Phimosis: Cleaning Techniques and Health Concerns

Issues related to phimosis and cleaning?

Hello, doctor.
Thank you for taking the time to answer my questions despite your busy schedule.
I have phimosis, and the degree is such that I can see the urethral opening when I pull it down.
I know that phimosis can lead to odor issues, and since I have a cleanliness obsession, I have developed a cleaning method for myself (which I have been using for a long time).
However, I'm not sure if it's correct, so I would like to ask you, doctor.
My cleaning method involves using a small hose-like device to rinse towards the glans, and during the rinsing, water goes inside, creating a space between the foreskin and the glans (similar to separating them).
While rinsing, I also rub my penis up and down.
I'm not sure if this method achieves the goal of cleanliness.
I am considering getting a circumcision in the future, but I've heard it can be very painful, and I'm quite afraid of pain.
Additionally, I would like to know if my age puts me at a higher risk for penile cancer...
I'm a bit worried.
Also, I want to ask you, doctor, if experiencing pain in the glans after excessive masturbation is due to overdoing it.
I had taken a break before, and it felt better, but after a while of doing it again, the pain returned.
Thank you, doctor!

Nìmíng, 20~29 year old female. Ask Date: 2022/11/10

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2022/11/10

More Info

Phimosis, or the inability to retract the foreskin fully, can lead to various health concerns, including hygiene issues and potential complications such as infections or inflammation. It's commendable that you are taking steps to maintain cleanliness, especially given your awareness of the potential odor problems associated with phimosis. However, it's essential to approach cleaning techniques with caution to avoid causing harm or irritation.

Your method of using a small hose to rinse the area and attempting to separate the foreskin from the glans (the head of the penis) can be problematic. While maintaining cleanliness is crucial, forcibly rinsing or manipulating the foreskin can lead to trauma, irritation, or even tearing of the delicate skin. This can increase the risk of infections and other complications. Instead, gentle cleaning with warm water and mild soap is generally recommended. You should avoid any aggressive scrubbing or forceful retraction of the foreskin, especially if it causes pain or discomfort.

If you are experiencing persistent odor or hygiene issues, it may be beneficial to consult a healthcare professional. They can provide guidance tailored to your specific situation and may recommend treatments or procedures, such as circumcision, if necessary. Circumcision is a common procedure that can alleviate the issues associated with phimosis, but it is essential to discuss the risks and benefits with a qualified healthcare provider. Pain management techniques are available, and many patients report that the discomfort is manageable.

Regarding your concern about penile cancer, it is essential to understand that while phimosis can increase the risk of certain conditions, the overall incidence of penile cancer is relatively low. Factors such as poor hygiene, chronic irritation, and HPV (human papillomavirus) infection are more significant risk factors. Regular check-ups with a healthcare provider can help monitor any changes and address concerns early.

As for your question about pain after prolonged stimulation, it is not uncommon to experience sensitivity or discomfort after extended periods of activity. This can be due to irritation or overuse of the sensitive skin in that area. If the pain persists or worsens, it may be wise to take breaks and allow your body to recover. If you have ongoing concerns about pain or any other symptoms, consulting a healthcare professional is advisable.

In summary, while maintaining cleanliness is vital for individuals with phimosis, the methods used should be gentle and not cause trauma. Consulting with a healthcare provider can provide personalized advice and treatment options, including the potential benefits of circumcision. Regular monitoring and open communication with a healthcare professional can help address any concerns about penile health and cancer risk.

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