Do I Have Phimosis? Foreskin Length and Function

Do I have phimosis?

When I am erect, the entire glans (the rounded part) does not fully emerge, but the foreskin does not cover the urethral opening (the urethra is visible), so sperm can be expelled.
Although I have not engaged in penetrative intercourse, I have no issues with masturbation.
When not erect, the foreskin completely covers the glans, but I can easily retract it, possibly due to daily cleaning.
Therefore, the foreskin is quite loose, and urination is not obstructed (as I can easily expose the urethral opening).
I'm not sure if I have explained this clearly.
Could you please tell me if my foreskin is considered too long? Thank you, Dr.
Lai.

123, 20~29 year old female. Ask Date: 2009/01/20

Dr. Lai Ronghao reply Urology

Regarding phimosis, if the glans does not protrude during an erection, but you can retract the foreskin, it indicates that there is no true phimosis, and circumcision may not be necessary.

Reply Date: 2009/01/20

More Info

Phimosis is a condition where the foreskin cannot be fully retracted over the glans (the head of the penis). In your case, it seems that you have some concerns regarding the length and functionality of your foreskin. Based on your description, it appears that you do not have a classic case of phimosis. Here’s a breakdown of your situation:
1. Erection and Foreskin Retraction: You mentioned that during an erection, the glans does not fully expose itself, but the foreskin does not obstruct the urinary opening. This is an important distinction. If the foreskin can be easily retracted to expose the glans when you are not erect, and you can urinate without obstruction, it suggests that your foreskin is functioning normally.
2. Hygiene and Foreskin Condition: You also noted that you maintain good hygiene by cleaning regularly, which is crucial. Good hygiene can help prevent infections and other complications associated with the foreskin. The fact that you can easily retract the foreskin when not erect indicates that it is not overly tight, which is a common characteristic of phimosis.

3. Length of the Foreskin: The length of the foreskin varies among individuals. Some men have longer foreskins that may cover the glans when flaccid but retract easily when erect. This is not necessarily a medical issue unless it causes discomfort, pain, or hygiene problems.
4. Functionality: Since you mentioned that you can ejaculate without any issues and that you do not experience pain or difficulty during masturbation, this further indicates that your foreskin is functioning properly. Phimosis typically presents with pain during erections or difficulty urinating, which you do not seem to experience.

5. When to Seek Medical Advice: If you ever experience pain, recurrent infections, or if the foreskin becomes difficult to retract even with good hygiene, it would be advisable to consult a healthcare professional. They can provide a thorough examination and discuss potential treatment options if necessary.

In summary, based on your description, it does not appear that you have phimosis. Your foreskin seems to be functioning well, and you are able to maintain proper hygiene. However, if you have any concerns or if your situation changes, it is always a good idea to consult with a healthcare provider for personalized advice and reassurance.

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