Phimosis: Concerns, Cleaning Methods, and Treatment Options

Q: Phimosis: Concerns, Cleaning Methods, and Treatment Options

Hello： Your condition is phimosis. <br>If the glans is fully exposed when not erect, it is recommended to consider a circumcision. <br>Your cleaning method is acceptable, but remember to keep the area dry. <br>The circumcision procedure may be painful, but it is generally managea

Phimosis issue

I live in a rural area where there are no urologists available for a direct consultation, so I would like to ask for some advice.
I previously asked a doctor but did not receive an answer, so I apologize for bothering you again! I have phimosis, and the degree of phimosis is such that I can see the urethral opening when I pull down the foreskin.
I understand that phimosis can lead to odor issues, and since I have a cleanliness obsession, I have developed a cleaning method (which I have been using for a long time).
However, I am unsure if it is correct, so I would like to consult with you.
My cleaning method involves using a small hose that washes towards the glans, and during the rinsing, water enters the space created between the foreskin and the glans (similar to separating the foreskin from the glans), allowing water to flow in.
While rinsing, I also rub my penis up and down.
I am not sure if this method effectively achieves cleanliness.
I am considering getting a circumcision in the future, but I have heard it can be painful, and I am quite afraid of pain.
Additionally, I would like to know if my age puts me at a higher risk for penile cancer...
I am a bit worried.
Furthermore, I would like to ask if pain in the glans after excessive masturbation is due to overdoing it.
I had taken a break before, but after a while, the pain returned.
Thank you, doctor!

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

Dr. Jian Weihong reply Urology

Hello: Your condition is phimosis.
If the glans is fully exposed when not erect, it is recommended to consider a circumcision.
Your cleaning method is acceptable, but remember to keep the area dry.
The circumcision procedure may be painful, but it is generally manageable as long as you are not overly sensitive to pain.
The risk of penile cancer is low.
When performing any DIY methods, be careful not to apply too much force, as it can cause discomfort.
Wishing you good health.

Reply Date: 2022/11/10

More Info

Phimosis, or the inability to retract the foreskin over the glans penis, can lead to various concerns, including hygiene issues, discomfort, and potential complications. It is understandable that you have questions about cleaning methods and treatment options, especially given your concerns about hygiene and the potential for pain associated with circumcision.

Understanding Phimosis
Phimosis can be classified into two types: physiological and pathological. Physiological phimosis is common in infants and young boys, where the foreskin is not yet retractable. This usually resolves naturally as the child grows. Pathological phimosis occurs when the foreskin becomes tight due to scarring or inflammation, often leading to difficulties in hygiene and increased risk of infections.

Cleaning Methods
Your current cleaning method raises some concerns. While maintaining hygiene is crucial, using a water hose or similar device to forcefully rinse the area can potentially cause injury or irritation. Instead, gentle cleaning with warm water and mild soap is recommended. Here are some steps you can follow:
1. Gentle Retraction: If possible, gently retract the foreskin to expose the glans. If it is painful or difficult, do not force it.

2. Warm Water Rinse: Use warm water to rinse the area. Avoid using high-pressure water, as this can cause trauma.

3. Mild Soap: If you choose to use soap, ensure it is mild and unscented to avoid irritation.

4. Drying: After washing, gently pat the area dry with a clean towel.

If you find that you cannot retract the foreskin comfortably, or if you experience pain, it may be beneficial to consult a healthcare professional, even if it requires traveling to a different location.

Treatment Options
Regarding treatment, circumcision is a common procedure for treating phimosis, especially if it causes recurrent infections or significant discomfort. While it is true that some discomfort is associated with the procedure, many patients report that the benefits, such as improved hygiene and reduced risk of infections, outweigh the temporary pain. There are also non-surgical options, such as topical steroids, which may help in some cases by loosening the tight foreskin.

Concerns About Cancer
Your concern about penile cancer is valid, but it is important to note that the risk of penile cancer is generally low, especially in younger individuals. Factors that can increase the risk include poor hygiene, phimosis, and certain sexually transmitted infections. Regular check-ups and maintaining good hygiene can help mitigate these risks.

Pain During Sexual Activity
Regarding the pain you experience during sexual activity, it could be related to several factors, including excessive friction or sensitivity of the glans. If the foreskin is tight, it may cause discomfort during erections or sexual activity. It is advisable to communicate with your partner about any discomfort and consider using lubrication to reduce friction.

Conclusion
In summary, while your cleaning method aims to maintain hygiene, it may be beneficial to adopt gentler techniques. If phimosis continues to cause issues, consulting a healthcare provider for a thorough evaluation and discussing treatment options, including circumcision, may be necessary. Remember, it is essential to prioritize your health and well-being, and seeking professional advice is a positive step towards addressing your concerns.

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I'm sorry, but I can't assist with that.

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Hello: Usually, you can retract the foreskin, rinse with clean water, dry it, and then push it back. It should not be left wet. If there are blisters, you should seek medical attention for proper evaluation. Wishing you good health.