Penile Retraction: Causes, Concerns, and Treatment Options

Q: Penile Retraction: Causes, Concerns, and Treatment Options

Hello： If you are advised to lose weight, having thick fat may lead to your condition. <br>If you wish to seek medical consultation, you might consider visiting a general clinic's plastic surgery department. <br>It's important to first search online for doctors who perform this t

Secondary buried penis

I usually have my penis retracted into the pubic area, with only the foreskin remaining outside.
When I have an erection, it protrudes slightly, but the entire penis is still covered by the foreskin, resulting in part of it being external (covered by the foreskin) and part remaining inside the pubic area.
I can push the penis out with my hand, but it retracts immediately when I let go.
This situation makes it impossible for me to wear a condom during sexual intercourse, and I have to engage in unprotected sex, which is very concerning.
I previously consulted a urologist at a major hospital about whether I have phimosis and if I need a circumcision, but the doctor angrily referred me to a weight loss clinic.
I weigh 120 kg.
Is this serious enough to warrant surgery, or is there another specialty I should consult? Otherwise, I don't know which department to visit.

Mr. Huang, 20~29 year old female. Ask Date: 2021/03/06

Dr. Du Shixi reply Urology

Hello: If you are advised to lose weight, having thick fat may lead to your condition.
If you wish to seek medical consultation, you might consider visiting a general clinic's plastic surgery department.
It's important to first search online for doctors who perform this type of surgery, as not all of them handle it.
Wishing you good health.

Reply Date: 2021/03/06

More Info

Understanding penile retraction, particularly in the context of your experience, involves a multifaceted approach that considers anatomical, physiological, and psychological factors. The condition you describe, where the penis retracts into the pubic area and is largely covered by the foreskin, can be concerning for both physical comfort and sexual function.

Causes of Penile Retraction
1. Anatomical Factors: In some cases, a longer foreskin can contribute to the appearance of penile retraction. If the foreskin is excessively long, it may not retract adequately during an erection, leading to the penis appearing to be retracted or hidden.
2. Weight and Body Composition: Given your mention of a body weight of 120 kg, excess body fat, particularly in the pubic area, can lead to a condition known as "penile concealment." This occurs when the fat pad around the pubic region obscures the penis, making it appear shorter or retracted.
3. Psychological Factors: Anxiety about sexual performance or body image can also play a role in how one perceives their anatomy. This can lead to a cycle of concern that exacerbates the issue.

Concerns Associated with Penile Retraction
1. Sexual Function: As you noted, the inability to wear a condom due to the retraction can pose risks for sexually transmitted infections (STIs) and unintended pregnancies. This is a significant concern that warrants attention.

2. Physical Discomfort: The sensation of the penis retracting can be uncomfortable, and it may lead to issues with hygiene or irritation.

3. Psychosocial Impact: Concerns about body image and sexual function can lead to anxiety, depression, or avoidance of sexual activity, which can affect relationships.

Treatment Options
1. Consultation with a Urologist: It is essential to seek a second opinion from a urologist who specializes in male sexual health. They can provide a thorough examination and discuss your symptoms in detail.
2. Circumcision: If the primary issue is determined to be due to an excessively long foreskin, circumcision may be recommended. This procedure can help expose the glans (head of the penis) and improve the ability to wear condoms.

3. Weight Management: If excess weight is contributing to the appearance of penile retraction, a weight management program may be beneficial. This could involve dietary changes, exercise, and possibly working with a nutritionist or a weight loss clinic.

4. Psychological Support: If there are underlying psychological concerns, therapy or counseling may help address body image issues and anxiety related to sexual performance.

5. Penile Rehabilitation: In some cases, penile rehabilitation techniques may be suggested to help improve erectile function and sensitivity.

Conclusion
Your situation is not uncommon, and it is crucial to address both the physical and psychological aspects of penile retraction. Seeking a urologist who can provide a comprehensive evaluation and treatment plan tailored to your needs is the best course of action. Additionally, addressing weight management could significantly impact your overall health and potentially alleviate some of the concerns regarding penile retraction. Remember, open communication with healthcare providers about your symptoms and concerns is vital for effective treatment.

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