Managing Sensitivity and Phimosis: Solutions for Painful Circumcision Issues

Phimosis with hypersensitivity of the glans?

Hello doctor, I am 27 years old.
In the past, when I had phimosis, my foreskin would retract only about one-third of the glans before causing pain.
Recently, I have finally managed to retract the foreskin completely to expose the entire glans, but I have encountered two problems.

1.
My glans is extremely sensitive; even a slight touch with my fingers causes pain.
I thought I would let my glans get used to being exposed by wearing only underwear at home, but even the fabric of the underwear causes significant pain.
I tried to clean the glans in the shower, but even water touching it feels painful, almost like a wound being exposed to water.

2.
When my penis is erect, the foreskin cannot retract to expose the glans.
If I manage to expose the glans before an erection, the foreskin cannot move forward afterward, making sexual intercourse impossible, and even masturbation is difficult.
3.
Do these issues require circumcision for resolution? If I undergo circumcision but still experience pain when the glans touches my underwear, what should I do?

allen, 20~29 year old female. Ask Date: 2020/12/27

Dr. Li Xinyi reply Urology

It sounds like a circumcision procedure is needed to allow the glans to be properly exposed.
Post-operative discomfort can only be managed through careful self-care, and gradually, sensitivity will decrease.

Reply Date: 2020/12/27

More Info

Managing sensitivity and phimosis can be a challenging issue, especially when it leads to discomfort and affects sexual function. Based on your description, it seems you are experiencing significant sensitivity of the glans (the head of the penis) after having been able to retract the foreskin fully for the first time. Additionally, the inability to retract the foreskin during an erection is a common concern for those with phimosis. Let’s break down your concerns and explore potential solutions.

1. Sensitivity of the Glans
It is not uncommon for individuals who have had phimosis to experience heightened sensitivity in the glans after the foreskin is retracted. This sensitivity can be due to the glans being covered for an extended period, leading to a lack of exposure to friction and stimuli. Here are some strategies to manage this sensitivity:
- Gradual Exposure: Slowly acclimating the glans to touch can help reduce sensitivity over time. This can be done by gently touching the area for short periods and gradually increasing the duration as comfort allows.
- Lubrication: Using a water-based lubricant during any form of contact can help reduce friction and discomfort. This can be particularly useful during washing or when wearing underwear.

- Desensitization Techniques: Some individuals find that using topical desensitizing creams (like those containing lidocaine) can help reduce sensitivity. However, it’s essential to consult with a healthcare provider before using these products to ensure they are safe and appropriate for your situation.

2. Issues with Erection and Foreskin Retraction
The inability to retract the foreskin during an erection is a classic symptom of phimosis. This can lead to discomfort and complications during sexual activity. Here are some options to consider:
- Consultation with a Urologist: A urologist can provide a thorough examination and discuss the severity of your phimosis. They may recommend treatments ranging from topical steroid creams to surgical options.

- Surgical Options: If conservative measures do not alleviate your symptoms, circumcision (removal of the foreskin) is a common and effective solution for phimosis. This procedure can help alleviate sensitivity issues as well, as the glans becomes less sensitive over time after exposure.

3. Post-Circumcision Sensitivity
If you undergo circumcision and still experience sensitivity, here are some strategies:
- Post-Operative Care: After circumcision, it’s crucial to follow your doctor’s post-operative care instructions. This may include keeping the area clean and using prescribed ointments to promote healing.

- Continued Desensitization: If sensitivity persists after circumcision, you may still need to engage in desensitization techniques as mentioned earlier.
- Communication with Your Partner: If you are in a sexual relationship, communicating with your partner about your sensitivity can help create a comfortable environment for intimacy.

Conclusion
In summary, your symptoms of sensitivity and phimosis can be managed through a combination of gradual exposure, potential medical treatments, and possibly surgical intervention. It is essential to consult with a urologist who can provide personalized advice and treatment options based on your specific situation. They will be able to assess the degree of phimosis and sensitivity and recommend the best course of action to ensure your comfort and sexual health. Remember, it’s important to address these concerns, as they can significantly impact your quality of life and intimate relationships.

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