The foreskin has retracted behind the glans?
Hello, doctor.
I am 19 years old this year.
Normally, my glans is covered by the foreskin, and it usually comes out about halfway when I have an erection.
However, today I accidentally pushed the foreskin all the way back behind the glans, right at the corona.
No matter what I do, I can't pull it back down.
I've tried for a long time, but it hasn't worked.
As a result, my glans has been exposed continuously (and it feels a bit painful when touched) for a whole day.
I've heard that if it doesn't go back, it could lead to necrosis of the glans, but I'm afraid to see a doctor.
I'm really distressed and can't sleep.
I hope you can provide me with some answers.
Thank you.
Jinghuang de ren, 10~19 year old female. Ask Date: 2005/07/17
Dr. Lai Ronghao reply Urology
Hello: Your issue is that the foreskin is stuck at the neck of the glans.
Please try to pull it back to cover the glans.
If you are unable to do so, please seek medical attention as soon as possible.
Thank you!
Reply Date: 2005/07/17
More Info
It sounds like you're experiencing a condition known as "retracted foreskin" or "paraphimosis," which occurs when the foreskin is pulled back behind the glans (the head of the penis) and cannot be returned to its normal position. This can lead to swelling and pain, and if not addressed, it can potentially cause serious complications, including reduced blood flow to the glans, which could lead to tissue damage or necrosis.
First and foremost, it is crucial to understand that this situation requires prompt medical attention. While it may be uncomfortable or embarrassing to visit a doctor, delaying treatment can lead to more severe complications. Here are some steps you can take and considerations to keep in mind:
1. Seek Medical Attention: You should see a healthcare professional as soon as possible. They can assess the situation and provide appropriate treatment. In many cases, a doctor can manually reduce the foreskin back to its normal position. This is often done in a clinical setting where the healthcare provider can ensure your safety and comfort.
2. Avoid Manipulation: While it may be tempting to continue trying to push the foreskin back into place, this can lead to further swelling or injury. It's best to avoid any additional manipulation until you can see a healthcare provider.
3. Cold Compress: If there is swelling, applying a cold compress to the area may help reduce inflammation and discomfort. However, do not apply ice directly to the skin; wrap it in a cloth or towel.
4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, consult with a healthcare provider before taking any medication, especially if you have any underlying health conditions or are taking other medications.
5. Monitor Symptoms: Keep an eye on any changes in symptoms. If you notice increased swelling, redness, or if you experience severe pain, these could be signs of complications that require immediate medical attention.
6. Educate Yourself: Understanding the anatomy and function of the foreskin can help alleviate some anxiety. The foreskin is designed to protect the glans and keep it moist. In some cases, individuals may have a naturally tight foreskin, which can lead to issues like paraphimosis or phimosis (where the foreskin cannot be retracted).
7. Future Prevention: Once the immediate issue is resolved, consider discussing with your doctor about proper care and management of the foreskin. If you have recurrent issues, they may recommend treatments or procedures to prevent future occurrences.
In summary, while it may feel daunting, it is essential to seek medical help for your condition. Paraphimosis can lead to serious complications if not treated promptly. A healthcare professional can provide the necessary care to resolve the issue and help you avoid similar situations in the future. Remember, your health and well-being are the top priority, and medical professionals are there to help you without judgment.
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