Common Penile Concerns: A Urology Perspective - Urology

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Penile issues


1.
Hello doctor, when my penis is not erect, the foreskin covers most of the glans, but it can be retracted to expose the entire glans.
However, when fully exposed, the glans bends to the left due to the frenulum.
Is this normal?
2.
When erect, the glans is exposed, but the foreskin does not fully retract.
I can push it back to reveal the coronal sulcus, but pushing it further causes pain.
After pushing back the foreskin, it tends to spring back forward to cover the shaft (but not the glans).
What could be the reason for this?
3.
My glans appears noticeably smaller than others, and it seems like it hasn't grown much since high school.
Is there a problem with this?

Xiao Qi, 20~29 year old female. Ask Date: 2015/12/04

Dr. Xu Weikai reply Urology


Hello, 7-Eleven:
1.
It may be normal.
If you have concerns, it's best to seek medical attention.

2.
It could be that certain areas of the foreskin are narrower.

3.
Everyone's glans size is different.
As long as erections are normal, it should be fine.
However, if you feel very uncomfortable, consult a urologist.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, you should visit a medical facility.

This response is from Dr.
Hsu Wei-Kai, Chief of Urology at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/04

More Info


Understanding common penile concerns is essential for both patients and healthcare providers. Your questions touch on several important aspects of penile anatomy and function, and I will address each one in detail.

1. Normal Anatomy and Curvature: It is not uncommon for the glans (the head of the penis) to be partially covered by the foreskin when not erect. The ability to retract the foreskin to expose the glans is a normal anatomical feature, provided there is no pain or difficulty in doing so. The slight curvature of the penis to one side when fully exposed is also generally considered normal, as many men have a natural curvature. However, if the curvature is pronounced or causes discomfort during sexual activity, it may be worth discussing with a urologist, as it could indicate a condition like Peyronie's disease.

2. Foreskin Retraction and Pain: The issue of the foreskin not retracting fully during an erection can be attributed to several factors, including the tightness of the foreskin (phimosis) or sensitivity of the glans. If you experience pain when attempting to retract the foreskin beyond a certain point, it may indicate that the foreskin is too tight or that there is an underlying sensitivity issue. Phimosis can be treated with topical steroids or, in some cases, surgical intervention. It is important to avoid forcing the foreskin back if it causes pain, as this can lead to further complications.

3. Size Concerns: Regarding your concern about the size of your glans, it is important to note that there is a wide range of normal sizes for the penis and glans. Factors such as genetics, hormonal levels during puberty, and overall health can influence growth. If you feel that your penis has not developed normally or if you have concerns about your sexual health or function, it may be beneficial to consult with a healthcare provider. They can assess whether there are any underlying medical conditions that need to be addressed.

In summary, while some variations in penile anatomy and function are normal, any concerns regarding pain, significant curvature, or developmental issues should be evaluated by a urologist. They can provide a thorough examination and discuss potential treatment options if necessary. Remember, open communication with your healthcare provider is key to addressing any concerns you may have about your sexual health.

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