Common Concerns After Foreskin Retraction: Sensitivity and Care Tips - Urology

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Some issues related to the initial retraction of the foreskin?


Q1: I would like to ask, I have just retracted my foreskin for about a week, and there is a layer of white membrane (?) near the opening of the glans.
I am not sure what it is, and since the glans is very sensitive, I am afraid to rub it too hard; I can only gently wipe it, but it won't come off.
What should I do to resolve this?
Q2: I have researched some opinions online, and I would like to know if I should keep the glans exposed regularly.
However, I find the glans very sensitive, and any contact makes me uncomfortable.
I try to rinse and wash it with water during my daily showers to reduce sensitivity.
Is it necessary to keep it exposed regularly, or is it okay if I don't expose it and just let it adapt to sensitivity during my daily showers?

Niming, 20~29 year old female. Ask Date: 2016/01/21

Dr. Xu Weikai reply Urology


Anonymous: Hello.
1.
You can only enhance cleaning.
If it cannot be removed, you may need to see a doctor for some topical ointment.
It is generally due to a fungal infection.
2.
There is no need to expose it.
Sensitivity varies based on individual constitution.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/21

More Info


After undergoing a circumcision, it is common to have concerns regarding sensitivity and proper care of the glans (the head of the penis). Your questions about the white membrane, sensitivity, and whether to keep the glans exposed are quite valid and reflect common experiences among individuals who have recently had this procedure.


Q1: White Membrane Around the Glans
The white membrane you are observing around the glans is likely a natural occurrence known as smegma, which is a combination of dead skin cells, oils, and moisture. After circumcision, the glans may also develop a protective layer of keratin, which can appear as a white film. This is a normal part of the healing process.
To address this, it is important to maintain proper hygiene. Gently cleaning the area with warm water during your daily shower is sufficient. Avoid using harsh soaps or scrubbing too vigorously, as this can irritate the sensitive skin. If the membrane does not resolve over time or if you notice any signs of infection (such as increased redness, swelling, or discharge), it is advisable to consult your healthcare provider for further evaluation.


Q2: Sensitivity and Exposure of the Glans
Sensitivity of the glans is a common experience after circumcision. The glans, which was previously covered by the foreskin, is now exposed and may feel more sensitive to touch and friction. It is not strictly necessary to keep the glans exposed at all times, especially if it causes discomfort.
Many individuals find that gradually exposing the glans helps desensitize the area over time. However, if you are uncomfortable with exposure, it is perfectly acceptable to keep it covered when not bathing. The key is to ensure that you are practicing good hygiene. When you do expose the glans, try to do so in a comfortable setting and gradually increase the duration of exposure to help your body adjust.


Additional Care Tips
1. Hygiene: Continue to wash the area gently with warm water. Avoid using any scented soaps or products that could cause irritation.

2. Moisturization: If the skin appears dry or irritated, consider using a mild, unscented moisturizer or a healing ointment recommended by your healthcare provider.

3. Avoid Irritants: Be mindful of clothing that may cause friction against the glans. Loose-fitting underwear can help reduce discomfort.

4. Monitor Sensitivity: If sensitivity persists or worsens, or if you experience pain during erections or sexual activity, consult your healthcare provider. They may recommend specific treatments or therapies to help manage sensitivity.

5. Follow-Up: Regular follow-up appointments with your healthcare provider are important to monitor healing and address any concerns that may arise.

In conclusion, while sensitivity and the presence of a white membrane can be concerning, they are often normal parts of the healing process after circumcision. Maintaining good hygiene and gradually exposing the glans can help manage sensitivity. If you have any ongoing concerns or if symptoms worsen, do not hesitate to reach out to your healthcare provider for personalized advice and care.

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