Phimosis: Can Excess Foreskin Shrink Over Time? - Urology

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Phimosis


Hello doctor, I have a problem with phimosis.
In the past, I was unable to fully expose the glans during an erection, but after practicing for a long time, I can now do so.
I no longer feel constricted during erections.
In my daily life, I have been retracting the foreskin behind the glans to keep it exposed for about two weeks.
The foreskin has many folds.
I would like to know if, over time, these folds might gradually disappear, meaning will the excess foreskin eventually shorten?

Niming, 10~19 year old female. Ask Date: 2023/11/19

Dr. Du Shixi reply Urology


Hello: It should be fine, wishing you good health.

Reply Date: 2023/11/19

More Info


Phimosis, a condition characterized by the inability to retract the foreskin over the glans (the head of the penis), can indeed be a concern for many men. Your experience of having difficulty exposing the glans during an erection, followed by a gradual improvement through practice, is not uncommon. This condition can be influenced by various factors, including age, hygiene practices, and the elasticity of the foreskin.

To address your question about whether excess foreskin can shrink over time, it is essential to understand the anatomy and physiology of the foreskin. The foreskin is composed of skin and mucosal tissue, which can be somewhat elastic. In some cases, with regular retraction and exposure of the glans, the foreskin may become more pliable, and the tightness can diminish. This process is often referred to as "foreskin stretching," and it can lead to a more comfortable state where the foreskin can be retracted easily without discomfort.

However, it is important to note that while some men may experience a reduction in the apparent excess of foreskin through stretching, this does not guarantee that the foreskin will permanently shrink or that the folds (or wrinkles) will disappear entirely. The skin may adapt to some extent, but the overall size and shape of the foreskin are largely determined by genetics and individual anatomy.

In your case, since you have been practicing retraction and have noticed improvements, it is possible that continued practice may lead to further changes. However, if you have significant concerns about the amount of foreskin or if you experience discomfort, pain, or recurrent infections, it may be beneficial to consult a healthcare professional. They can provide a thorough examination and discuss potential treatment options, which may include topical steroid creams to help with stretching, or in some cases, surgical options like circumcision if deemed necessary.

It's also worth mentioning that maintaining good hygiene is crucial, especially if you have a longer foreskin. Regular cleaning can help prevent infections and other complications associated with phimosis. If you notice any signs of infection, such as redness, swelling, or discharge, it is important to seek medical attention promptly.

In summary, while some men may experience a reduction in the tightness of the foreskin over time with regular practice, it is not guaranteed that the excess foreskin will shrink significantly. If you have ongoing concerns or discomfort, consulting a healthcare provider is advisable to explore your options and ensure your health and comfort.

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