Phimosis: Non-Surgical Solutions and Hygiene Tips

Prepuce

Hello, doctor: I previously inquired about my foreskin issue, but I still have some questions.
My glans cannot naturally be exposed; I need to pull it back with my hand, which can be a bit painful.
If I do not want to undergo surgery, can I try to expose the glans by pulling it back during my daily showers? Additionally, sometimes I notice a slight odor; does this mean I need to consider a circumcision?

Shen Dian Shou Hu Zhe, 20~29 year old female. Ask Date: 2003/10/27

Dr. Liu Jianting reply Urology

That's great! You're getting more and more knowledgeable! If there's still pain, consider consulting a urologist.
As for the odor, proper cleaning should help improve it.
You should discuss with your doctor whether a circumcision is necessary before making a decision.

Reply Date: 2003/10/27

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, hygiene issues, and sometimes infections. Understanding phimosis is crucial for determining the best course of action, especially if you are looking for non-surgical solutions.

Firstly, it is important to differentiate between physiological and pathological phimosis. Physiological phimosis is common in infants and young boys, where the foreskin is not yet retractable due to natural adhesion. This usually resolves on its own as the child grows. Pathological phimosis, on the other hand, occurs when the foreskin becomes tight due to scarring, inflammation, or infection, and this is the type that may require intervention.

In your case, since you mentioned that you can retract the foreskin with some discomfort and that you sometimes notice an odor, it suggests that there may be some inflammation or infection present. This could be due to poor hygiene or a condition known as balanitis, which is inflammation of the glans.
Here are some non-surgical solutions and hygiene tips that may help:
1. Gentle Retraction: You can try gently retracting the foreskin during bathing. It is important to do this slowly and without force to avoid pain or injury. If you experience significant pain, it is advisable to stop and consult a healthcare provider.

2. Hygiene: Maintaining good hygiene is crucial. Make sure to clean the area under the foreskin daily with warm water. Avoid using harsh soaps or chemicals that could irritate the sensitive skin. If you notice any discharge or persistent odor, this could indicate an infection, and you should seek medical advice.

3. Topical Treatments: Some healthcare providers recommend the use of topical corticosteroids to help loosen the tight foreskin. These creams can reduce inflammation and may make it easier to retract the foreskin over time. However, this should only be done under the guidance of a healthcare professional.

4. Stretching Exercises: Gradual stretching of the foreskin can sometimes help. This involves gently pulling the foreskin back a little further each day. Again, this should be done carefully to avoid pain.

5. Avoiding Irritants: If you are using any products (like scented soaps or lotions) that may irritate the area, consider stopping their use.
6. Consultation with a Specialist: If the condition does not improve with these measures, or if you continue to experience pain or discomfort, it is advisable to consult a urologist. They can provide a thorough examination and discuss further options, which may include surgical interventions if necessary.

In summary, while there are non-surgical approaches to managing phimosis, it is essential to listen to your body. If you experience pain during retraction or notice persistent odor or discharge, it is crucial to seek medical advice. A healthcare professional can provide tailored recommendations based on your specific situation and ensure that any underlying issues are addressed appropriately.

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

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