Foreskin and Frenulum Issues: A Urology Perspective - Urology

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Issues with the foreskin and frenulum?


1.
Whether or not there is an erection, if the foreskin is pulled back and forms a ring at the back, does this have any implications?
2.
I originally had phimosis, but now that I frequently pull back the foreskin, there has been significant improvement.
Since my penis is short and the glans is exposed for a longer time, will it grow larger?
3.
Because my frenulum is tighter, will repeatedly pushing back the foreskin during an erection help loosen the frenulum? Or are there better methods besides medication and surgery?

wei, 10~19 year old female. Ask Date: 2011/11/18

Dr. Xu Weikai reply Urology


Wei: Hello! 1.
Check the tightness; if it's too tight, it may have an impact.
2.
It doesn't matter.
3.
It might be somewhat useful.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2011/11/18

More Info


Understanding issues related to the foreskin and frenulum is essential for maintaining male genital health. Let's address your questions one by one.

1. Foreskin Retraction and Its Effects: If you notice that the foreskin tends to bunch up at the base of the penis regardless of whether you are erect or flaccid, this can be a sign of tightness or a condition known as phimosis. While some degree of foreskin movement is normal, if it causes discomfort or pain, it may be worth consulting a urologist. In many cases, gentle stretching exercises can help alleviate tightness over time. However, if the condition persists or worsens, medical intervention may be necessary.

2. Phimosis and Gland Exposure: You mentioned that you initially had phimosis but have seen improvements by regularly retracting the foreskin. This is a common practice that can help in gradually loosening the foreskin. As for your concern about the size of your penis and whether exposing the glans (the head of the penis) will lead to growth, it’s important to note that the size of the penis is primarily determined by genetics. However, regular exposure of the glans can lead to a change in sensitivity and may help in the overall appearance of the penis over time. It is crucial to ensure that any stretching or retraction is done gently to avoid injury.

3. Tight Frenulum and Stretching: If you have a tight frenulum (the band of tissue on the underside of the penis connecting the glans to the shaft), it can sometimes cause discomfort during erections or sexual activity. While some men find that regular stretching can help to loosen the frenulum, this should be done with caution. Overstretching can lead to tearing or scarring, which may worsen the condition. If you are experiencing significant discomfort, it is advisable to consult a urologist. They can provide options such as topical treatments or surgical procedures like frenuloplasty, which can effectively relieve tightness without compromising sensitivity.

In summary, while some issues related to the foreskin and frenulum can be managed with self-care techniques such as gentle stretching, it is essential to listen to your body. If you experience pain, discomfort, or any significant changes, seeking professional medical advice is the best course of action. Urologists are well-equipped to provide tailored solutions based on individual circumstances, ensuring both comfort and health.

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