Foreskin Adhesions and Related Concerns - Urology

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Foreskin issues


Hello doctor, I would like to ask if I should continue to push the foreskin that is adhered under the glans.
I am hesitant to apply too much force.
Additionally, I have some small bumps on my foreskin (on either side of the frenulum), some of which have openings that contain white debris.
I'm not sure if this will have any impact.

Xiao Hao, 20~29 year old female. Ask Date: 2020/03/15

Dr. Du Shixi reply Urology


Hello: You can soak in warm water for 15 minutes before attempting to push.
If it doesn't come out, go to the hospital for medical assistance, as forceful pushing can sometimes cause wounds or skin tears that require additional treatment.
Wishing you good health.

Reply Date: 2020/03/15

More Info


Foreskin adhesions, also known as phimosis or preputial adhesions, are a common condition in which the foreskin is stuck to the glans (the head of the penis). This condition is particularly prevalent in infants and young boys, as the foreskin is often not fully retractable at birth. In many cases, these adhesions resolve naturally as the child grows and the foreskin becomes more mobile. However, in some instances, they may persist into adolescence or adulthood, leading to concerns about hygiene, discomfort, or potential complications.

When it comes to managing foreskin adhesions, gentle retraction of the foreskin can be beneficial, but it is crucial to approach this carefully. If you are experiencing adhesions, it is advisable to avoid forceful retraction, as this can lead to pain, tearing, or scarring. Instead, you can try to gently push back the foreskin during bathing or when the area is relaxed, but if you encounter resistance or discomfort, it is best to stop and consult a healthcare professional. A urologist or a pediatrician can provide guidance tailored to your specific situation and may recommend treatments if necessary.

Regarding the small bumps or granules you mentioned on the foreskin, these could be a variety of things. One common occurrence is the presence of pearly penile papules, which are harmless and typically do not require treatment. However, if you notice any changes in these bumps, such as increased size, pain, or discharge, it is essential to seek medical advice. The white substance you described could be smegma, a natural buildup of dead skin cells and oils that can accumulate under the foreskin. Regular cleaning can help prevent this buildup and maintain hygiene.

In summary, if you are unsure about how to manage your foreskin adhesions or the bumps on your foreskin, it is best to consult a healthcare professional. They can provide a thorough examination and determine the best course of action. Maintaining proper hygiene and being gentle with any attempts to retract the foreskin are essential steps in managing this condition. If you have any concerns about pain, discomfort, or changes in the appearance of your genital area, do not hesitate to seek medical advice.

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