Phimosis: Concerns About Foreskin Retraction at 23

Q: Phimosis: Concerns About Foreskin Retraction at 23

Hello： If your situation involves the foreskin retracting during an erection and not being able to return, causing swelling, this is known as paraphimosis. <br>At this point, it is necessary to seek emergency medical attention. <br>Some individuals may have a tighter or narrower

After the first retraction of the foreskin, it is somewhat difficult to return to its original position?

Hello doctor, I am 23 years old and have always had phimosis.
When I am erect, the foreskin completely covers the glans.
When I pull it down, it reveals either the tip or about a quarter of the glans.
A few days ago, after ejaculation, I wanted to ejaculate again and immediately became erect.
It might be because the inside was still moist, making it very smooth.
When I pulled down, the foreskin retracted to the edge of the glans, which has never happened in 23 years.
I was startled and it immediately went back down.
However, when I am completely flaccid, the foreskin remains behind the glans.
It seems like some skin is rolled inward, and with a slight pull, it goes back to being fully covered.
When erect, it returns to its original state.
Is this considered normal? When the foreskin retracts to the edge of the glans, it feels a bit tight, but not too tight or painful.
I'm not sure if this is due to the first time the skin being this far down or if it’s a case of paraphimosis.
Also, if this is normal, can I apply some lotion or something similar daily to help with retraction, so that during erections, the foreskin can naturally retract behind the glans?

Niming, 20~29 year old female. Ask Date: 2021/05/26

Dr. Du Shixi reply Urology

Hello: If your situation involves the foreskin retracting during an erection and not being able to return, causing swelling, this is known as paraphimosis.
At this point, it is necessary to seek emergency medical attention.
Some individuals may have a tighter or narrower section of the foreskin.
It is advisable to consult a urologist for evaluation to ensure safety.
Wishing you good health.

Reply Date: 2021/05/26

More Info

Phimosis, or the inability to retract the foreskin over the glans (the head of the penis), is a common condition that can be concerning for many men, especially when it affects sexual function or hygiene. At 23 years old, experiencing phimosis can lead to questions about normalcy, potential complications, and treatment options.

From your description, it seems that you have a tight foreskin that does not retract easily, especially when flaccid. However, you mentioned that during an erection, the foreskin can retract partially, which indicates that there is some elasticity present. The tightness you feel when the foreskin is pulled back to the glans is not uncommon, especially if it has not been retracted regularly. It’s important to note that while some men can retract their foreskin easily, others may experience discomfort or tightness, which can lead to anxiety about the condition.

Is This Normal?
In many cases, having a non-retractable foreskin is normal, especially in younger men. However, if the foreskin is causing pain, discomfort, or hygiene issues, it may be worth considering treatment options. The fact that you can partially retract the foreskin during an erection suggests that there may be potential for improvement with gentle stretching exercises over time.

Concerns About Pain and Tightness
You mentioned that when the foreskin is retracted, it feels tight but not painful. This sensation can be due to the skin being unused to being stretched. It’s crucial to differentiate between discomfort and pain. If you experience significant pain, it may indicate a more severe case of phimosis or a condition called paraphimosis, where the retracted foreskin cannot return to its original position, leading to swelling and potential complications.

Treatment Options
1. Gentle Stretching: You can try gentle stretching exercises to gradually increase the elasticity of the foreskin. This should be done carefully to avoid tearing or causing pain. It’s advisable to do this when the skin is warm, such as after a shower.

2. Topical Treatments: Applying a water-based lubricant or a topical steroid cream (as prescribed by a healthcare provider) can help soften the skin and make stretching easier. However, you should consult a healthcare professional before starting any topical treatment.

3. Hygiene: Maintaining good hygiene is essential. Ensure that you clean the area gently to prevent infections, especially if the foreskin does not retract fully.

4. Consult a Specialist: If you continue to experience tightness or discomfort, or if you have concerns about the foreskin's condition, it may be beneficial to consult a urologist. They can provide a thorough examination and discuss potential treatment options, including circumcision or preputioplasty, if necessary.

Conclusion
In summary, while your experience with phimosis is not uncommon, it’s essential to monitor any changes in symptoms. If you feel comfortable, gentle stretching and maintaining good hygiene can be beneficial. However, if you experience pain or significant discomfort, seeking medical advice is crucial. A healthcare professional can provide personalized recommendations based on your specific situation and help you navigate any concerns you may have regarding your sexual health and well-being.

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