Do You Need to Expose the Glans? Insights on Phimosis and Hygiene

Q: Do You Need to Expose the Glans? Insights on Phimosis and Hygiene

Rhubarb： Hello! 1. It needs to be covered back. 2. If it is too tight, surgical correction is still necessary. 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

Is it necessary for the glans to be exposed?

I would like to ask the doctor, I am 29 years old and I often feel that the opening of my foreskin is too small during erections.
I can see the urethral opening, and urination is normal, but the glans cannot be fully exposed.
Pulling back the foreskin is painful.
Recently, I tried to see if I could expose the glans during an erection, and after some effort, the glans did become exposed.
There was some discomfort during the process, but no bleeding.
There was some skin debris on the glans, as I have never been able to expose it fully since childhood.
This is the first time I have managed to expose the glans up to the coronal ridge.
However, now during erections, I am unsure if the opening of the foreskin is too small, but the area where the coronal ridge and foreskin touch becomes tighter and more painful as I get erect, and the glans is very sensitive.
I would like to ask: 1.
When the penis is not erect, if the foreskin is still stuck at the coronal ridge and the glans is exposed and sensitive, should I pull the foreskin back to cover the glans, or should I keep it exposed? 2.
Do I still need a circumcision? How can I maintain cleanliness of the penis (as this is my first experience with exposure)? Thank you.

Dà Huáng, 20~29 year old female. Ask Date: 2016/02/27

Dr. Xu Weikai reply Urology

Rhubarb: Hello! 1.
It needs to be covered back.
2.
If it is too tight, surgical correction is still necessary.
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, you should 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: 2016/02/27

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, hygiene issues, and sometimes pain during erections. Your experience of being unable to fully retract the foreskin until recently is not uncommon, and many men face similar challenges. Let's address your questions and provide some insights into phimosis and hygiene.

1. Should You Cover the Glans with the Foreskin?
If your glans is exposed and you are experiencing sensitivity or discomfort, it is generally advisable to cover it with the foreskin when not erect. This can help protect the sensitive skin of the glans from friction and irritation, especially if you are experiencing tightness or pain at the corona (the ridge of the glans). Keeping the glans covered can also help maintain moisture and prevent dryness, which can lead to irritation.

2. Do You Need a Circumcision?
Whether or not you need to undergo circumcision depends on the severity of your phimosis and your personal comfort level. If you are experiencing significant pain, recurrent infections, or hygiene difficulties due to the tightness of the foreskin, circumcision may be a recommended option. However, many men with mild phimosis can manage their condition through gentle stretching exercises, topical steroid creams prescribed by a healthcare provider, or other non-surgical methods. It is essential to consult with a urologist or healthcare provider who can evaluate your specific situation and recommend the best course of action.

3. Maintaining Hygiene with an Exposed Glans:
If you have successfully retracted your foreskin and are now exposing your glans, maintaining proper hygiene is crucial. Here are some tips:
- Gentle Cleaning: Use warm water to gently clean the area. Avoid harsh soaps or chemicals that can irritate the sensitive skin of the glans.

- Drying: After washing, ensure the area is thoroughly dried to prevent moisture buildup, which can lead to infections.

- Moisturizing: If you notice any dryness or irritation, consider using a gentle, fragrance-free moisturizer to keep the skin supple.

- Regular Checks: Monitor for any signs of irritation, redness, or unusual discharge, and consult a healthcare provider if you notice any concerning symptoms.

4. Pain During Erection:
The pain you experience during an erection could be due to the tightness of the foreskin or sensitivity of the glans. If the pain persists or worsens, it is crucial to seek medical advice. A healthcare provider can assess whether the tightness is causing any complications and discuss potential treatments, including stretching exercises or surgical options if necessary.

In conclusion, while it is possible to manage mild phimosis without surgery, it is essential to prioritize your comfort and hygiene. If you have concerns about pain, sensitivity, or hygiene, consulting a urologist can provide you with tailored advice and treatment options. Remember that every individual’s situation is unique, and professional guidance is invaluable in addressing your specific needs.

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