Is it correct to use Yisilian cream for a tight foreskin?
Hello doctor, I have phimosis, and when I have an erection, the opening of the foreskin is too tight, causing a constriction when pushed back behind the glans.
Today, I visited a dermatologist and directly asked the doctor to prescribe me a topical steroid ointment, but the doctor said that I have balanitis and that my skin condition is not very good, so they prescribed me a combination ointment called Yisilian.
However, I am confused about the relationship between a tight foreskin and balanitis.
Can the use of Yisilian ointment treat the tightness of the foreskin during an erection?
Xu, 20~29 year old female. Ask Date: 2018/08/30
Dr. Fu Shizhang reply Urology
It contains steroid components, so it can be used without any issues.
Reply Date: 2018/08/30
More Info
When it comes to the issue of tight foreskin, also known as phimosis, it is important to understand the underlying causes and appropriate treatments. Phimosis can occur due to a variety of reasons, including congenital factors, scarring from infections, or inflammation such as balanitis (inflammation of the glans). In your case, it seems that you are experiencing both tight foreskin and symptoms of inflammation, which may be contributing to your discomfort.
Yisilian ointment, which is a topical medication that may contain corticosteroids or other anti-inflammatory agents, is often prescribed to treat skin conditions, including inflammation and irritation. While it may help alleviate symptoms of inflammation and improve the condition of the skin, it is not a direct treatment for the mechanical issue of tight foreskin. The ointment may help reduce inflammation and promote healing of the skin, but it does not physically alter the tightness of the foreskin itself.
The relationship between tight foreskin and balanitis (or other forms of inflammation) is significant. Inflammation can lead to scarring and further tightening of the foreskin, creating a cycle of discomfort and potential complications. Therefore, treating the inflammation with a topical ointment like Yisilian may be beneficial in managing symptoms and preventing further complications. However, it is essential to address the tightness of the foreskin separately.
If the tight foreskin is causing significant discomfort, pain, or complications such as recurrent infections, it may be necessary to consider other treatment options. These can include:
1. Topical Steroids: In some cases, a doctor may prescribe a stronger topical steroid to help loosen the foreskin over time. This treatment can be effective for mild cases of phimosis.
2. Stretching Exercises: Gentle manual stretching of the foreskin can sometimes help improve its elasticity. This should be done carefully and under the guidance of a healthcare professional to avoid injury.
3. Circumcision: In cases where phimosis is severe or recurrent infections occur, circumcision (surgical removal of the foreskin) may be recommended. This is a definitive solution to the problem but should be discussed thoroughly with a healthcare provider.
4. Preputioplasty: This is a less invasive surgical option that involves widening the opening of the foreskin without removing it entirely. It may be suitable for some patients with tight foreskin.
It is crucial to follow up with your healthcare provider to discuss your symptoms and treatment options. They can provide personalized advice based on your specific situation and help you determine the best course of action. If you have concerns about the effectiveness of Yisilian ointment or its appropriateness for your condition, do not hesitate to seek a second opinion or further clarification from your doctor.
In summary, while Yisilian ointment may help with inflammation associated with your condition, it is not a standalone solution for tight foreskin. Addressing both the inflammation and the mechanical issue of phimosis will be key to finding relief and preventing future complications.
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