Is It Tight or Long: Your Foreskin Concerns

Q: Is It Tight or Long: Your Foreskin Concerns

Peter： Hello, you need to see the actual situation after the foreskin is retracted. <br>If it feels very uncomfortable or tight, you may consider surgical or pharmacological treatment. <br>After circumcision, the glans may become more sensitive and can experience sharp pain in se

Is this a case of phimosis or excessive foreskin length?

Hello doctor, I would like to ask: 1.
After an erection, the foreskin can still cover the glans and can be pushed back, but the area below the glans feels constricted.
Should I consider a circumcision?

peter, 20~29 year old female. Ask Date: 2016/02/25

Dr. Xu Weikai reply Urology

Peter: Hello, you need to see the actual situation after the foreskin is retracted.
If it feels very uncomfortable or tight, you may consider surgical or pharmacological treatment.
After circumcision, the glans may become more sensitive and can experience sharp pain in severe cases.
Some individuals may also experience premature ejaculation.
Note: The decision to circumcise is not based solely on length.
General considerations include: 1.
Frequent infections 2.
Phimosis 3.
Suspected coexisting skin lesions, such as skin tumors 4.
Fibrosis, etc.
5.
The patient's subjective feelings...
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 still important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/25

More Info

When it comes to concerns regarding the foreskin, particularly in relation to its tightness or length, it is essential to understand the anatomy and function of the foreskin, as well as the potential implications of any issues you may be experiencing.

From your description, it sounds like you are experiencing a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). In your case, it appears that while the foreskin can be pushed back during an erection, it causes discomfort or a sensation of being "pinched" at the base of the glans. This sensation can be indicative of tightness in the foreskin, which may lead to pain or discomfort during sexual activity or even during normal daily activities.

Phimosis can be classified into two types: physiological and pathological. Physiological phimosis is common in infants and young boys, as the foreskin is naturally adhered to the glans and typically resolves on its own as the child grows. Pathological phimosis, on the other hand, occurs when the foreskin becomes tight due to scarring, inflammation, or other medical conditions, and it does not resolve on its own.

If you are experiencing discomfort, pain, or difficulty with retraction, it is advisable to consult with a healthcare professional, such as a urologist. They can perform a physical examination to assess the condition of your foreskin and determine whether circumcision (the surgical removal of the foreskin) or other treatments are necessary. Circumcision is often recommended in cases of pathological phimosis, especially if it leads to recurrent infections, pain, or other complications.

In addition to circumcision, there are non-surgical options that may be explored, such as topical steroid creams that can help to loosen the tight foreskin, allowing for easier retraction. Stretching exercises may also be recommended, but these should be done under the guidance of a healthcare professional to avoid injury.

It is important to address any concerns regarding your foreskin, as they can impact not only physical health but also emotional well-being and sexual function. Open communication with a healthcare provider can help you understand your options and make an informed decision about the best course of action for your situation.

In summary, if you are experiencing tightness in your foreskin that causes discomfort, it is advisable to seek medical advice. A healthcare professional can provide a thorough evaluation and discuss potential treatment options, including the possibility of circumcision or other non-surgical interventions. Remember, addressing these concerns is a crucial step toward ensuring your overall health and comfort.

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