Foreskin Adhesions: Causes and Treatment Options

Q: Foreskin Adhesions: Causes and Treatment Options

Hello： You should seek medical attention, as there may be occasional bleeding or even hemorrhaging. <br>For now, try to keep the area clean and visit the hospital when you have the opportunity. <br>The fascia you mentioned is likely adhesions. <br>Wishing you good health.

The glans and the foreskin are adhered due to the presence of a membrane?

I have developed a membrane on the right half of my glans, extending to the frenulum, creating a U-shaped space where the smegma is trapped deep inside and cannot be removed.
There is also a smaller membrane on the left side of the frenulum, which completely encircles the area and is also impossible to remove.
Previously, I tore a small section of the membrane and applied antiseptic for five days, and it healed well.
Since I only have my mother at home, I feel awkward going to the hospital by myself.
Can I cut it open myself? I only started cleaning the smegma when I was 13 years old; did the membrane develop because I hadn’t retracted the foreskin for a long time?

Lin xx, 10~19 year old female. Ask Date: 2021/10/06

Dr. Du Shixi reply Urology

Hello: You should seek medical attention, as there may be occasional bleeding or even hemorrhaging.
For now, try to keep the area clean and visit the hospital when you have the opportunity.
The fascia you mentioned is likely adhesions.
Wishing you good health.

Reply Date: 2021/10/06

More Info

Foreskin adhesions, also known as penile adhesions, are a condition where the foreskin is abnormally attached to the glans (the head of the penis) due to the presence of fibrous tissue or membrane. This condition is relatively common in boys and can occur for various reasons, including natural developmental processes, poor hygiene, or trauma.

Causes of Foreskin Adhesions
1. Natural Development: In infants and young boys, the foreskin is often fused to the glans. This is a normal part of development, and in many cases, the adhesions resolve on their own as the child grows and the foreskin becomes more retractable.

2. Poor Hygiene: If the foreskin is not regularly retracted and cleaned, smegma (a combination of dead skin cells, oils, and other bodily fluids) can accumulate, leading to irritation and inflammation. This can cause the foreskin to adhere more firmly to the glans.

3. Trauma or Injury: Any injury to the area, including attempts to forcibly retract the foreskin, can lead to scarring and adhesions.

4. Infections: Conditions such as balanitis (inflammation of the glans) can also contribute to the formation of adhesions.

Symptoms
The symptoms of foreskin adhesions can vary but may include:
- Difficulty retracting the foreskin
- Pain or discomfort during erections or sexual activity
- Accumulation of smegma, leading to hygiene issues
- Inflammation or redness of the glans

Treatment Options
1. Observation: In many cases, especially in young boys, the adhesions may resolve on their own as they grow older. Regular gentle retraction of the foreskin during bathing can help.

2. Topical Treatments: If there is inflammation or irritation, a doctor may recommend topical corticosteroids to reduce inflammation and help separate the adhesions.

3. Manual Separation: In some cases, a healthcare provider may perform a gentle manual separation of the adhesions. This should only be done by a qualified professional to avoid injury.

4. Surgical Intervention: If the adhesions are severe or cause significant problems, a minor surgical procedure may be necessary to release the adhesions. This is typically a straightforward procedure performed under local anesthesia.

Self-Treatment Considerations
While it may be tempting to attempt to cut or separate the adhesions yourself, this is not advisable. Doing so can lead to complications such as bleeding, infection, or further scarring. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Hygiene Practices
To prevent further issues, maintaining good hygiene is crucial. This includes:
- Gently retracting the foreskin during bathing to clean the area.

- Avoiding harsh soaps or irritants that can cause inflammation.

- Seeking medical advice if you notice any signs of infection, such as redness, swelling, or discharge.

Conclusion
In summary, foreskin adhesions can be a common issue, particularly in younger males. While they may resolve on their own, it is essential to maintain proper hygiene and consult a healthcare professional for evaluation and treatment options. Self-treatment is not recommended, as it can lead to complications. If you have concerns about your condition, it is best to discuss them with a doctor who can provide guidance tailored to your specific situation.

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