Can the Foreskin Opening Stretch? Phimosis and Treatment Options

Can the opening of the foreskin be stretched?

I really appreciate Dr.
Hsu's responses because they are very detailed.
I would like to ask Dr.
Hsu some questions that have been bothering me for a long time.
I have phimosis (the glans cannot be exposed whether I am erect or not), but when I am not erect, I can easily retract the foreskin to expose the glans and can also pull it back easily (during this process, the glans feels a bit dry and painful, but when I am in the shower, it does not hurt due to the moisture).
However, when I am erect, I can only retract it about halfway (I cannot reach the coronal sulcus, and it is somewhat painful whether there is moisture or not).
Since I can easily pull it back when not erect, I have no issues urinating (nor during ejaculation).
It is also quite convenient to clean during showers, and I wash it every day.
I would like to ask the doctor: 1.
Do I need a circumcision or a preputial plasty? 2.
If I intentionally pull the foreskin back slowly every time I have an erection, will this eventually allow the opening of the foreskin to stretch enough so that it can retract to the coronal sulcus without pain? 3.
Is it normal for the surface of the exposed glans to become dry or wrinkled after being retracted for a long time when not erect? Thank you very much!

xiang xun qiu jie da, 20~29 year old female. Ask Date: 2009/12/09

Dr. Xu Weikai reply Urology

If you experience pain during an erection due to a tight foreskin, you may consider surgical correction.
Gradually stretching the foreskin requires patience and should be done carefully to avoid causing any wounds, as this could lead to foreskin hardening (fibrosis).
The glans may become exposed, which can lead to dryness due to moisture loss.
If you have any further questions or need more details, feel free to ask, and we can discuss and research together.

Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology
Taitung Hospital, Ministry of Health and Welfare

Reply Date: 2009/12/09

More Info

Phimosis is a condition where the foreskin cannot be fully retracted over the glans (the head of the penis). This can lead to discomfort, hygiene issues, and in some cases, complications such as infections. Your description indicates that you have a form of phimosis where the foreskin can be retracted when not erect, but becomes tight during an erection, causing pain and difficulty in retraction. Let's address your questions one by one.

1. Do you need a circumcision or a prepuce restoration procedure?
The necessity for circumcision or any surgical intervention largely depends on the severity of your symptoms and how they affect your quality of life. If you are experiencing pain, discomfort, or hygiene issues, it may be advisable to consult a urologist. They can assess your condition and discuss potential treatment options, which may include circumcision or other less invasive methods such as topical steroid creams to help loosen the foreskin. If you are able to maintain hygiene and do not experience significant pain or complications, some individuals choose to manage the condition without surgery.

2. Can stretching the foreskin help?
Gradual stretching of the foreskin can sometimes help in cases of mild phimosis. This can be done gently and consistently over time, but it should be approached with caution. It is important to ensure that you are not causing pain or injury during the process. Using a lubricant during stretching may help reduce discomfort. However, if you experience significant pain or if the foreskin does not seem to be loosening, it would be wise to consult with a healthcare professional. They can provide guidance on safe stretching techniques or alternative treatments.

3. Is it normal for the glans to become dry or wrinkled when exposed?
Yes, it is normal for the glans to appear dry or wrinkled when it is exposed for extended periods, especially if it is not accustomed to being exposed. The glans is typically covered by the foreskin, which keeps it moist and protected. When exposed, it may take time for the skin to adjust, and dryness can occur. It is important to maintain good hygiene and consider using a gentle moisturizer if dryness becomes bothersome. However, if you notice any unusual changes, such as persistent irritation, redness, or lesions, you should seek medical advice.

In summary, while stretching the foreskin may help in some cases, it is essential to do so carefully and to monitor for any pain or complications. Consulting a urologist can provide you with tailored advice based on your specific situation. They can help determine whether surgical intervention is necessary or if conservative management is sufficient. Remember, maintaining open communication with your healthcare provider is key to addressing any concerns you may have regarding your condition.

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