Foreskin Care: Addressing Concerns About Sensitivity and Hygiene - Urology

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When it comes to foreskin care, particularly after the first experience of retracting the foreskin, it's essential to approach the situation with both caution and proper hygiene. Here’s a comprehensive response to your concerns regarding sensitivity, hygiene, and the care of the glans (the head of the penis).


Understanding Sensitivity and Hygiene
1. Sensitivity After Retraction: It is common to experience increased sensitivity in the glans after the foreskin has been retracted for the first time. This is because the glans is typically covered by the foreskin, which protects it from friction and exposure. Once exposed, it may feel uncomfortable or overly sensitive. This sensitivity usually decreases over time as the skin becomes accustomed to exposure.

2. Presence of Smegma: The yellowish, sometimes reddish material you noticed around the glans is likely smegma, a combination of dead skin cells, oils, and moisture that can accumulate under the foreskin. It is important to clean this area regularly to maintain hygiene and prevent irritation or infection.
3. Cleaning the Area: When cleaning, it is advisable to use warm water and mild soap. Avoid using harsh soaps or scrubbing too aggressively, as this can irritate the sensitive skin. If you find that the smegma is difficult to remove, soaking in warm water can help soften it.
4. Should You Remove It?: It is generally not recommended to forcibly remove any skin or smegma that appears to be attached or embedded. If it seems to be a part of the skin and not just smegma, it may be best to leave it alone. If you are concerned about the appearance or feel of this material, consulting a healthcare professional is advisable.

5. Use of Topical Treatments: The use of topical steroids like clobetasol (often referred to as "臨得隆") should only be done under the guidance of a healthcare provider. These medications can help with inflammation but should not be used without a proper diagnosis and recommendation from a doctor.


Addressing Retraction Techniques
1. Retraction During Erection: It is generally easier to retract the foreskin when the penis is flaccid. Attempting to retract it during an erection can be uncomfortable and may cause pain or injury if the skin is not sufficiently elastic. If you are experiencing tightness, it may be beneficial to consult a healthcare provider for advice on how to manage this.

2. Using Lubricants: Using a water-based lubricant can indeed help reduce friction when retracting the foreskin. Apply a small amount of lubricant to the glans and the inner foreskin area before attempting to retract it. This can make the process more comfortable and less irritating.

3. Gradual Retraction: If you are experiencing discomfort, consider gradually retracting the foreskin over time rather than forcing it back all at once. This can help your body adjust to the new sensation and reduce sensitivity.


Conclusion
In summary, it is crucial to maintain proper hygiene by regularly cleaning the area and being gentle with the sensitive skin of the glans. If you encounter persistent discomfort, unusual changes in the skin, or if you have concerns about smegma or any other skin condition, it is best to seek advice from a healthcare professional. They can provide personalized recommendations and ensure that your foreskin care is appropriate for your specific situation. Remember, taking care of your genital health is an important aspect of overall well-being, and there is no need to hesitate in seeking help when needed.