Phimosis Treatment: Should You Return to Original State After Applying Ointment?

Q: Phimosis Treatment: Should You Return to Original State After Applying Ointment?

Hello, a 21-year-old friend： You need to reposition the glans, otherwise it will become very swollen. <br>Note： Usually, it is sufficient to apply the ointment on the foreskin. <br>If there are any unclear points, feel free to ask again, and we can discuss and research further. <

Phimosis

I am currently being treated for phimosis, and my doctor prescribed an external and internal ointment (Clobetasol).
When applying the ointment, I expose the glans.
After applying the medication, should I return the foreskin to its original phimosis state?

Bu dong wen ti xiao peng you, 20~29 year old female. Ask Date: 2008/10/04

Dr. Xu Weikai reply Urology

Hello, a 21-year-old friend: You need to reposition the glans, otherwise it will become very swollen.
Note: Usually, it is sufficient to apply the ointment on the foreskin.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director: Hsu Wei-Kai.

Reply Date: 2008/10/04

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). Treatment options for phimosis vary depending on the severity of the condition and the patient's age. In many cases, topical treatments, such as corticosteroid ointments, are prescribed to help soften the foreskin and make it easier to retract.
In your case, you mentioned that your doctor prescribed a topical ointment (likely betamethasone or a similar corticosteroid) to be applied while the glans is exposed. This treatment is designed to reduce inflammation and promote the stretching of the foreskin. After applying the ointment, it is generally advisable to return the foreskin to its original position, covering the glans. This is important for several reasons:
1. Protection of the Glans: Keeping the glans covered helps protect it from irritation and friction that can occur from clothing or other activities. The glans is sensitive, and prolonged exposure can lead to discomfort or even injury.

2. Effectiveness of the Treatment: The ointment is intended to work while in contact with the affected area. By covering the glans with the foreskin after application, you may help maintain the ointment's effectiveness and allow it to penetrate the skin better.

3. Comfort: Many individuals find it more comfortable to have the foreskin in its natural position after treatment. Exposing the glans for extended periods may lead to discomfort or sensitivity.

4. Gradual Stretching: If your treatment plan includes gradual stretching of the foreskin, it is essential to follow your doctor's instructions carefully. This may involve gently retracting the foreskin during application and then returning it to its original position.

It is crucial to follow your doctor's specific instructions regarding the application of the ointment and any subsequent care. If you have any concerns or experience pain, discomfort, or any unusual symptoms, it is essential to consult your healthcare provider promptly.

In addition to topical treatments, some patients may require other interventions if phimosis does not improve with conservative measures. These can include:
- Stretching Exercises: Your doctor may recommend specific stretching exercises to help gradually loosen the foreskin.

- Circumcision: In more severe cases or when conservative treatments fail, circumcision (the surgical removal of the foreskin) may be considered.

- Preputioplasty: This is a less invasive surgical option that involves widening the opening of the foreskin without removing it.

In conclusion, after applying the ointment for phimosis, it is generally advisable to return the foreskin to its original position to protect the glans and enhance the treatment's effectiveness. Always consult your healthcare provider for personalized advice and follow their recommendations closely for the best outcomes.

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