Urination Issues: Is Phimosis the Cause? - Urology

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Help with urination issues?


Since mid-October, I have felt that I cannot fully empty my bladder after urination.
Sometimes, residual urine drips onto my pants, and I often feel that my foreskin is damp and cool.
I am unsure if this is related to having a long foreskin.

Gaozhongsheng, 10~19 year old female. Ask Date: 2018/10/26

Dr. Sun Hongshun reply Urology


Hello, regarding your concern about feeling incomplete after urination, it may be related to tension in your lower body during the process.
You might try to relax.
As for the moist and cool sensation of the foreskin, it could be due to residual urine remaining under the foreskin after urination.
You can wait until all urine has been expelled and ensure it is thoroughly dried.
If there is no improvement, it is advisable to consult a urologist.

Reply Date: 2018/10/26

More Info


Phimosis, a condition where the foreskin cannot be easily retracted over the glans of the penis, can indeed contribute to various urinary issues, including the sensation of incomplete urination. When the foreskin is too tight, it may prevent proper hygiene and lead to the accumulation of smegma, which can cause discomfort and a feeling of wetness. This condition can also increase the risk of urinary tract infections (UTIs) and other complications, which may exacerbate the sensation of incomplete voiding.

In your case, the feeling of not being able to fully empty your bladder after urination, along with the sensation of residual urine and wetness, could be related to phimosis. When the foreskin is not retracted properly, it may trap urine, leading to dribbling or leakage after urination. This can be particularly concerning if it affects your daily life or causes embarrassment.

It’s important to note that while phimosis can contribute to these symptoms, other factors may also be at play. For instance, urinary retention can occur due to bladder dysfunction, prostate issues, or even neurological conditions. Therefore, it’s crucial to consider a comprehensive evaluation by a healthcare professional to rule out other potential causes.

If phimosis is indeed the underlying issue, treatment options may include:
1. Topical Steroids: These can help to soften and stretch the foreskin, making it easier to retract over time.

2. Gentle Stretching Exercises: Under the guidance of a healthcare provider, you may be advised to perform gentle stretching exercises to gradually increase the foreskin's elasticity.

3. Circumcision: In cases where phimosis is severe or does not respond to conservative treatments, circumcision may be recommended. This surgical procedure removes the foreskin entirely and can resolve the associated urinary issues.

In addition to addressing the phimosis, it’s essential to maintain good hygiene practices to prevent infections. Regular cleaning of the area can help reduce the risk of complications.

Given your symptoms, I recommend scheduling an appointment with a urologist or a healthcare provider specializing in male reproductive health. They can perform a physical examination, discuss your symptoms in detail, and recommend appropriate diagnostic tests if necessary. This will help ensure that you receive a tailored treatment plan that addresses both the phimosis and any other underlying urinary issues.

In summary, while phimosis can be a contributing factor to your urinary concerns, a thorough evaluation is essential to determine the exact cause and appropriate treatment. Don’t hesitate to seek medical advice, as addressing these issues early can lead to better outcomes and improved quality of life.

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