Phimosis: Key Questions About Foreskin and Urinary Health - Urology

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Phimosis issue


1.
If the foreskin is too long when not erect, but can be fully retracted to expose the glans manually when erect without pain, and it occasionally retracts back, does this qualify as phimosis?
2.
Can the urethral opening become enlarged due to masturbation?

San Yue San, 20~29 year old female. Ask Date: 2022/03/13

Dr. Li Xinyi reply Urology


If the foreskin does not form a narrow ring that affects erection, then it is not phimosis.
Based on your description, as long as there are no issues with cleanliness, it should be fine.
The urethral opening should not enlarge due to masturbation.

Reply Date: 2022/03/13

More Info


Phimosis is a condition characterized by the inability to retract the foreskin over the glans (the head of the penis). It can be a source of concern for many men, particularly regarding urinary health and sexual function. Let's address your questions regarding phimosis and related issues.

1. Is it phimosis if the foreskin is long when flaccid but can be retracted when erect without pain?
Based on your description, it seems that you do not have true phimosis. True phimosis is defined as the inability to retract the foreskin at all, regardless of whether the penis is flaccid or erect. Since you can manually retract the foreskin when erect without experiencing pain, this suggests that your condition may be more related to a longer foreskin rather than phimosis. However, if you experience any discomfort or if the foreskin tends to revert back over the glans after retraction, it may be worth consulting a healthcare professional for further evaluation. They can provide guidance on whether any treatment is necessary, especially if you experience recurrent issues such as inflammation or infections.

2. Can the urethral opening become enlarged due to masturbation?
Masturbation itself does not typically cause a permanent enlargement of the urethral opening. The urethra is a muscular tube that can stretch and accommodate various activities, including urination and ejaculation. However, frequent or aggressive manipulation of the genital area during masturbation could potentially lead to temporary swelling or irritation of the urethral opening. If you notice any significant changes in the size or shape of the urethral opening, or if you experience pain, burning during urination, or any unusual discharge, it is advisable to seek medical attention. These symptoms could indicate an infection or other underlying issues that may require treatment.


Additional Considerations
It's important to maintain good hygiene, especially if you have a longer foreskin. Regular cleaning can help prevent infections and other complications. If you have concerns about your foreskin or urinary health, consider discussing them with a urologist, who specializes in male reproductive health.

In summary, based on your descriptions, it does not appear that you have phimosis, and masturbation is unlikely to cause permanent changes to the urethral opening. However, if you have any ongoing concerns or symptoms, it is always best to consult with a healthcare professional for personalized advice and treatment options.

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