Foreskin Issues: Urinary Difficulties and Solutions

The foreskin?

The area outside that has blood vessels is the foreskin.
Inside the foreskin, there is a head, which is a line, and urine comes out from the urethra.
However, my foreskin often covers that line, causing difficulty in urination, and it often comes out at an angle.
Sometimes, during an erection, the skin gets pulled back, making it unable to cover properly, and it feels very loose.

Shenmi Renwu, 10~19 year old female. Ask Date: 2005/05/01

Dr. Cai Bingkun reply Urology

Hello! Phimosis can be classified into complete phimosis and incomplete phimosis.
Complete phimosis is when the foreskin cannot be retracted past the coronal sulcus of the glans penis, and this condition typically requires surgical treatment, such as circumcision.
Incomplete phimosis, on the other hand, requires attention to local hygiene and may not necessarily require surgical intervention.
Thank you!

Reply Date: 2005/05/01

More Info

Understanding foreskin issues, particularly in relation to urinary difficulties, is essential for addressing the concerns you've raised. The foreskin, or prepuce, is a fold of skin that covers the glans (the head) of the penis. It plays a role in protecting the glans and maintaining sensitivity. However, issues with the foreskin can lead to various complications, including urinary difficulties.

From your description, it seems you may be experiencing a condition known as phimosis, where the foreskin cannot be easily retracted over the glans. This can lead to discomfort during urination, as the foreskin may obstruct the urinary stream, causing the urine to spray or flow unevenly. Additionally, if the foreskin is too tight, it can lead to pain or tearing during erections, which you mentioned as well.

Here are some potential solutions and considerations for your situation:
1. Gentle Retraction: If you are comfortable, you can try gently retracting the foreskin during urination. This may help to alleviate some of the obstruction. However, it is crucial to do this gently to avoid causing pain or injury.

2. Topical Treatments: In some cases, applying a topical steroid cream can help to loosen the foreskin and make it easier to retract. This should be done under the guidance of a healthcare professional.

3. Hygiene: Maintaining good hygiene is essential. Ensure that the area is clean and dry to prevent infections, which can exacerbate urinary difficulties.

4. Consultation with a Urologist: Given the symptoms you've described, it would be wise to consult a urologist. They can perform a thorough examination and may recommend treatments such as stretching exercises or, in more severe cases, surgical options like circumcision or preputioplasty. These procedures can alleviate the issues related to phimosis and improve urinary flow.

5. Addressing Psychological Factors: Anxiety or stress can also play a role in urinary difficulties. If you find that you are anxious about urinating in public or around others, consider speaking with a mental health professional. They can provide strategies to manage anxiety, which may improve your overall urinary function.

6. Hydration and Diet: Staying well-hydrated can help ensure that your urine is less concentrated, which may reduce discomfort during urination. A balanced diet can also contribute to overall urinary health.

7. Monitoring Symptoms: Keep track of your symptoms, including any pain, changes in urinary flow, or other concerns. This information can be valuable for your healthcare provider in determining the best course of action.

In summary, urinary difficulties related to foreskin issues can stem from conditions like phimosis, which may require medical intervention. It is essential to seek professional advice to explore the best treatment options tailored to your specific situation. Addressing both the physical and psychological aspects of your symptoms can lead to significant improvements in your urinary health and overall well-being.

Similar Q&A

Understanding Urethral Issues in Males: Causes and Solutions

It seems that the frenulum connecting your glans to the foreskin is pulling down on your urethral opening, causing it to become increasingly enlarged. This has resulted in a flattened urine stream and frequent dribbling while urinating. What options are available to address this ...

Dr. Liu Jianting reply Urology
There is a way! However, seeing is believing. Please visit a hospital to consult a urologist for an examination.

Understanding Foreskin Issues: When to Seek Treatment for Urological Concerns

Hello Doctor: When I am erect, my foreskin covers most of the glans, with only the urethral opening exposed (normally, when not erect, I can retract the foreskin behind the glans). As for ejaculation, there are no significant obstacles; I am unsure if this requires treatment. Add...

Dr. Lai Ronghao reply Urology
Hello, Xiao Pi: Based on your description, you have some signs of phimosis. If you maintain good hygiene, there is no need to worry too much. As for the presence of a membrane, it is best for you to visit a urology clinic for an examination. Sincerely, Dr. Lai Rong-Hao, Attending...

Relieving Severe Pain from Urological Issues: What to Do Next?

The situation is as follows: suddenly, the entire foreskin has become retracted and cannot be pulled back, and there are white, chunky substances that have made it impossible to clean. Additionally, there is significant itching near the testicles, and the area at the tip of the f...

Dr. Chen Jiansheng reply Urology
Please seek medical attention.

Understanding Glans Issues: Pain, Irritation, and Hygiene Concerns

Hello, doctor! I apologize for asking you some questions. I previously had phimosis, but I followed the advice to retract the foreskin. However, when I had phimosis, I often didn't dry myself properly after urinating, which sometimes led to urine accumulating under the fores...

Dr. Lai Ronghao reply Urology
Your description is very clear; it may be smegma. If the discomfort persists, please seek medical attention for an examination.