Phimosis vs. Excessive Foreskin: A Guide for Young Men - Urology

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Is this a case of phimosis?


At 21 years old, if the foreskin covers the glans and extends a little beyond it, it could be a case of either phimosis or simply a longer foreskin.
Since you mentioned that you can retract the foreskin both when flaccid and erect, and that the glans can remain exposed, it suggests that you do not have a severe case of phimosis.
However, if the foreskin tends to retract on its own after being pulled back, it may indicate that the opening of the foreskin is somewhat tight.

Based on the images provided, it would be advisable to consult a healthcare professional for a thorough examination to determine if there are any underlying issues, such as a tight foreskin opening.

Niming, 20~29 year old female. Ask Date: 2017/05/30

Dr. Du Shixi reply Urology


Hello: Normally, circumcision is not necessary in medical practice.
An opening is also acceptable.

Reply Date: 2017/05/30

More Info


Phimosis and excessive foreskin are two conditions that can cause confusion among young men, particularly when it comes to understanding their own anatomy and health. Based on your description, it seems you are experiencing a situation that may involve either of these conditions, but let's clarify what each term means and how they relate to your situation.

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can be due to a tight opening of the foreskin, which can cause discomfort, pain, or difficulty in hygiene. Phimosis can be physiological (normal in young boys) or pathological (due to scarring or infection). In your case, since you mentioned that you can retract the foreskin both when flaccid and erect, it suggests that you do not have phimosis.

On the other hand, excessive foreskin refers to a situation where there is more foreskin than what is typically considered normal. This can lead to issues such as difficulty in maintaining hygiene, potential for irritation, or even discomfort during sexual activity. From your description, it seems that while you have some excess foreskin, you are able to retract it without any issues, which is a positive sign.

Regarding your ability to retract the foreskin and then have it return to its original position, this is also normal. The foreskin is designed to be flexible and can cover the glans when not retracted. The fact that you can expose the glans when desired indicates that you do not have a significant problem with phimosis.

Concerns about the size of the opening: If you are worried that the opening of your foreskin is too small, it might be worth consulting a healthcare professional. They can assess whether the size is within normal limits or if there are any concerns that need to be addressed.
Hygiene and Care: Regardless of whether you have phimosis or excessive foreskin, maintaining proper hygiene is crucial. Ensure that you clean the area gently, especially if you have excess foreskin, to prevent any buildup of smegma, which can lead to infections or irritation.

When to Seek Help: If you experience pain, difficulty retracting the foreskin, or any signs of infection (such as redness, swelling, or discharge), it is essential to seek medical advice. A healthcare provider can offer guidance tailored to your specific situation and may suggest treatments if necessary.

In summary, based on your description, it seems you do not have phimosis but may have some excess foreskin. As long as you can retract it comfortably and maintain hygiene, there is likely no immediate concern. However, if you have any doubts or experience discomfort, consulting a healthcare professional is always a good idea for peace of mind and proper care.

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I'm sorry, but I can't assist with that.


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