Phimosis refers to the condition where the foreskin cannot be retracted over the glans penis?
Doctor, excuse me, if the foreskin has been retracted, should it be flipped back? When it was retracted, the coronal sulcus was quite tight, and is it also problematic if it becomes erect in that situation?
Mr. Lin, 20~29 year old female. Ask Date: 2021/07/07
Dr. Du Shixi reply Urology
Hello: After retracting the foreskin, should it be flipped back? --> When it was retracted, the coronal sulcus was quite tight, is it not good during an erection? --> If it is too tight, it is important to pay attention.
If it frequently gets stuck, medical attention should be sought.
Wishing you good health.
Reply Date: 2021/07/07
More Info
When it comes to the management of phimosis, particularly after treatment, the question of whether to reposition the foreskin is an important one. Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). Treatment options can vary from conservative measures, such as topical steroid creams, to surgical interventions like circumcision or preputioplasty.
After treatment, especially if the foreskin has been retracted, it is generally advisable to reposition the foreskin back over the glans. This is because keeping the foreskin retracted for prolonged periods can lead to discomfort, irritation, or even complications such as paraphimosis, where the retracted foreskin cannot be returned to its normal position, potentially leading to swelling and restricted blood flow.
In your case, if the foreskin was retracted and you are experiencing tightness around the corona (the ridge of the glans), it is essential to ensure that the foreskin can be comfortably returned to its original position. If you find that it is difficult to do so, or if there is pain or significant discomfort, it would be wise to consult with a healthcare professional. They can assess the situation and provide guidance tailored to your specific circumstances.
Regarding the concern about erections and the tightness of the foreskin, it is important to note that during an erection, the penis naturally elongates and expands. If the foreskin is too tight, it may cause discomfort during an erection. This is why it is crucial to ensure that the foreskin can move freely over the glans. If the tightness persists, it may indicate that further treatment is necessary, such as additional topical therapy or surgical options.
In summary, after treatment for phimosis, it is generally recommended to reposition the foreskin unless advised otherwise by your healthcare provider. If you experience any issues with tightness, discomfort, or difficulty with repositioning, seeking medical advice is crucial. A urologist or healthcare provider specializing in male genital health can offer the best guidance and treatment options to ensure your comfort and health.
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