Preputial Adhesion: Treatment and Care Options

Q: Preputial Adhesion: Treatment and Care Options

Hello： If you clean daily and apply ointment for redness, maintaining cleanliness and dryness will prevent further sticking. <br>If there is no feeling of tightness with the foreskin, then surgery is not necessary. <br>Wishing you good health.

Preputial adhesion

Hello doctor, my foreskin has been adhered to the glans for a very long time.
I have considered undergoing a circumcision, but just now I tried to gently separate them.
Although it was a bit painful, I unexpectedly managed to separate the adhered area.
The separated area is red and painful to the touch.
I had previously separated a small section, and it stopped hurting after a couple of days.
Now, if my foreskin has already separated from the glans and I can retract it to clean the glans properly, will the foreskin re-adhere over time? Do I need to undergo circumcision, or is it sufficient to clean it daily?

Xiao Lin, 10~19 year old female. Ask Date: 2018/06/24

Dr. Du Shixi reply Urology

Hello: If you clean daily and apply ointment for redness, maintaining cleanliness and dryness will prevent further sticking.
If there is no feeling of tightness with the foreskin, then surgery is not necessary.
Wishing you good health.

Reply Date: 2018/06/24

More Info

Preputial adhesion, also known as phimosis when it involves a tight foreskin, is a condition where the foreskin adheres to the glans (the head of the penis). This can lead to discomfort, difficulty in hygiene, and potential complications if not addressed properly. In your case, it seems that you have successfully separated the adhered foreskin from the glans, which is a positive step towards better hygiene and comfort.

Once the foreskin has been separated from the glans, it is essential to maintain proper hygiene to prevent any re-adhesion. Regular cleaning is crucial. You should gently retract the foreskin during bathing to clean the area thoroughly. This will help to keep the glans and the inner foreskin free from smegma, a substance that can accumulate and potentially lead to irritation or infection.

Regarding your concern about whether the foreskin will re-adhere, it is possible for some individuals to experience re-adhesion, especially if there is any inflammation or irritation in the area. Factors such as poor hygiene, infections, or skin conditions can contribute to this. However, if you maintain good hygiene and avoid any irritants, the likelihood of re-adhesion decreases significantly.

As for the necessity of circumcision, it is not always required. Many individuals with preputial adhesion can manage their condition with proper care and hygiene. Circumcision is typically considered when there are recurrent issues, significant discomfort, or if the condition does not improve with conservative management. If you find that you are experiencing pain, recurrent infections, or if the adhesion returns, it would be wise to consult a urologist. They can provide a thorough evaluation and discuss the best treatment options tailored to your situation.

In summary, since you have successfully separated the foreskin from the glans, focus on maintaining good hygiene by gently retracting the foreskin during cleaning. Monitor the area for any signs of irritation or re-adhesion. If you encounter persistent issues or discomfort, seek medical advice for further evaluation and potential treatment options. Regular follow-ups with a healthcare provider can help ensure that any complications are addressed promptly, and they can guide you on whether surgical intervention is necessary in the future.

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