and Treating Deformed Coronal Sulcus in Adolescents - Urology

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The glans and coronal sulcus of the penis have become raised and deformed?


At the age of 14, I heard from a health teacher that I should retract the foreskin to clean the glans, specifically the coronal sulcus.
However, after I retracted it, I couldn't get it back in place, and the coronal sulcus became very prominent, especially on the left side, which is noticeably raised, while the right side is flatter.
How can I get it back to normal? Even after several years, I haven't been able to resolve this issue.
When I watch adult films featuring male actors aged 20-40, their glans usually appear smooth and flat, similar to how mine looked when I first exposed it at 14.
Additionally, because of this, my foreskin gets caught in the coronal sulcus, and when I'm not erect, it tends to retract automatically.
As a result, it has been exposed for years, causing friction with my underwear, which has made it quite rough.
Is there a way to restore the coronal sulcus? If that happens, the foreskin should automatically cover the glans again.
Also, I have developed three small black spots on the glans due to using chemical body wash in the past.
Can these be removed with laser treatment? Should I consult a urologist or a dermatologist?

as, 20~29 year old female. Ask Date: 2017/05/14

Dr. Du Shixi reply Urology


Hello: Your issue may require a physician's examination to determine how to proceed and whether there are any concerns.
It is recommended that you visit a urology department at a hospital.
Regarding the three small black moles that may need laser treatment, it is advisable to consult individual physicians, as some may offer this service while others may not.

Reply Date: 2017/05/14

More Info


Understanding and treating deformities of the coronal sulcus in adolescents is a complex issue that requires careful consideration of both physical and psychological aspects. The coronal sulcus, which is the groove that separates the glans (tip) of the penis from the shaft, can become deformed due to various reasons, including improper handling during hygiene practices, as you have described.
In your case, it seems that an attempt to clean the area led to a situation where the coronal sulcus became distorted, resulting in asymmetry between the left and right sides. This can lead to discomfort and potential complications, such as irritation from friction against clothing, as you mentioned. It is important to address these concerns not only for physical comfort but also for mental well-being, as body image issues can arise from such deformities, especially during the adolescent years when self-esteem is often closely tied to physical appearance.

First and foremost, it is crucial to consult a healthcare professional, specifically a urologist, who specializes in male reproductive health. They can provide a thorough examination and determine the extent of the deformity. The urologist may recommend various treatment options depending on the severity of the condition. In some cases, surgical intervention may be necessary to correct the deformity and restore the normal appearance and function of the coronal sulcus.
Regarding the concerns about the small black spots on the glans, it is advisable to consult a dermatologist or a urologist. They can assess whether these spots are benign or if they require treatment. If they are determined to be harmless, no action may be necessary. However, if they are concerning, options such as laser treatment or other dermatological procedures may be available to remove them.

In addition to physical treatment, it is essential to consider the psychological impact of these issues. Adolescents are particularly sensitive to body image, and feelings of embarrassment or inadequacy can lead to anxiety or depression. It may be beneficial to speak with a mental health professional, such as a psychologist or counselor, who can help address any emotional distress related to these physical concerns.

Furthermore, education about proper hygiene practices and the anatomy of the male reproductive system can help prevent similar issues in the future. Understanding that variations in anatomy are normal can also help alleviate feelings of inadequacy when comparing oneself to others, such as those seen in adult films.

In summary, addressing deformities of the coronal sulcus involves a multidisciplinary approach that includes medical evaluation, potential surgical correction, dermatological assessment for any skin concerns, and psychological support. It is important to seek professional help to ensure that both the physical and emotional aspects of this issue are adequately addressed. Remember, you are not alone in this, and there are professionals who can help guide you through the process of treatment and recovery.

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