Proper Cleaning and Care for the Glans: When to Consider Circumcision - Urology

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Cleaning the glans penis?


1.
How should the glans be cleaned properly? I usually retract the foreskin to expose the urethral opening and rinse it with clean water.
Is this correct, or should I also rub the area with my hand after retracting the foreskin?
2.
I may have phimosis, as even when erect, only the urethral opening is exposed (but urination and ejaculation are not problematic).
Is there a need for circumcision in this case, or could you please explain under what circumstances circumcision would be necessary?

Xiao Jie, 10~19 year old female. Ask Date: 2017/07/09

Dr. Du Shixi reply Urology


Hello: 1) Yes, just don't rub too hard.
2) No, circumcision is only recommended if the glans cannot be exposed during an erection.
Wishing you good health.

Reply Date: 2017/07/09

More Info


When it comes to proper cleaning and care for the glans (the head of the penis), it is essential to maintain good hygiene to prevent infections and other complications. Your current practice of retracting the foreskin and rinsing the glans with water is a good start, but there are some additional considerations to ensure thorough cleaning.

1. Cleaning Technique: It is generally recommended to gently retract the foreskin and clean the glans with warm water. If there is any smegma (a combination of dead skin cells, oils, and moisture) present, you can use a mild, unscented soap to help remove it. However, it is crucial to avoid harsh soaps or excessive scrubbing, as this can irritate the sensitive skin of the glans. After applying soap, rinse thoroughly with water to ensure no soap residue remains, as this can also lead to irritation.

2. Frequency of Cleaning: Regular cleaning is important, especially if you are uncircumcised. It is advisable to clean the area daily, particularly after activities that may lead to increased moisture or bacteria, such as exercise or sexual activity. This helps prevent the buildup of smegma and reduces the risk of infections.

3. Signs of Infection or Issues: If you notice any unusual symptoms such as redness, swelling, pain, or discharge, it is essential to consult a healthcare professional. These could be signs of an infection or other conditions that may require medical attention.

Regarding your concern about the necessity of circumcision due to a potentially long foreskin, it is important to understand that circumcision is not always necessary. Circumcision is typically considered when:
- There are recurrent infections or inflammation of the foreskin (balanitis).

- The foreskin cannot be easily retracted, leading to hygiene issues.

- There are other medical conditions that warrant the procedure.

If you can retract the foreskin to clean the glans adequately and do not experience pain or complications during urination or ejaculation, circumcision may not be necessary. However, if you have concerns about hygiene or experience discomfort, it is advisable to discuss this with a urologist or healthcare provider. They can evaluate your specific situation and provide personalized recommendations.

In summary, maintaining proper hygiene of the glans involves gentle cleaning with water and mild soap, regular cleaning to prevent buildup, and being attentive to any signs of infection. Circumcision is a personal decision that should be made based on medical advice and individual circumstances. If you have further questions or concerns, do not hesitate to reach out to a healthcare professional for guidance.

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