Penile skin laceration?
Hello Doctor,
I am a 19-year-old college student and I would like to ask you some questions.
When I was younger, I underwent a circumcision, but it seems that too much was removed, resulting in my glans being exposed with very little foreskin to pull back.
Even when I try to pull it back forcefully, it feels very tight, and I can only pull it to the edge of the glans.
Last year, I developed a habit of masturbation, and during the process, I would apply lotion while gripping my penis and moving it up and down without pulling back the foreskin like most guys do.
In August of last year, I noticed that using water for lubrication caused skin irritation on my penis, so I started using a diluted lotion with a bit of water for masturbation.
In recent months, I have experienced pain at the junction between the glans and the shaft of my penis.
Upon closer inspection, I can see that the glans seems to be almost separating from the shaft, which has caused me significant discomfort and concern.
A week ago, I visited Tzu Chi Hospital for an examination, and the doctor suggested that I might be applying too much force while masturbating, leading to skin irritation.
However, he mentioned that there was no topical medication to prescribe and advised me to rest for a week.
After enduring four days, I broke my restraint and spent an hour masturbating, using lubricant, but felt discomfort after ejaculation, as if there was a fissure at the junction of the glans and the shaft.
Later, I applied a pain relief ointment around that area.
What I would like to ask you, Doctor, is how to manage the tearing sensation at the junction of the glans and the shaft? Additionally, how can I safely masturbate without the protection of foreskin?
Nìmíng, 10~19 year old female. Ask Date: 2020/06/17
Dr. Du Shixi reply Urology
Hello: 1) Currently, it is advisable to avoid DIY activities temporarily, as the possible reason is skin injury, and further pulling may exacerbate discomfort.
2) If there is broken skin, be cautious after using lotion to prevent inflammation.
Wishing you good health.
Reply Date: 2020/06/17
More Info
It sounds like you're experiencing some discomfort and pain in the area where the glans (the head of the penis) meets the shaft, especially after masturbation. This can be a common issue for individuals who have undergone circumcision, particularly if there is insufficient skin to cover the glans, leading to increased friction during sexual activities. Here are some insights and recommendations based on your situation.
Understanding Your Symptoms
1. Pain and Discomfort: The pain you're experiencing at the junction of the glans and shaft may be due to friction, especially if you're using a technique that doesn't allow for adequate lubrication. The skin in this area is sensitive, and without sufficient protection (like the foreskin), it can become irritated or even develop micro-tears.
2. Skin Integrity: The observation that the glans appears to be separating from the shaft could indicate that the skin is under stress, possibly from excessive pulling or friction. This can lead to pain and discomfort, especially during or after masturbation.
3. Previous Circumcision: Since you mentioned having undergone circumcision, the lack of foreskin means that the glans is exposed and more susceptible to irritation. This can make it more challenging to find a comfortable method of masturbation.
Recommendations for Safe Masturbation
1. Use Adequate Lubrication: It's crucial to use a sufficient amount of lubricant to reduce friction. Water-based lubricants are generally safe and can be easily washed off, but you might also consider silicone-based lubricants, which tend to last longer and provide a smoother glide. Avoid using products that can cause irritation, such as lotions or creams not specifically designed for genital use.
2. Gentle Technique: Instead of using a tight grip, try a gentler technique. You might want to explore different motions that don't involve pulling on the skin too much. Experiment with varying pressure and speed to find what feels comfortable without causing pain.
3. Frequency of Masturbation: If you're experiencing pain, it may be beneficial to reduce the frequency of masturbation until the area has healed. Allowing time for recovery can help prevent further irritation.
4. Post-Masturbation Care: After masturbation, consider applying a soothing, non-irritating ointment to the area to help with healing. Products like aloe vera gel or a gentle, fragrance-free moisturizer can be soothing.
5. Avoid Irritating Substances: Be cautious with any products you apply to the genital area. Avoid scented soaps, lotions, or any harsh chemicals that could exacerbate irritation.
6. Consult a Specialist: If the pain persists or worsens, it may be beneficial to consult a urologist or dermatologist who specializes in male genital health. They can provide a more thorough examination and may suggest treatments or therapies tailored to your specific needs.
Conclusion
It's essential to listen to your body and adjust your practices accordingly. Pain is a signal that something may not be right, and taking steps to minimize discomfort is crucial. By using adequate lubrication, adopting a gentler technique, and allowing time for healing, you can help manage your symptoms effectively. If issues persist, seeking professional medical advice is always a wise choice to ensure your health and well-being.
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