Phimosis: Symptoms, Concerns, and Care for Urological Health - Urology

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Phimosis is a condition characterized by the inability to retract the foreskin over the glans (head) of the penis. It can be classified as either physiological or pathological. Physiological phimosis is common in infants and young boys, as the foreskin is typically non-retractable until around the age of 3 to 5 years. Pathological phimosis occurs when the foreskin becomes tight due to scarring, inflammation, or infection, making it difficult or impossible to retract.

Based on your description, it seems that you have some degree of foreskin mobility, as you can retract it partially when flaccid and fully when erect. However, the tightness you describe, especially when it comes to the size of the opening, could suggest a mild form of phimosis. It’s important to note that if you are able to fully expose the glans during an erection, this is a positive sign, but if you experience pain, discomfort, or difficulty during sexual activity, it may warrant further evaluation.

1. Is this phimosis?: From your description, it appears you might have a mild case of phimosis, but it does not seem severe since you can retract the foreskin to some extent. If you are not experiencing pain or complications, it may not require surgical intervention. However, if you plan to have children in the future and are concerned about potential complications, consulting a urologist for a professional assessment is advisable.

2. Regarding ejaculation and semen flow: It is normal for semen to flow out after ejaculation, and the fact that you can ejaculate without obstruction is a good sign. The presence of some residual fluid is also common and usually not a cause for concern unless it is accompanied by pain or unusual symptoms.

3. Your brother's situation: It sounds like your brother may have true phimosis, especially if he is unable to retract the foreskin and you are assisting him with cleaning. It is crucial to maintain proper hygiene, as trapped secretions can lead to infections. However, forcing the foreskin back can cause pain and injury, so it is essential to be gentle. If he is not able to clean himself, it may be beneficial for him to see a healthcare provider for advice on proper hygiene and potential treatment options.

4. Cleaning and hygiene: The water you are using to clean your brother's foreskin should ideally be warm and not forceful. If the water is producing a foul odor, it may indicate an infection or accumulation of smegma, which is a natural secretion. It’s important to encourage him to practice good hygiene, but forcing cleaning can lead to trauma. If he continues to have issues with cleanliness, a visit to a healthcare provider is recommended.

5. Regarding sexual activities: Engaging in sexual activities, including oral sex, carries risks of sexually transmitted infections (STIs) if proper precautions are not taken. It is crucial to practice safe sex and ensure both partners are aware of their sexual health status. If you have concerns about potential infections or health risks, consulting a healthcare professional is advisable.

In summary, while your situation may not be severe, it is essential to monitor any changes or discomfort. For both you and your brother, maintaining proper hygiene and seeking professional medical advice when necessary will help ensure urological health. If you have further concerns or experience any complications, do not hesitate to reach out to a urologist for a thorough evaluation and personalized care.