Inflammation and Treatment Options for Foreskin Issues - Urology

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Inflammation of the foreskin with skin breakdown?


Hello, doctor.
I visited a urologist before the Lunar New Year, and he said I have inflammation and prescribed a topical ointment for me to apply.
I had a circumcision during middle school, and when I showed my doctor, he mentioned that my skin is still a bit thick.
He said that if necessary, I might need to undergo another circumcision.
If I do need another circumcision, won't it be too short and potentially cause erectile dysfunction? Are there cases where someone really needs to be circumcised twice? When I use the restroom, everything seems to function smoothly without much obstruction.
During an erection, the foreskin retracts on its own, but it appears to be tight and causes some stinging.
Is this also due to the inflammation from the skin breaking? Is there a chance that applying medication will help me recover?

Mi, 10~19 year old female. Ask Date: 2016/02/16

Dr. Xu Weikai reply Urology


Hello, if applying medication does not lead to improvement, you may consider undergoing surgical correction.
It is not always necessary to perform a circumcision; sometimes the surgery is simply to reshape the thickened or narrowed areas.
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, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/16

More Info


Understanding inflammation and treatment options for foreskin issues can be quite complex, especially when considering the anatomy and physiological responses of the male genitalia. In your case, it seems that you have experienced some inflammation of the foreskin, which can be due to various factors including infections, irritation, or even an allergic reaction to products used in the genital area.

The medication you mentioned, "臨的隆" (likely a topical corticosteroid or anti-inflammatory cream), is typically prescribed to reduce inflammation and alleviate symptoms such as pain, redness, and swelling. It's important to follow your doctor's instructions on how to apply this medication, as improper use can lead to further irritation or complications.

Regarding your concerns about the thickness of your foreskin and the possibility of needing a second circumcision, it is essential to understand that some individuals may have a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). In cases where the foreskin is too tight or thick, a circumcision may be recommended to alleviate discomfort and prevent recurrent infections or inflammation.

You raised a valid concern about the potential for a second circumcision to lead to complications such as erectile dysfunction. Generally, when performed by an experienced urologist, circumcision is a safe procedure with a low risk of complications. However, it is crucial to have a thorough discussion with your healthcare provider about your specific situation, including your concerns about the length of the remaining foreskin post-surgery and any potential impact on sexual function.

As for your experience of tightness and pain during erections, this could indeed be related to the inflammation and the condition of the foreskin. If the foreskin is inflamed or scarred, it may not retract properly during an erection, leading to discomfort. This is often referred to as "tight foreskin" or "tight circumcision," and it can be a source of pain during sexual activity.

In terms of treatment, applying the prescribed medication may help reduce inflammation and promote healing. If the inflammation is due to an infection, your doctor may also prescribe antibiotics. It's essential to maintain good hygiene in the genital area and avoid irritants such as harsh soaps or lotions.

If the symptoms persist despite treatment, or if you continue to experience pain, it may be worth seeking a second opinion from another urologist. They can assess whether further surgical intervention is necessary or if there are alternative treatments available.

In summary, while inflammation of the foreskin can be concerning, it is often treatable with proper medical care. If surgery is deemed necessary, discussing your concerns with your healthcare provider can help ensure that you make an informed decision that prioritizes your health and well-being. Always remember that open communication with your doctor is key to addressing any fears or uncertainties you may have regarding your treatment options.

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