Phimosis: Solutions for Tight Foreskin and Adhesions

Q: Phimosis: Solutions for Tight Foreskin and Adhesions

Hello： If there are areas that cannot be separated, it is necessary to seek medical attention. <br>Additionally, the issue of a small foreskin opening cannot be resolved simply by applying steroids; do not use them indiscriminately, as some skin may undergo changes. <br>It is rec

Phimosis

I'm currently a high school freshman, and my glans can be exposed when not erect, but there is a connection between the glans and the foreskin with a band of tissue that is about 1-2 cm long.
However, I can pull down the foreskin in other areas.
When erect, the glans cannot naturally be exposed; I have to pull it down manually.
It's not stuck at the adhesion site, but the opening of the foreskin is a bit small.
I have sexual experience, and using a condom does not cause pain, but without a condom, I need to use lubricant to avoid pain.
I have the following questions:
1.
How can I resolve the adhesion of the foreskin? I'm afraid of pain and have tried pulling it hard, but I'm hesitant.
2.
Can steroid ointment be used to resolve the adhesion of the foreskin?
3.
Should I also apply steroids for the inability to expose the glans when erect?
4.
A doctor mentioned that the adhesion will resolve on its own as I grow older, so should I still be concerned?
5.
Is circumcision still recommended?
6.
Last time, when I tried to expose the glans using lubricant, I could only expose about half of it.
Can I try this method to expose the glans?
7.
If I need to buy steroids, which brand do you recommend, and what ingredients should I look for to treat a tight foreskin opening? Thank you, doctor.

Niming, 10~19 year old female. Ask Date: 2017/05/21

Dr. Du Shixi reply Urology

Hello: If there are areas that cannot be separated, it is necessary to seek medical attention.
Additionally, the issue of a small foreskin opening cannot be resolved simply by applying steroids; do not use them indiscriminately, as some skin may undergo changes.
It is recommended that you visit a urology department at a hospital for a consultation, where the physician will provide you with advice.

Reply Date: 2017/05/21

More Info

Phimosis, the condition where the foreskin cannot be easily retracted over the glans (head of the penis), can be a source of concern for many, especially during adolescence. Your situation, where you experience adhesion between the foreskin and glans, along with a tight opening, is not uncommon. Let's address your questions one by one, providing a comprehensive understanding of the condition and potential solutions.

1. How to resolve foreskin adhesion: Adhesions can often be resolved with gentle manipulation. However, it's crucial to approach this carefully to avoid pain or injury. Instead of forcefully pulling, consider using a lubricant to ease the process. If you feel discomfort, it’s advisable to stop and consult a healthcare professional. They can provide guidance on safe techniques or recommend a gradual stretching approach.

2. Can steroid ointment help with adhesions?: Yes, topical corticosteroids can be effective in treating phimosis and adhesions. These ointments can help reduce inflammation and promote the loosening of the foreskin. A common recommendation is to use a low-potency steroid cream, such as hydrocortisone, but it's essential to consult a doctor for a specific prescription and guidance on how to apply it correctly.

3. Should you use steroids for retraction issues during erection?: If the tightness persists during an erection, using a steroid ointment may help. However, this should be done under medical supervision. The goal is to gradually increase the elasticity of the foreskin, making it easier to retract.

4. Will the adhesions resolve on their own as you grow older?: In many cases, mild phimosis and adhesions can resolve naturally as the individual matures. However, this is not guaranteed, and if you are experiencing discomfort or complications, it is wise to seek medical advice.

5. Is circumcision recommended?: Circumcision is a definitive solution for phimosis and can prevent future complications. However, it is typically considered a last resort after other treatments have been explored. Discuss the pros and cons with your healthcare provider to make an informed decision.

6. Can you use lubrication to help retract the foreskin?: Yes, using a lubricant can facilitate the process of retracting the foreskin. It’s important to be gentle and patient, allowing your body to adjust. If you experience pain, stop and consult a doctor.

7. What type of steroid ointment should you buy?: If you are considering a steroid ointment, it is best to consult a healthcare provider for a recommendation. They may prescribe a specific brand or formulation that is appropriate for your condition. Over-the-counter options may not be as effective, and using the wrong product could lead to complications.

In summary, phimosis and foreskin adhesions can often be managed with conservative treatments, including topical steroids and gentle stretching techniques. However, if these methods do not provide relief or if you experience significant discomfort, it is crucial to consult a healthcare professional. They can provide a tailored treatment plan and discuss the potential for surgical options if necessary. Remember, it’s important to prioritize your comfort and health, so don’t hesitate to seek help when needed.

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