Foreskin Issues: Insights on Health and Hygiene - Urology

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Prepuce issues


Hello Dr.
Du, I have the following questions:
1.
Regarding the foreskin, I have seen various explanations.
What is the relationship between the foreskin and the glans in both erect and flaccid states? For example, is the glans exposed or not?
2.
Personally, my glans is completely covered when flaccid, and it is about half exposed when erect.
If I apply slight pressure with my hand, I can fully expose it (I am concerned about the risk of glans necrosis, so I always return it after cleaning).
Should the glans naturally be more exposed?
3.
If that is the case, should I try to gradually retract the foreskin during my daily showers? Would this help loosen the foreskin over time? Also, are there any medications that can assist with this? I have heard of a product called KY or something similar that can be used as an aid… By the way, I personally do not want to undergo surgery.

4.
I am about to turn 18; can I still develop further? I often lack confidence in myself… Thank you, doctor, for taking the time to respond.

Niming, 10~19 year old female. Ask Date: 2017/09/01

Dr. Du Shixi reply Urology


Hello: 1.
Everyone is different; it depends on the length of the foreskin.
2.
If it usually retracts naturally, there is no need to be overly concerned about covering it; whether it is covered or not is not a matter of good or bad.
3.
It is important to push it back daily during bathing for cleaning and then return it to its natural position, without the need for medication.
4.
To promote development, attention should be paid to sleep, nutrition, and exercise, as there may still be opportunities for improvement.

Reply Date: 2017/09/01

More Info


Understanding foreskin issues is an important aspect of male health and hygiene, and it's great that you're seeking information on this topic. Let's address your questions one by one, while also providing some insights into the anatomy and hygiene practices related to the foreskin.

1. Foreskin and Glans Relationship: In males, the foreskin (prepuce) is a fold of skin that covers the glans (tip) of the penis. In an uncircumcised male, the foreskin typically covers the glans when the penis is flaccid (not erect). During an erection, the foreskin may retract, exposing part or all of the glans, depending on the individual’s anatomy and the elasticity of the foreskin. It is normal for some men to have a foreskin that does not retract fully during an erection, and this can vary widely among individuals.

2. Exposure of the Glans: If your glans is completely covered when flaccid and partially exposed when erect, this is within the range of normal variations. The ability to fully retract the foreskin without discomfort is important for hygiene and health. If you can manually retract the foreskin without pain, that is a good sign. However, if you experience discomfort or pain when trying to retract the foreskin, it may indicate a condition known as phimosis, where the foreskin cannot be easily retracted over the glans.

3. Hygiene Practices: It is generally recommended to practice good hygiene by gently retracting the foreskin during bathing to clean the area underneath. This helps prevent the buildup of smegma, a substance that can accumulate and lead to irritation or infection. If you are comfortable doing so, you can gradually try to retract the foreskin during showers or baths. However, it is essential to do this gently and not forcefully, as this can cause pain or injury. There are no specific medications that can help with foreskin retraction, but maintaining good hygiene is crucial. The mention of KY jelly or similar lubricants is often in the context of easing any discomfort during retraction, but it should not be used as a substitute for proper hygiene practices.

4. Development and Confidence: As you approach 18, it's important to remember that physical development can continue into your late teens and even early twenties. If you have concerns about your development or self-confidence, it may be beneficial to speak with a healthcare professional who can provide reassurance and guidance. They can also address any specific concerns you have regarding your anatomy or health.

In conclusion, while variations in foreskin anatomy are normal, maintaining good hygiene and being aware of any discomfort is essential. If you have persistent issues or concerns about your foreskin, it may be wise to consult a healthcare provider or a urologist. They can provide personalized advice and address any medical conditions that may require attention. Remember, confidence often comes from understanding your body and taking care of your health.

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