Foreskin Issues: Concerns and Care After a Tight Episode

Q: Foreskin Issues: Concerns and Care After a Tight Episode

Hello： 1) If the retraction is normal, there is no distinction between internal and external. <br>2) Redness and bleeding refer to the glans or the foreskin --> both are possible, and medical attention should be sought. <br>If it is usual, no medication is needed; just rinse with

Phimosis or paraphimosis, please elaborate further?

Hello Doctor, regarding the issue from last night, I woke up this morning and urinated normally without pain, and I was able to do so without difficulty.
Upon examining the external appearance of my penis, there seems to be no abnormalities.
When I pulled back the foreskin to check the glans, the color appeared normal and did not show any signs of bruising.
After pushing it back, everything felt fine today; I’m not sure why it felt stuck yesterday.
Should I be concerned about what I read online regarding potential necrosis from being stuck?
I understand that the foreskin has inner and outer layers.
Although I feel like I have recovered, I am uncertain if the inner layer has returned as well.
If it hasn’t returned, what symptoms should I look for? Or is it safe to assume that if I can push it back, both layers have returned?
Additionally, when you mentioned redness and bleeding, were you referring to the glans or the foreskin? The glans does not appear red or swollen, but there are one or two spots that look slightly pink, possibly due to some grayish-white material that I suspect is normal for the glans.

I plan to use some tetracycline eye ointment and iodine at home this evening to prevent infection.
Is that advisable, or is it sufficient to let it heal naturally as long as there is no bleeding or swelling?
This morning, when I pulled the foreskin down, I noticed the blood vessels appeared normal, although one was a bit dark red.
It was more noticeable when I pulled it down, and it seems to connect to the upper part of the penis.
Is this concerning? Could it be that I injured the blood vessel by pulling it back too forcefully yesterday, or is this just a normal anatomical structure that I hadn’t noticed before?
The only discomfort I felt this morning was at the very tip of the foreskin.
I’m unsure if it’s due to excessive washing or if it’s related to the pulling last night and this morning, as I applied a bit of iodine in case of any skin tears.
However, after urinating a few times, it seems to have improved.
I apologize for not seeing your reply earlier this morning; I only checked my email after class.
Thank you for your attentive response!

Lin, 20~29 year old female. Ask Date: 2020/05/28

Dr. Du Shixi reply Urology

Hello: 1) If the retraction is normal, there is no distinction between internal and external.
2) Redness and bleeding refer to the glans or the foreskin --> both are possible, and medical attention should be sought.
If it is usual, no medication is needed; just rinse with clean water and dry.
3) Individual differences should not pose a problem; if a blood vessel ruptures, there will be bruising and swelling.
4) If there are no issues or symptoms, no medication is necessary.
Wishing you good health.

Reply Date: 2020/05/28

More Info

Hello! It sounds like you had quite an experience, and I'm glad to hear that you're feeling better today. Let's address your concerns regarding the foreskin and any potential issues that may arise from the tight episode you experienced.

Firstly, it's reassuring that you are not experiencing pain while urinating and that the appearance of your penis seems normal. The fact that you can retract the foreskin without discomfort is a positive sign. In most cases, if the foreskin can be pulled back and returned to its original position without pain or swelling, it indicates that there is no significant injury or damage.

Regarding your concern about the inner and outer layers of the foreskin, it's important to note that when the foreskin is retracted and then returned, both layers typically return to their normal state. If you do not notice any unusual symptoms such as persistent pain, swelling, or discoloration, it is likely that everything has returned to normal. However, if you notice any unusual changes in color or texture, or if you experience ongoing discomfort, it would be wise to consult a healthcare professional for further evaluation.

As for the redness or bleeding you mentioned, it is essential to clarify that any signs of redness or bleeding around the glans (the head of the penis) or the foreskin should be monitored closely. If the glans appears pink or has a few spots that are different from its usual color, it may simply be a normal variation or a result of irritation. However, if you notice significant changes, such as persistent redness, swelling, or discharge, it would be prudent to seek medical advice.

Using topical treatments like tetracycline ointment or iodine may not be necessary if there are no signs of infection, such as pus or significant redness. In fact, applying such treatments without a doctor's recommendation could potentially irritate the skin further. If you are concerned about infection, it is best to consult a healthcare provider who can assess your situation and provide appropriate recommendations.

Regarding the dark red blood vessels you observed, it's normal for blood vessels to be visible, especially when the skin is stretched. If you did not experience any bleeding or severe pain during the retraction, it is likely that the appearance of the blood vessels is just a normal anatomical feature. However, if you notice any bruising or if the area becomes painful, it would be advisable to have it checked out.

The slight tingling sensation you mentioned could be due to a variety of factors, including irritation from frequent washing or the application of iodine. If this sensation persists or worsens, it would be wise to avoid further irritation and consult a healthcare professional.

In summary, while it seems that you are recovering well, it is essential to keep an eye on any changes in your symptoms. If you experience any concerning signs such as persistent pain, swelling, or unusual discharge, do not hesitate to seek medical attention. It's always better to err on the side of caution when it comes to your health. Take care, and I hope you continue to feel better!

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