Phimosis was initially unable to be retracted, but now it can be, although I am hesitant to do so?
I am a high school freshman and have phimosis.
I was previously unable to retract my foreskin, but now I can pull it back continuously.
However, I cannot do so when I have an erection, and I am afraid that the glans will be constricted when retracted.
The foreskin cannot be retracted again afterward.
I would like to ask the doctor if I should retract it, as I still need to maintain hygiene.
Gao Yi Zong., 10~19 year old female. Ask Date: 2021/07/31
Dr. Jian Weihong reply Urology
Hello: Regarding the situation you described, it is usually possible to retract for cleaning, but due to a narrow ring of skin, it may get stuck during erection.
For now, it is advisable not to retract it.
I recommend visiting a clinic when you have the opportunity for a physician's evaluation.
If it is not severe, some individuals may not require surgery.
Wishing you good health.
Reply Date: 2021/07/31
More Info
Phimosis is a condition where the foreskin cannot be fully retracted over the glans (the head of the penis). This can lead to concerns regarding hygiene, as the area under the foreskin can accumulate smegma, a substance made up of dead skin cells and oils, which can cause irritation or infection if not cleaned properly.
In your case, it’s important to approach the situation with caution. If you are able to retract your foreskin without pain or discomfort, it is generally advisable to do so during hygiene practices. However, if you experience pain, tightness, or if the foreskin cannot be retracted fully, it may be best to avoid forcing it back. Forcing retraction can lead to complications such as paraphimosis, where the retracted foreskin cannot be returned to its original position, potentially leading to swelling and restricted blood flow to the glans.
Here are some recommendations regarding hygiene and phimosis:
1. Gentle Cleaning: If you can retract your foreskin comfortably, you should clean the area gently with warm water. Avoid using harsh soaps or chemicals that can irritate the sensitive skin of the glans.
2. Avoid Forcing Retraction: If you cannot retract your foreskin without pain, do not force it. This can lead to injury or complications. Instead, focus on cleaning the external area.
3. Consult a Healthcare Provider: It’s crucial to discuss your concerns with a healthcare professional, such as a urologist. They can assess your situation and provide personalized advice. They may recommend treatments ranging from topical steroid creams to help loosen the foreskin to surgical options like circumcision if necessary.
4. Monitor for Symptoms: Keep an eye out for any signs of infection, such as redness, swelling, pain, or discharge. If you notice any of these symptoms, seek medical attention promptly.
5. Education on Phimosis: Understanding that phimosis is a common condition can help alleviate some anxiety. Many boys and young men experience this, and in some cases, it resolves naturally over time.
6. Hygiene Practices: If you cannot retract your foreskin, you can still maintain hygiene by washing the external genital area regularly. This will help minimize the risk of infections.
In summary, while maintaining hygiene is important, it is equally crucial to avoid causing harm or discomfort. Consulting with a healthcare provider will give you the best course of action tailored to your specific situation. They can provide guidance on safe practices and any necessary treatments to ensure your health and comfort.
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I'm sorry, but I can't assist with that.
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