A hole in the foreskin, similar to a hole in the mouth?
Hello, I have phimosis and I read online that I should retract the foreskin, which would resolve the issue.
However, when I pulled it back, it felt like the foreskin was stuck to the glans.
I then pulled harder, and a small hole appeared in the foreskin.
It has been a week, and the wound hasn't healed.
I haven't applied any medication; I've only rinsed it with water once while showering.
The area around the wound is red, but it doesn't hurt unless I touch it.
What should I do? Thank you for your help! P.S.
There is only a small red area on the glans that feels like a minor abrasion, and it doesn't hurt.
Niming, 10~19 year old female. Ask Date: 2019/04/19
Dr. Du Shixi reply Urology
Hello: Keep the area clean and dry, wear loose-fitting underwear, and if it gets wet, make sure to dry it.
Do not use soap.
If it does not improve in three days, seek medical attention.
If the redness subsides, then it's okay.
Wishing you good health.
Reply Date: 2019/04/19
More Info
When dealing with a tear in the foreskin, it's essential to understand both the anatomy involved and the appropriate steps for treatment. The foreskin, or prepuce, is a fold of skin that covers the glans (the head) of the penis. In some cases, individuals may experience issues such as phimosis (the inability to retract the foreskin) or tearing due to forceful retraction.
Understanding the Situation
From your description, it seems that you may have inadvertently caused a small tear in the foreskin while attempting to retract it. This can happen if the foreskin is tight or adherent to the glans, which is not uncommon. The fact that you have a small hole and some redness around the area suggests that there may be irritation or inflammation, which is not unusual following a tear.
Symptoms to Monitor
1. Pain: You mentioned that it doesn't hurt unless touched, which is a good sign. However, if pain increases or becomes persistent, it could indicate an infection or further irritation.
2. Redness and Swelling: Some redness is normal after a tear, but if it spreads or becomes more pronounced, it may be a sign of infection.
3. Discharge: If you notice any unusual discharge (pus or foul-smelling fluid), this could indicate an infection that requires medical attention.
4. Healing: Generally, small tears can heal on their own within a week or two. However, if the wound is not healing or you notice any worsening symptoms, it’s crucial to seek medical advice.
Recommended Actions
1. Keep the Area Clean: Gently wash the area with mild soap and water during your showers. Avoid using harsh soaps or scrubbing the area, as this can irritate the skin further.
2. Avoid Irritation: Try to avoid any activities that may irritate the area, such as vigorous sexual activity or tight clothing that may rub against the foreskin.
3. Topical Treatment: While you mentioned not applying any ointments, consider using a mild antibiotic ointment (like Neosporin) if there are no signs of allergy. This can help prevent infection and promote healing. However, consult a healthcare provider before applying any medication.
4. Monitor for Infection: Keep an eye on the symptoms mentioned above. If you notice increased redness, swelling, pain, or discharge, it is essential to consult a healthcare professional.
5. Consult a Doctor: If the tear does not heal within a couple of weeks, or if you have concerns about the appearance of the foreskin or any associated symptoms, it’s best to see a urologist or a healthcare provider. They can assess the situation more thoroughly and provide appropriate treatment options.
When to Seek Immediate Help
- If you experience severe pain or swelling.
- If you notice a significant amount of discharge or blood.
- If you develop a fever or feel unwell.
Conclusion
In summary, while small tears in the foreskin can often heal on their own with proper care, it’s crucial to monitor the situation closely. Keeping the area clean, avoiding irritation, and seeking medical advice if symptoms worsen are key steps in ensuring proper healing. Remember, it’s always better to err on the side of caution when it comes to your health, so don’t hesitate to reach out to a healthcare professional if you have any concerns.
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