Phimosis and Development Issues in Adolescents - Urology

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Prepuce and Developmental Issues


Doctor, my foreskin can only retract behind the glans when I have an erection, and pulling it further down causes pain.
When not erect, it feels like the foreskin cannot retract at all.
However, my mom said I had a circumcision at birth.
Given this situation, do I need to undergo another circumcision? Additionally, I have never felt that my penis has grown in size over the past ten years since I became aware of it.
Is this a medical issue? Do I need treatment? Please help me! This problem has been bothering me for a long time.
I am currently a high school freshman.

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

Dr. Li Xinyi reply Urology


It doesn't necessarily sound like there is a problem.
However, it is still advisable to see a urologist for an examination to find out for sure.

Reply Date: 2016/02/19

More Info


Phimosis is a condition where the foreskin of the penis cannot be fully retracted over the glans (the head of the penis). This can lead to discomfort, pain, and potential complications such as infections or inflammation. In your case, it seems that you are experiencing discomfort when attempting to retract the foreskin, especially during an erection, which can be indicative of phimosis.
It's important to note that phimosis can be classified into two types: physiological and pathological. Physiological phimosis is common in infants and young boys, as the foreskin is typically not retractable until a certain age. This condition often resolves on its own as the child grows. Pathological phimosis, on the other hand, occurs when the foreskin is unable to retract due to scarring, inflammation, or other medical conditions.
Given that you mentioned having had a circumcision at birth, it is unusual for you to be experiencing phimosis unless there was a partial circumcision or some other complication. It would be advisable to consult with a healthcare professional, preferably a urologist, who can examine your condition and determine whether further intervention is necessary. They may recommend treatments ranging from topical steroid creams to help loosen the foreskin, to surgical options if deemed appropriate.

Regarding your concerns about penile growth, it is important to understand that development varies significantly among individuals. During puberty, which typically occurs between ages 9 and 14, the body undergoes various changes, including the growth of the penis. If you feel that your penis has not grown or developed as expected, it may be beneficial to discuss this with a healthcare provider. They can evaluate your overall development, including hormonal levels, and determine if there are any underlying issues that need to be addressed.

It's also worth noting that feelings of inadequacy or concern about development are common during adolescence, a time when many young people are self-conscious about their bodies. Open communication with a trusted adult or healthcare professional can provide reassurance and guidance.

In summary, it is crucial to seek medical advice regarding your phimosis and any concerns about your development. A healthcare provider can offer a proper diagnosis and treatment options tailored to your specific situation. Remember that you are not alone in facing these issues, and there are professionals who can help you navigate through them.

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