the Issues of Foreskin Adhesion and Sensitivity

Q: the Issues of Foreskin Adhesion and Sensitivity

Hello： When the skin adheres to itself, it can accumulate dirt and sweat, and if bacteria or fungi are present, it can lead to red spots or skin redness. <br>In addition to maintaining cleanliness and keeping the area dry, it's important to avoid moisture after urination. <br>Wea

The foreskin and glans are sticky?

Hello, doctor.
I would like to ask about my situation.
I have a longer foreskin and previously had a problem with phimosis.
I have tried to retract it, and gradually I can expose the entire glans.
When fully erect, the foreskin can also be retracted behind the glans, but there is a slight feeling of tightness.
I wash the glans every day, but whenever I finish washing, if the foreskin is not retracted, it sticks to the glans, creating a sensation of adhesion between the foreskin and the glans.
It seems that the inner layer of the foreskin can sweat, so in the moist condition when it is not retracted, sometimes pulling the foreskin back can feel like tearing apart two sheets of paper glued together, which occasionally leads to skin abrasions on the glans.
I also sometimes notice one or two red spots on the glans, which disappear after a few days.
What should I do? What symptoms might this indicate?

Niming, 20~29 year old female. Ask Date: 2019/10/21

Dr. Du Shixi reply Urology

Hello: When the skin adheres to itself, it can accumulate dirt and sweat, and if bacteria or fungi are present, it can lead to red spots or skin redness.
In addition to maintaining cleanliness and keeping the area dry, it's important to avoid moisture after urination.
Wearing looser underwear may help.
If dryness cannot be maintained, consider circumcision.
Wishing you good health.

Reply Date: 2019/10/21

More Info

Foreskin adhesion and sensitivity issues can be quite common, especially in individuals with a longer foreskin or a history of phimosis. It sounds like you are experiencing some discomfort and potential adhesion between the foreskin and the glans (the head of the penis), which can lead to irritation and sensitivity. Let's break down your concerns and explore some potential solutions.

Understanding Foreskin Adhesion
Foreskin adhesion occurs when the inner layer of the foreskin sticks to the glans. This can happen in individuals with longer foreskin or those who have had phimosis in the past. The inner foreskin is typically moist and can create a sort of "suction" effect, leading to the sensation of being stuck. When you attempt to retract the foreskin, it can feel like peeling apart two surfaces that have adhered together, which can cause discomfort or even minor injury to the sensitive skin of the glans.

Symptoms and Concerns
From your description, it seems that you are experiencing:
- Tightness or tension when trying to retract the foreskin.

- Adhesion that causes the foreskin to stick to the glans, especially after washing.

- Red spots or irritation on the glans that appear and disappear, which could be a sign of minor trauma or irritation.

These symptoms suggest that you may be dealing with a combination of sensitivity and potential irritation due to the friction caused by the adhesion. The red spots you observe could be a result of minor abrasions or irritation from the foreskin rubbing against the glans, especially if it is not fully retracted during activities.

Recommendations
1. Gentle Retraction: Continue to practice gentle retraction of the foreskin during bathing. It’s important to do this slowly and carefully to avoid causing any tears or further irritation. If you feel significant resistance, do not force it.

2. Moisturizing: Consider using a water-based lubricant or a gentle moisturizer on the glans and the inner foreskin. This can help reduce friction and irritation, making it easier to retract the foreskin without discomfort.

3. Hygiene: Maintain good hygiene by cleaning the area regularly. However, avoid excessive scrubbing, which can irritate the sensitive skin. After washing, ensure that the area is thoroughly dried before allowing the foreskin to return to its normal position.

4. Consult a Healthcare Provider: If the symptoms persist or worsen, it is advisable to consult a urologist or a healthcare provider specializing in male genital health. They can assess the situation more thoroughly and may recommend treatments such as topical steroids to reduce inflammation or, in some cases, surgical options if the adhesions are severe.

5. Avoid Irritants: Be cautious with soaps or products that may irritate the sensitive skin of the glans. Opt for mild, unscented products to minimize the risk of irritation.

Conclusion
Your experience with foreskin adhesion and sensitivity is not uncommon, and there are steps you can take to alleviate discomfort. Maintaining good hygiene, using lubricants, and consulting with a healthcare provider for personalized advice are key steps in managing your symptoms. Remember, it’s essential to listen to your body and seek professional guidance if you notice any persistent or concerning symptoms.

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