Foreskin Issues: Adhesion and Care Tips - Urology

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Recently, I noticed that a small portion on the left side of my foreskin, about 2-3mm, is stuck to the glans.
Is this a concern? How can I detach it? Additionally, in the past couple of days, while cleaning my foreskin, I accidentally scratched it, and it is now bright red.
Generally, it doesn't hurt, but it does hurt when I pull it back to wash.
Do I need treatment for this?

Sh, 10~19 year old female. Ask Date: 2019/01/22

Dr. Li Xinyi reply Urology


If there is slight adhesion between the foreskin and the glans, is it necessary to remove it? There is no strict requirement for how to handle it.
In cases of severe adhesion, a local anesthetic may be needed for the procedure.
Additionally, if the foreskin is injured during the process, it might require a stitch, and it is advisable to see a doctor for medication and treatment.

Reply Date: 2019/01/22

More Info


When it comes to foreskin issues, particularly adhesions and minor injuries, it's important to understand both the anatomy involved and the appropriate care measures to take.
Foreskin adhesions, particularly in younger males, are quite common. They occur when the foreskin is still partially attached to the glans (the head of the penis). In your case, the adhesion you described, measuring about 2-3mm, is relatively small and may not pose a significant problem. However, it is essential to approach this situation with caution. Attempting to forcibly detach the foreskin from the glans can lead to pain, bleeding, or even more severe complications such as tearing or infection.
In many cases, these adhesions resolve naturally as the individual grows older. The foreskin typically becomes more retractable over time. If the adhesion is not causing any pain or discomfort, it may be best to leave it alone and allow it to resolve naturally. However, if you experience discomfort, pain, or any signs of infection (such as redness, swelling, or discharge), it is advisable to consult a healthcare professional for further evaluation.

Regarding the minor injury you sustained while cleaning the foreskin, it is not uncommon to accidentally cause small abrasions. If the injury is superficial and does not cause significant pain, it may heal on its own. However, it is crucial to keep the area clean to prevent infection. Here are some care tips:
1. Gentle Cleaning: When cleaning the area, use mild soap and warm water. Avoid using harsh soaps or scrubbing too vigorously, as this can exacerbate irritation or injury.

2. Avoid Irritants: Stay away from products that may irritate the area, such as scented soaps, lotions, or other personal care products.

3. Monitor for Infection: Keep an eye on the injury for any signs of infection, such as increased redness, swelling, warmth, or discharge. If these symptoms occur, seek medical attention promptly.

4. Pain Management: If you experience pain during cleaning, consider using a topical anesthetic or over-the-counter pain relief medication as needed. However, consult with a healthcare provider before using any medication.

5. Consult a Healthcare Provider: If the adhesion does not resolve or if the injury worsens, it is essential to seek medical advice. A healthcare provider can assess the situation and recommend appropriate treatment options, which may include gentle manipulation or, in some cases, a minor surgical procedure if necessary.

In summary, while minor adhesions and injuries to the foreskin are common, they should be approached with care. Avoid attempting to forcibly detach any adhesions, and maintain good hygiene to promote healing. If you have any concerns or if symptoms persist, do not hesitate to reach out to a healthcare professional for personalized advice and treatment options. Taking these steps will help ensure your comfort and health moving forward.

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