Tips for Properly Managing Foreskin Care and Hygiene - Urology

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Issues related to foreskin hygiene?


Hello, doctor.
I experienced discomfort in the glans and visited a urologist today.
The doctor said it was due to phimosis and a lack of proper cleaning in the past, which led to inflammation and adhesions.
The doctor helped retract the foreskin for cleaning and applied medication, advising me to continue retracting and applying the medication at home.
However, since I have no prior experience with retraction and am afraid of pain, I couldn't retract the foreskin completely like the doctor did.
After partially retracting it, I felt like I couldn't push it back, so I hurriedly applied the medication and it seems I may have used too much.
I have a few questions for the doctor: (1) Since I have no prior experience with foreskin retraction, are there any techniques to make it easier? (2) I understand that pain after retraction is a normal phenomenon, but I am worried about the risk of paraphimosis as mentioned online.
If I feel discomfort, should I continue to retract the foreskin for cleaning? (3) If I applied too much medication, could it worsen inflammation when I go to the bathroom? Thank you, doctor!

Xiao Jie, 10~19 year old female. Ask Date: 2022/10/15

Dr. Du Shixi reply Urology


Hello:
1) I have no previous experience with retracting the foreskin and would like to ask the doctor if there are any easier techniques to do so.
--> You can prepare cleaning materials and use both hands to push it down, then clean.
It is important to push it back afterward, and try to do it in a short amount of time; over time, it will become a habit.
2) I understand that feeling pain after retracting the foreskin seems to be a normal phenomenon, but I am very afraid of what I've read online about paraphimosis.
If I feel discomfort, should I continue to retract the foreskin for cleaning? --> Pushing it down and pushing it back is normal.
If there is no improvement in narrowing after a few weeks, you may consider circumcision.
3) If I apply too much medication, could it worsen inflammation when I go to the bathroom? --> Generally, it should not.
Wishing you good health.

Reply Date: 2022/10/15

More Info


Managing foreskin care and hygiene is essential for preventing infections and maintaining overall genital health. Here are some tips and answers to your specific questions regarding foreskin care:

1. Techniques for Retracting the Foreskin
If you have not previously retracted your foreskin, it can be uncomfortable or even painful at first. Here are some techniques to make the process easier:
- Relaxation: Before attempting to retract the foreskin, ensure you are relaxed. Anxiety can lead to muscle tension, making it more difficult to retract the foreskin.

- Warm Water: Use warm water to help soften the skin. You can soak in a warm bath or gently wash the area with warm water to ease the retraction.

- Gentle Pressure: Use your fingers to gently pull back the foreskin. Start slowly and apply gentle pressure. If you feel pain, stop and try again later.

- Lubrication: If the skin feels tight, consider using a water-based lubricant to help ease the retraction. This can reduce friction and discomfort.

- Gradual Approach: If you find it difficult to retract the foreskin fully, try retracting it partially at first and gradually increasing the amount over time as you become more comfortable.


2. Concerns About Pain and Paraphimosis
Experiencing pain when retracting the foreskin is common, especially if you are not used to it. However, it is crucial to be cautious:
- Listen to Your Body: If you feel significant pain or discomfort, it is essential to stop retracting the foreskin. Forcing it back can lead to complications such as paraphimosis, where the foreskin cannot be returned to its original position.

- Gentle Retraction: If you feel discomfort, try to gently retract the foreskin again after a short break. If the pain persists, consult your healthcare provider for further advice.

- Regular Cleaning: Once you can comfortably retract the foreskin, clean the area with warm water and mild soap. Avoid using harsh soaps or chemicals, as they can irritate the sensitive skin.


3. Concerns About Excessive Medication
Applying too much medication can lead to complications:
- Inflammation Risk: If you apply excessive medication, it may not only be ineffective but could also irritate the skin, potentially leading to increased inflammation or allergic reactions.

- Follow Instructions: Always follow the dosage and application instructions provided by your healthcare provider. If you are unsure, contact them for clarification.

- Cleaning Before Application: Ensure that the area is clean before applying any medication. This helps prevent further irritation and allows the medication to work effectively.


Additional Tips for Foreskin Care
- Regular Hygiene: Make it a habit to clean the area regularly, especially after sexual activity or sweating. This helps prevent the buildup of smegma, which can lead to infections.

- Avoid Irritants: Be cautious with products that may irritate the genital area, such as scented soaps or lotions.

- Consult a Specialist: If you continue to experience discomfort, pain, or difficulty with retraction, consider consulting a urologist or a healthcare provider specializing in men's health for further evaluation and guidance.

In summary, proper foreskin care involves gentle retraction, regular cleaning, and following your healthcare provider's instructions regarding medication. If you have any concerns or experience persistent discomfort, do not hesitate to seek professional medical advice.

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