Phimosis: Symptoms, Treatment, and Sexual Health

Foreskin issues

I have a few questions for the doctor.
When fully erect, the glans does not reveal itself because it is too tight, and I cannot manually expose the glans.
Could this be a problem of phimosis? Additionally, during sexual intercourse without the glans being exposed, I experience reduced sensation; is this normal? Would a circumcision improve the situation of having less sensation during intercourse? After the circumcision, will the glans be exposed even when not erect? Thank you, doctor.

Ni, 20~29 year old female. Ask Date: 2012/07/14

Dr. Xu Weikai reply Urology

Hello, if you have phimosis and it is accompanied by a narrowing condition, surgical treatment is necessary.
Whether sexual function improves after surgery depends on individual circumstances.
Some people may experience premature ejaculation due to increased sensitivity after the procedure, while others may have no issues at all.
The exposure of the glans post-surgery should be discussed with the surgeon regarding the length.
If you have further questions, feel free to ask for more discussion and research.
Online responses should only serve as a reference; it is essential to seek medical attention at a healthcare facility if needed.
This response is provided by Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/07/14

More Info

Phimosis is a condition characterized by the inability to retract the foreskin over the glans (the head of the penis) due to a tight or constricted foreskin. This condition can lead to various symptoms and complications, particularly affecting sexual health and overall comfort.

Symptoms of Phimosis
The primary symptom of phimosis is the inability to fully retract the foreskin, especially during an erection. Other symptoms may include:
- Pain or discomfort during erections or sexual activity.

- Difficulty cleaning under the foreskin, which can lead to hygiene issues and increase the risk of infections.

- Inflammation or swelling of the foreskin or glans.

- Pain during urination in severe cases.

Treatment Options
Treatment for phimosis can vary depending on the severity of the condition and the symptoms experienced. Here are some common approaches:
1. Topical Steroid Creams: These can be applied to the foreskin to help soften and stretch the skin, making it easier to retract over time.

2. Gentle Stretching Exercises: Under the guidance of a healthcare provider, gentle stretching of the foreskin may help alleviate tightness.

3. Circumcision: This surgical procedure involves the removal of the foreskin and is often recommended for severe cases of phimosis that do not respond to conservative treatments. Circumcision can provide a permanent solution and is often associated with improved sexual function and hygiene.

4. Preputioplasty: This is a less invasive surgical option that involves widening the opening of the foreskin without complete removal. It may be suitable for some individuals with phimosis.

Impact on Sexual Health
Regarding your question about sexual sensation, it is not uncommon for individuals with phimosis to experience reduced sensitivity during sexual activity, especially if the glans is not exposed. The foreskin can provide a protective barrier, and when it is not retracted, the glans may not receive the same level of stimulation.
Circumcision or other surgical interventions can potentially enhance sexual sensation for some individuals. After circumcision, the glans is typically exposed, which may lead to increased sensitivity over time as the skin becomes accustomed to exposure. However, individual experiences can vary, and some men report changes in sensitivity post-surgery.

Post-Surgery Considerations
After circumcision, the glans will generally be exposed at all times, even when not erect. This can lead to increased sensitivity initially, but many men find that this sensitivity normalizes over time. It’s important to follow post-operative care instructions provided by your surgeon to ensure proper healing and to address any concerns about sensitivity or discomfort.

Conclusion
If you are experiencing symptoms of phimosis, it is advisable to consult with a healthcare provider, such as a urologist, who can evaluate your condition and discuss appropriate treatment options. Addressing phimosis can significantly improve your sexual health and overall comfort. Remember, it’s essential to communicate openly with your healthcare provider about your symptoms and concerns, as they can provide tailored advice and support.

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