and Managing Recurrent Foreskin Injuries: A Urology Perspective - Urology

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Phimosis issues?


Hello Doctor: I would like to ask about a wound on the opening of my foreskin (the wound looks like a scratch from a knife).
It heals in a few days, but after a few days, another wound appears in a different location.
This has been going on for several weeks, and sometimes there is a little blood, with more than one wound present.
Occasionally, I experience a sharp pain while urinating, but sometimes I do not.
I would like to know what could be causing this and how I can manage it.
Should I clean the area while there is a wound, or should I wait until it has completely healed before cleaning (approximately how long will that take)? Thank you.

Niming, 30~39 year old female. Ask Date: 2023/06/13

Dr. Du Shixi reply Urology


Hello: It is recommended that you seek medical attention for your condition, as medication may be necessary.
Please find time to visit a healthcare provider.
In the meantime, keep the affected area clean and dry, and make sure to dry it thoroughly if it gets wet.
If you notice any redness on the skin, seek medical care promptly.
Wishing you good health.

Reply Date: 2023/06/13

More Info


Hello! It sounds like you're experiencing recurrent injuries to your foreskin, which can be quite uncomfortable and concerning. Let's break down your situation and discuss potential causes, management strategies, and when to seek further medical attention.


Understanding the Condition
The symptoms you're describing—recurring scrapes or cuts on the foreskin, occasional bleeding, and pain during urination—could be indicative of several underlying issues. Here are some possibilities:
1. Friction or Trauma: If there is excessive friction during sexual activity or even during daily activities, this can lead to micro-tears in the foreskin. This is especially common if the foreskin is tight (a condition known as phimosis) or if there is insufficient lubrication.

2. Infection: Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can cause irritation and lead to sores. These conditions can be caused by poor hygiene, yeast infections, or sexually transmitted infections.

3. Dermatological Conditions: Skin conditions such as eczema or psoriasis can also affect the genital area, leading to irritation and sores.

4. Allergic Reactions: Sometimes, reactions to soaps, detergents, or even latex in condoms can cause irritation and lead to skin injuries.


Management Strategies
1. Hygiene: It's crucial to maintain proper hygiene. Gently clean the area with mild soap and water, and ensure that you dry it thoroughly. Avoid harsh soaps or products that can irritate the skin.

2. Avoiding Irritation: If you suspect friction is causing the injuries, consider using a water-based lubricant during sexual activity. This can reduce friction and help prevent further injuries.

3. Observation: If the wounds are small and healing within a few days, you may not need to take any drastic measures. However, if they persist or worsen, it’s essential to consult a healthcare provider.

4. Avoiding Manipulation: While it might be tempting to inspect the area frequently, it’s generally best to avoid excessive handling of the injured area until it has healed. This can help prevent further irritation or infection.

5. When to Seek Help: If you notice any signs of infection (such as increased redness, swelling, warmth, or discharge), or if the pain during urination becomes severe, it’s important to seek medical attention. Additionally, if the sores do not heal or continue to recur, a urologist can provide a more thorough evaluation.


Healing Time
The healing time for minor cuts or scrapes can vary, but typically, small injuries should start to heal within a few days. If you are experiencing recurrent injuries, it may take longer for the area to fully heal, especially if there is ongoing irritation or trauma.


Conclusion
In summary, recurrent foreskin injuries can be caused by various factors, including friction, infection, or dermatological conditions. Maintaining good hygiene, avoiding irritants, and allowing the area to heal without excessive manipulation are key steps in managing your symptoms. If the condition persists or worsens, consulting a healthcare professional, particularly a urologist, is advisable for a comprehensive evaluation and treatment plan.
Take care, and I hope you find relief soon!

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