Managing Phimosis: Can Steroid Cream Help? - Urology

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Retracting the foreskin?


I attempted to retract the foreskin during an erection, but the opening is only large enough to expose half of the glans.
I read online that I could try using a "steroid ointment" to address this issue.
I'm not sure where I can purchase it on the market.
What is the name of the ointment, or is it necessary to have a prescription from a doctor?

An An, 20~29 year old female. Ask Date: 2023/09/06

Dr. Du Shixi reply Urology


Hello: Depending on the severity, some cases of phimosis may require medical attention.
Please consult a physician for evaluation.

Reply Date: 2023/09/06

More Info


Phimosis, a condition where the foreskin cannot be easily retracted over the glans (tip of the penis), can be a source of discomfort and concern for many. In some cases, steroid creams can be effective in managing this condition, particularly when the phimosis is due to inflammation or scarring of the foreskin.
Topical corticosteroids, such as betamethasone or mometasone, are often prescribed to help reduce inflammation and promote the thinning of the foreskin, making it easier to retract. The mechanism behind this treatment involves the anti-inflammatory properties of the steroids, which can help alleviate any swelling and irritation that may be contributing to the tightness of the foreskin.
In terms of availability, steroid creams are typically available by prescription, as they are classified as medications that require a healthcare provider's oversight. While some lower-potency topical steroids may be available over the counter, it is advisable to consult with a healthcare professional before starting any treatment. This is particularly important in the case of phimosis, as a healthcare provider can assess the severity of the condition and recommend the most appropriate treatment plan.

If you are considering using a steroid cream for phimosis, it is crucial to follow the instructions provided by your healthcare provider. Generally, the cream is applied to the foreskin and the glans once or twice daily for a specified period, usually a few weeks. During this time, gentle stretching of the foreskin may also be recommended to facilitate retraction.
It is important to note that while steroid creams can be effective, they are not a one-size-fits-all solution. If there is no improvement after a few weeks of treatment, or if the condition worsens, further evaluation by a urologist or dermatologist may be necessary. They can explore other treatment options, which may include more invasive procedures such as circumcision or preputioplasty, especially if the phimosis is causing significant discomfort or recurrent infections.

In summary, steroid creams can be a helpful part of managing phimosis, particularly when inflammation is a contributing factor. However, it is essential to consult with a healthcare provider to ensure that you receive the appropriate treatment and guidance tailored to your specific situation. Always prioritize professional medical advice over self-treatment, especially when it comes to sensitive areas of the body.

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