Should You See a Doctor for Adhesion Between Glans and Foreskin? - Urology

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Adhesion of the glans penis to the foreskin?


Hello, regarding the issue of having a remaining strip of skin attached to the foreskin, I would like to ask if it is necessary to see a doctor in this situation.
I want it to detach quickly, as it causes discomfort during bathing or erections.
I have considered using scissors to cut it, but I am concerned about excessive bleeding and infection.
The strip is located slightly to the right of the glans, and when not erect, the foreskin covers the glans.
I have seen many people post similar questions about excessive foreskin, but I still want to ask if a circumcision is needed.

A Cheng, 20~29 year old female. Ask Date: 2016/02/01

Dr. Xu Weikai reply Urology


A-Cheng: Hello, is the foreskin stuck? What???? I can't understand.
It's difficult to assess.
It's better to seek medical attention and have a physician evaluate it.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet can only serve as a reference; if necessary, you should visit a medical facility for treatment.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/01

More Info


When it comes to the adhesion between the glans (the head of the penis) and the foreskin, it is important to understand the implications and potential treatments. This condition, known as phimosis or adhesions, can occur in males of various ages, particularly in children, but it can also affect adults. Here’s a comprehensive overview of the situation and whether you should see a doctor.


Understanding the Condition
1. What is Adhesion?
Adhesion between the glans and foreskin can manifest as a band of tissue that connects the two. This can lead to discomfort, especially during erections or when attempting to retract the foreskin. In some cases, this adhesion may resolve on its own, particularly in children as they grow.

2. Symptoms and Concerns:
If you are experiencing discomfort during bathing or erections, or if you feel the need to forcibly retract the foreskin, these are signs that you should seek medical advice. Attempting to cut the adhesion with scissors or any other tool is highly discouraged due to the risk of bleeding, infection, and further complications.


When to See a Doctor
1. Persistent Symptoms:
If the adhesion has not resolved over time and continues to cause discomfort or pain, it is advisable to consult a healthcare professional. A urologist or a primary care physician can provide an accurate diagnosis and recommend appropriate treatment options.

2. Risk of Complications:
If you notice any signs of infection (such as redness, swelling, or discharge), or if you experience severe pain, you should seek medical attention immediately. These could be signs of a more serious condition that requires prompt treatment.

3. Treatment Options:
- Non-Surgical Approaches: In many cases, doctors may recommend topical steroid creams to help loosen the adhesion. Gentle stretching exercises may also be suggested.

- Surgical Options: If non-surgical methods fail, or if the adhesion is severe, a surgical procedure such as circumcision or a less invasive procedure to release the adhesion may be necessary.


Conclusion
In summary, while some cases of adhesion between the glans and foreskin may resolve on their own, persistent symptoms warrant a visit to a healthcare provider. It is crucial to avoid self-treatment methods like cutting the adhesion, as this can lead to significant complications. A medical professional can provide a thorough examination and recommend the best course of action tailored to your specific situation.


Additional Considerations
- Hygiene: Maintaining proper hygiene is essential, especially if there is an adhesion. Regular cleaning can help prevent infections.

- Education: Understanding the anatomy and function of the foreskin can help alleviate concerns. Many men live with adhesions without significant issues, but awareness and education are key.

- Follow-Up: If you do see a doctor and receive treatment, ensure you follow up as recommended to monitor the situation and prevent recurrence.

Ultimately, your health and comfort are paramount, and seeking professional advice is the best way to address any concerns regarding adhesions between the glans and foreskin.

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