How to Safely Clean Under the Foreskin Without Pain - Urology

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Smegma that cannot be washed away?


I recently discovered that the foreskin can be retracted, as I suspect I have phimosis.
While showering, I noticed a white membrane on the glans.
Soaking in hot water and wiping with tissue doesn't remove it, but using a handheld showerhead directly causes pain.
How can I clean it without too much discomfort?

Ma Yi, 10~19 year old female. Ask Date: 2021/12/10

Dr. Sun Hongshun reply Urology


Hello, Ant: It is recommended that you visit a hospital where a physician can teach you the correct methods and guide you on the proper use of ointments to avoid injuries.

Reply Date: 2021/12/10

More Info


Cleaning under the foreskin can be a sensitive issue, especially if you're experiencing discomfort or pain. It's essential to approach this with care to avoid irritation or injury. Here are some guidelines to help you clean this area safely and effectively.


Understanding the Anatomy
The foreskin, or prepuce, is a fold of skin that covers the glans (tip) of the penis. It can sometimes trap smegma, a combination of dead skin cells, oils, and moisture, which can lead to a white, cheesy substance. This is normal but requires regular cleaning to maintain hygiene and prevent infections.


Steps for Safe Cleaning
1. Gentle Retraction: If you have a retractable foreskin, gently pull it back to expose the glans. If you experience pain or resistance, do not force it. It's essential to be gentle to avoid tearing or causing pain.

2. Warm Water Soak: Before attempting to clean, soak the area in warm water. This can help soften any smegma and make it easier to clean. You can do this in the shower or by filling a basin with warm water.

3. Use Mild Soap: If you feel comfortable, use a mild, unscented soap. Avoid harsh soaps or those with strong fragrances, as they can irritate sensitive skin. Apply a small amount of soap to your fingers and gently clean the area under the foreskin. Rinse thoroughly with warm water to ensure no soap residue remains.

4. Rinse Thoroughly: After cleaning, make sure to rinse the area well with warm water. This step is crucial to prevent irritation from soap residues.

5. Dry Gently: After rinsing, gently pat the area dry with a clean towel. Avoid rubbing, as this can cause irritation.

6. Moisturize if Necessary: If you notice dryness or irritation, consider applying a small amount of a gentle, fragrance-free moisturizer or a barrier cream. This can help soothe the skin.


When to Seek Medical Advice
If you continue to experience pain, discomfort, or if you notice any unusual symptoms such as redness, swelling, or discharge, it’s essential to consult a healthcare professional. Conditions like balanitis (inflammation of the glans) or phimosis (inability to retract the foreskin) may require medical attention.


Additional Tips
- Avoid Forcing Retraction: If your foreskin does not retract easily, do not force it. Forcing it can lead to pain and potential injury.

- Regular Cleaning: Make cleaning under the foreskin a regular part of your hygiene routine, but do so gently to avoid irritation.

- Consider a Healthcare Consultation: If you suspect that your foreskin is too long or if you have concerns about hygiene, consider discussing this with a urologist. They can provide guidance and discuss options if necessary.


Conclusion
Cleaning under the foreskin should be done gently and with care to avoid pain and irritation. Using warm water, mild soap, and ensuring thorough rinsing are key steps in maintaining hygiene. If you experience ongoing issues, seeking medical advice is crucial for your health and comfort. Remember, maintaining good hygiene is essential, but it should never come at the cost of causing pain or discomfort.

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