your situation:
1. Normal Variability: The anatomy of the penis varies widely among individuals. Some men have a foreskin that retracts easily, while others may have a tighter foreskin that does not retract fully during an erection. As long as you can clean the area properly and there are no symptoms of pain, discomfort, or infection, it is generally not a cause for concern.
2. Hygiene: It is essential to maintain proper hygiene, especially if the foreskin covers the glans. Regular cleaning helps prevent infections and other complications. If you can retract the foreskin for cleaning purposes, that is a positive sign.
3. Symptoms to Watch For: If you experience any pain, difficulty urinating, recurrent infections, or any other concerning symptoms, it would be advisable to consult a healthcare professional. These symptoms could indicate a more serious issue that may require treatment.
4. Treatment Options: If it is determined that you do have phimosis that is causing problems, treatment options may include topical corticosteroids to help loosen the foreskin, stretching exercises, or, in some cases, circumcision. However, circumcision is typically reserved for cases where other treatments have failed or if there are significant complications.
5. Consultation with a Specialist: If you are uncertain about your condition or if you have concerns about your foreskin, it may be beneficial to consult a urologist. They can provide a thorough examination and offer personalized advice based on your specific situation.
In summary, based on your description, it does not appear that you have a significant issue with phimosis, especially since you can retract the foreskin for cleaning and there are no symptoms of infection or discomfort. However, if you have any lingering concerns or if your situation changes, seeking medical advice is always a prudent choice. Remember, maintaining good hygiene and monitoring for any changes in your condition are key to ensuring your reproductive health.
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