Smegma: Concerns About Pseudophimosis and Hygiene - Urology

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Regarding the issue of smegma?


I thought I had phimosis and couldn't retract the glans, but I just discovered today that I can retract it, which seems to indicate a condition known as pseudophimosis.
I noticed there was a lot of smegma that I hadn't cleaned.
Is it still possible to clean it properly now, and is there a risk of inflammation or other issues?

Niming, 10~19 year old female. Ask Date: 2020/07/22

Dr. Cai Zhuorong reply Urology


Is it still possible to clean it properly? A: Is it possible that it will become inflamed? A: If there is redness and swelling, it indicates inflammation.
Please visit a urology clinic for consultation.

Reply Date: 2020/07/22

More Info


Smegma is a natural substance that can accumulate under the foreskin of the penis, consisting of dead skin cells, oils, and moisture. It is important to maintain proper hygiene to prevent the buildup of smegma, which can lead to irritation, inflammation, or infections. In your case, it sounds like you have discovered that you can retract your foreskin, which is a positive sign, as it allows for better cleaning and hygiene.

Pseudophimosis refers to a condition where the foreskin can be retracted but may appear to be tight or difficult to manage. This can sometimes lead to concerns about hygiene, as smegma can accumulate if the area is not cleaned regularly. The presence of smegma itself is not inherently harmful, but if it is not cleaned properly, it can lead to conditions such as balanitis, which is inflammation of the glans (the head of the penis). Symptoms of balanitis may include redness, swelling, itching, and discomfort.

If you have started cleaning the area and are able to retract your foreskin, it is generally safe to continue doing so. Here are some steps you can take to maintain proper hygiene and reduce the risk of inflammation:
1. Gentle Cleaning: Use warm water to gently clean the area under the foreskin. Avoid using harsh soaps or chemicals, as these can irritate the sensitive skin.

2. Regular Hygiene: Make it a habit to clean the area regularly, especially after sexual activity or sweating. This will help prevent the buildup of smegma.

3. Monitor for Symptoms: Keep an eye out for any signs of irritation or infection, such as persistent redness, swelling, or discharge. If you notice any concerning symptoms, it is advisable to consult a healthcare professional.

4. Avoid Irritants: Be cautious with products that may irritate the genital area, such as scented soaps or lotions. Stick to mild, unscented products.

5. Consult a Doctor: If you have concerns about pseudophimosis or if you experience any pain or discomfort, it is best to consult a urologist or healthcare provider. They can assess your situation and provide guidance on whether any further treatment is necessary.

In summary, it is great that you have discovered that you can retract your foreskin and are taking steps to clean the area. Regular hygiene practices can help prevent inflammation and other complications associated with smegma buildup. If you have any ongoing concerns or experience symptoms, do not hesitate to seek medical advice.

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