Foreskin Issues: A Guide for Teenagers and Parents - Urology

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Prepuce issues


Hello Doctor: I am currently 14 years old, and my penis is about 13 cm in length.
When flaccid, my foreskin covers the glans, but I can retract it completely without pain.
However, when erect, I can only expose the urethral opening and some surrounding areas of the glans; I cannot fully retract it to the coronal region.
Is this considered phimosis or just a long foreskin? How should I address this? Will it retract on its own as I grow older? Additionally, is it normal for the glans to be covered by the foreskin when flaccid? I also masturbate two to three times a week; will this affect my sexual function? Lastly, is it normal for adolescents to masturbate? Thank you for your response!

Mai, 10~19 year old female. Ask Date: 2023/07/06

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2023/07/06

More Info


Understanding foreskin issues is an important topic for both teenagers and their parents, especially during the adolescent years when many physical changes occur. In your case, it sounds like you are experiencing some common concerns regarding the foreskin and its ability to retract.

From your description, it appears that you have a condition known as "phimosis," which is when the foreskin cannot be fully retracted over the glans (the head of the penis) when the penis is erect. It is important to note that some degree of phimosis is normal in younger boys, as the foreskin may not fully retract until puberty or even later. In your situation, since you can retract the foreskin when flaccid without pain, this indicates that you may not have a severe case of phimosis. However, the inability to fully retract the foreskin during an erection could be a concern that warrants further evaluation.

As for your questions about whether this condition will resolve on its own as you grow older, many boys do find that their foreskin becomes more retractable with time and hormonal changes. However, if you experience discomfort, pain, or recurrent infections, it is advisable to consult a healthcare professional, such as a urologist, who specializes in male reproductive health. They can provide guidance on whether any treatment is necessary, which may include gentle stretching exercises or, in some cases, surgical options like circumcision if deemed appropriate.

Regarding your question about the normalcy of having the glans covered by the foreskin when flaccid, this is indeed typical for many boys and men. The foreskin serves a protective function, and its presence over the glans is completely normal when not erect.

Concerning your habits of masturbation, it is a common and normal behavior among teenagers. Masturbation is a natural part of sexual development and does not have any negative effects on sexual function or health when practiced in moderation. It is a way for individuals to explore their bodies, understand their sexual feelings, and relieve sexual tension. As long as it does not interfere with daily activities, relationships, or responsibilities, it is considered a normal part of adolescent development.

In summary, while your foreskin issues may be a source of concern, they are often manageable and may improve with time. If you have any discomfort or further questions, seeking advice from a healthcare provider is the best course of action. Remember, open communication with your parents about these topics can also help alleviate any worries you may have. They can provide support and accompany you to medical appointments if needed.

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