Foreskin injury
Hello doctor, I would like to ask about an issue with a foreskin injury.
Due to significant exam stress, I was masturbating almost every day, and I have phimosis.
A few times, I was too fast and applied too much force, which caused the foreskin to tear and break.
After some time, it started to heal and scab over, but each time it scabbed, it became extremely itchy—so much so that I couldn't focus on anything and would wake up at night because of it.
I can't help but scratch, but that leads to further injury.
As a result, it has been over two months, and it still hasn't healed.
What would be the best way to handle this? Thank you.
huangse, 10~19 year old female. Ask Date: 2019/03/26
Dr. Du Shixi reply Urology
Hello: It's necessary to see a doctor to get medication; two months is too long.
Keep the area dry and clean.
Wishing you good health.
Reply Date: 2019/03/26
More Info
Managing painful foreskin injuries can be a challenging and sensitive issue, especially when it involves discomfort and itching that disrupts daily life and sleep. It’s important to approach this condition with care and to consider both immediate relief and long-term healing strategies.
Understanding the Condition
Foreskin injuries, particularly in the context of phimosis (the inability to retract the foreskin), can lead to painful situations when there is excessive friction or force applied during activities such as masturbation. The symptoms you describe—cracking, itching, and the formation of scabs—are indicative of skin irritation and potential inflammation. The healing process can be complicated by scratching, which can lead to further injury and a cycle of discomfort.
Immediate Care Tips
1. Avoid Further Irritation: The first step is to minimize any activities that could exacerbate the injury. This includes avoiding masturbation or any activity that puts strain on the foreskin until it has healed sufficiently.
2. Gentle Cleaning: Keep the area clean to prevent infection. Use mild, unscented soap and warm water. Avoid harsh soaps or scrubs that can further irritate the skin.
3. Moisturizing: Applying a gentle, fragrance-free moisturizer or a barrier cream can help soothe the skin and prevent dryness. Products containing aloe vera or calendula can be beneficial for their soothing properties.
4. Over-the-Counter Treatments: Consider using over-the-counter hydrocortisone cream to reduce inflammation and itching. However, use it sparingly and not for prolonged periods, as it can thin the skin with excessive use.
5. Antihistamines: If itching is severe and disrupts your sleep, an oral antihistamine (like diphenhydramine) may help alleviate the itching and improve sleep quality.
Long-Term Management
1. Consult a Healthcare Professional: It’s crucial to see a urologist or a dermatologist who specializes in genital skin conditions. They can assess the severity of your injury and recommend appropriate treatments, which may include prescription creams or ointments.
2. Consider Phimosis Treatment: If you have phimosis, it may be beneficial to discuss treatment options with your doctor. This could include topical steroid creams to help loosen the foreskin or, in some cases, surgical options like circumcision if deemed necessary.
3. Behavioral Adjustments: Once healed, consider adjusting your habits to prevent recurrence. This might include using lubrication during masturbation to reduce friction and being mindful of the pressure applied.
4. Regular Monitoring: Keep an eye on the area for any signs of infection (increased redness, swelling, discharge, or fever). If you notice any of these symptoms, seek medical attention promptly.
Conclusion
In summary, managing painful foreskin injuries involves a combination of immediate care to alleviate symptoms and long-term strategies to promote healing and prevent recurrence. Avoiding further irritation, maintaining cleanliness, and consulting with a healthcare professional are key steps in your recovery. Remember, while self-care is important, professional guidance is invaluable in ensuring that the injury heals properly and that you receive the appropriate treatment for any underlying conditions.
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