Managing Sensitivity and Foreskin Issues: What You Need to Know - Urology

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Sensitive glans and phimosis?


Hello, Director Hsu.
I would like to ask some questions.
I have a condition of phimosis, but my glans is very sensitive, and I can't touch it much while cleaning during showers.
If I choose to undergo circumcision, will the sensitivity of my glans make it difficult for me to engage in sexual intercourse? Is there a way to reduce the sensitivity of my glans? If I choose not to have a circumcision, what consequences might I face? During sexual intercourse, is it possible for my foreskin to be forcibly pushed back over the glans, causing damage or necrosis to the glans?

Xiao Wen, 10~19 year old female. Ask Date: 2007/04/07

Dr. Xu Weikai reply Urology


Hello, sensitivity of the foreskin is often observed in young men, which can lead to occurrences of premature ejaculation.
If there is no phimosis and the foreskin can be easily retracted to expose the glans, surgical intervention is not necessary.
However, if phimosis is present, surgical correction is generally recommended.
Not undergoing circumcision will not lead to the issues you mentioned.
To reduce sensitivity of the glans, gently rubbing the glans with a towel while showering can help desensitize it over time.
Additionally, using condoms during intercourse can effectively prolong erection duration.
This is a response from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/04/07

More Info


Managing sensitivity and foreskin issues can be a complex topic, especially when it involves personal comfort and sexual health. Let's break down your concerns regarding phimosis (the condition of having a tight foreskin) and sensitivity of the glans (the head of the penis).


Understanding Phimosis and Sensitivity
Phimosis is a condition where the foreskin cannot be easily retracted over the glans. This can lead to discomfort during hygiene practices, sexual activity, and may increase the risk of infections. Sensitivity of the glans is common, especially in individuals who have not been circumcised, as the glans is typically covered by the foreskin and may not be accustomed to direct contact.


Options for Managing Sensitivity
1. Desensitization Techniques: If you are concerned about sensitivity, there are methods to help desensitize the glans. This can include gradually exposing the glans to air and gentle touch over time. Some men find that using a mild topical anesthetic cream (with a doctor’s guidance) can help reduce sensitivity temporarily.

2. Foreskin Care: Proper hygiene is crucial. Ensure that you clean the area gently but thoroughly to prevent infections. If you choose not to undergo circumcision, maintaining good hygiene can help mitigate some issues associated with phimosis.

3. Stretching Exercises: Some men find that gentle stretching of the foreskin can help alleviate tightness. This should be done carefully and gradually to avoid pain or injury.


Considering Circumcision
Circumcision is a common procedure that involves the removal of the foreskin. It can provide several benefits, including:
- Reduced Sensitivity: After circumcision, many men report a decrease in sensitivity of the glans, which can lead to a more comfortable sexual experience.

- Easier Hygiene: Without the foreskin, cleaning the area becomes simpler, potentially reducing the risk of infections.

However, it’s important to note that circumcision is a personal choice and should be made after careful consideration of the pros and cons.


Risks of Not Addressing Phimosis
If you choose not to undergo circumcision, there are potential risks associated with untreated phimosis:
- Pain During Erection: A tight foreskin can cause pain during erections, which may affect sexual performance and enjoyment.

- Infections: Phimosis can lead to an increased risk of infections, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin).

- Paraphimosis: This is a condition where the foreskin becomes trapped behind the glans and cannot be returned to its normal position, which can lead to swelling and pain. This is a medical emergency.


Concerns About Sexual Activity
Regarding your concern about the potential for the foreskin to be pushed back forcefully during sexual activity, it is crucial to communicate openly with your partner about comfort levels. If you experience pain or discomfort, it’s essential to stop and reassess the situation. While it is unlikely that this would lead to necrosis (tissue death) of the glans, any significant pain or injury should be evaluated by a healthcare professional.


Conclusion
In summary, managing sensitivity and foreskin issues involves understanding your body and considering your options carefully. If you are experiencing significant discomfort or have concerns about your sexual health, it is advisable to consult a urologist or healthcare provider who specializes in sexual health. They can provide personalized advice and treatment options tailored to your specific situation. Remember, open communication with your partner and healthcare provider is key to navigating these concerns effectively.

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