Issues After Retracting the Foreskin: A Urology Perspective

Q: Issues After Retracting the Foreskin: A Urology Perspective

Hello： 1) If the foreskin is retracted, it should be pushed back; if possible, it should be washed daily (just with clean water). <br>2) If there is pain, seek medical attention, as this may be due to smegma. <br>3) If the glans cannot be fully exposed, please consult a urologist

Issues After Retracting Phimosis

Hello, doctor.
Recently, I have heard about the necessity of retracting the foreskin, so I attempted to do so (I have phimosis).
However, I have a few questions: 1.
It was quite painful after retracting, and even after a day or two, there is still some mild pain.
Is this serious? Should I continue to attempt retraction? 2.
After retracting, I noticed that the area at the base of the glans, seemingly the corona, is still adhered with some white substance.
Can this be retracted? 3.
Is it normal that I cannot retract it at all when erect?

Xiao Wang, 10~19 year old female. Ask Date: 2018/05/07

Dr. Du Shixi reply Urology

Hello: 1) If the foreskin is retracted, it should be pushed back; if possible, it should be washed daily (just with clean water).
2) If there is pain, seek medical attention, as this may be due to smegma.
3) If the glans cannot be fully exposed, please consult a urologist at the hospital.
Wishing you good health.

Reply Date: 2018/05/07

More Info

When it comes to retracting the foreskin, especially in cases of phimosis (a condition where the foreskin cannot be easily retracted), it is essential to approach the situation with care. Here are some insights regarding your concerns:
1. Pain and Discomfort: Experiencing pain after attempting to retract the foreskin is not uncommon, particularly if the foreskin has not been retracted before. The sensitivity of the glans (the head of the penis) can lead to discomfort when exposed for the first time. If the pain persists for more than a few days, or if it worsens, it is advisable to consult a urologist. They can assess whether there is any underlying issue, such as inflammation or infection, that needs to be addressed. It is crucial to listen to your body; if the pain is significant, it may be a sign that you should refrain from further attempts at retraction until you receive medical advice.

2. Adhesions and White Substance: The presence of a white substance at the base of the glans, especially if it appears to be a sticky or smegma-like material, is not unusual. This can occur due to the accumulation of dead skin cells, oils, and other secretions. In many cases, this can be gently cleaned with warm water. However, if you notice that the foreskin is still adhered to the glans (a condition known as penile adhesions), it may require medical intervention. A urologist can provide guidance on whether this adhesion can be safely managed at home or if a minor procedure is necessary to separate the foreskin from the glans.

3. Inability to Retract During Erection: It is not uncommon for individuals with phimosis to find that the foreskin cannot be retracted during an erection. This is due to the tightness of the foreskin, which can be exacerbated by the engorgement of the penis during an erection. If you are unable to retract the foreskin at all, it may indicate that you need to consider treatment options. These can range from topical steroid creams to help loosen the foreskin, to surgical options such as circumcision, depending on the severity of the condition and your personal preferences.

In summary, while some discomfort and challenges with foreskin retraction can be normal, persistent pain, adhesions, and an inability to retract the foreskin during an erection should be evaluated by a healthcare professional. A urologist can provide a thorough examination and recommend appropriate treatment options tailored to your specific situation. It is essential to prioritize your health and comfort, and seeking professional advice is the best course of action.

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