Phimosis and Hygiene: Urinary Tips for Better Health

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The doctor previously asked you about the ulceration or eczema, noting that you have a partial phimosis, where the glans is covered when not erect but can protrude when erect.
When not erect, you can also retract the foreskin freely.
You mentioned that when you urinate, you do not retract the foreskin to expose the glans.
Should the foreskin be retracted during urination for better hygiene and to potentially reduce infections related to the glans and eczema? Additionally, you observed that others shake their penis after urination; what is the purpose of that action? Does it help in removing any residual urine?

Yihu, 20~29 year old female. Ask Date: 2015/08/10

Dr. Xu Weikai reply Urology

Hello, it would be better to clean it thoroughly.
A little bit of discomfort is not a big deal.
Everyone's body constitution is different.
If you have any concerns, you can visit a nearby medical facility for relevant tests.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only serve as a reference; if necessary, you should seek medical attention at a healthcare institution.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/10

More Info

Phimosis, a condition where the foreskin cannot be easily retracted over the glans (head) of the penis, can lead to various hygiene issues and potential health concerns if not managed properly. It is essential to maintain good hygiene to prevent infections, including urinary tract infections (UTIs) and skin conditions like eczema or dermatitis, particularly in individuals with phimosis.

Hygiene and Urination Tips
1. Retracting the Foreskin: If you have phimosis but can retract the foreskin without pain, it is advisable to do so during urination. This allows for better cleaning of the glans, which can help prevent the buildup of smegma (a combination of dead skin cells, oils, and moisture) that can lead to irritation or infection. However, if retraction is painful or difficult, it is essential to consult a healthcare provider for advice tailored to your situation.

2. Cleaning the Area: Regular cleaning of the genital area is crucial. If you can retract the foreskin, gently wash the glans with warm water during your daily hygiene routine. Avoid using harsh soaps, as they can irritate the sensitive skin of the glans. If you cannot retract the foreskin, ensure that you clean the outer part thoroughly to minimize the risk of infections.

3. Urination Technique: The act of shaking or "dousing" the penis after urination is a common practice among men. This technique helps to expel any remaining urine from the urethra, reducing the likelihood of dribbling and ensuring that the area remains dry. This practice can be particularly beneficial for individuals with phimosis, as it helps to keep the area clean and dry, which is essential for preventing infections.

4. Hydration: Adequate water intake is vital for urinary health. It helps dilute the urine, reducing the concentration of potentially irritating substances that can lead to urinary tract infections. Aim to drink enough fluids throughout the day to maintain clear or light yellow urine.

5. Recognizing Symptoms: Be aware of any signs of infection, such as redness, swelling, pain during urination, or unusual discharge. If you experience any of these symptoms, it is crucial to seek medical attention promptly.

6. Consultation with a Healthcare Provider: If you have persistent issues with phimosis, such as pain, difficulty urinating, or recurrent infections, it may be necessary to consult a urologist. They can provide options for treatment, which may include topical steroids to help with retraction or, in some cases, surgical options like circumcision.

Conclusion
Maintaining proper hygiene is essential for individuals with phimosis to prevent infections and other complications. Retracting the foreskin during urination, if possible, can aid in cleaning the glans and reducing the risk of irritation. Additionally, practices such as shaking after urination can help ensure that the area remains dry and clean. Always consult a healthcare provider for personalized advice and treatment options tailored to your specific condition. Regular check-ups and open communication with your healthcare provider can help manage any concerns related to phimosis and urinary health effectively.

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