Adhesion Between Foreskin and Glans: Causes and Solutions

Q: Adhesion Between Foreskin and Glans: Causes and Solutions

Cody： Hello, please gently remove the adhesive areas and then apply ointment. <br>Eye ointments and similar products can be used. <br>If that doesn't work, it is advisable to seek medical attention. <br>If there are any unclear points, feel free to ask again, and we can discuss a

The left side of the foreskin is adhered to the glans?

Hello, doctor.
I am the person who asked question #96698.
Today, I gathered the courage to slowly retract my foreskin and clean the smegma.
I noticed that as I cleaned, I could push the foreskin further back.
However, after cleaning most of the smegma, I found that the left side of the foreskin seems to be stuck to the glans.
The middle and right sides are now able to reveal the coronal sulcus, which I couldn't do before because the smegma had adhered the foreskin to the glans.
After cleaning the smegma, I can push the foreskin back further, but the left side seems different.
When I cleaned the left side, there was a small area without smegma, and it appears that the glans is genuinely stuck to the foreskin.
When I pull down on the left foreskin, I notice that the glans is also being pulled.
So now, when I push the foreskin back, I can only see the coronal sulcus on the middle and right sides; the left side cannot be pushed back that far because the foreskin is really stuck to the glans.
If I try to push it back, it feels a bit painful.
Is there a way to handle this myself without seeing a doctor? What should I do? I'm quite worried.

cody, 10~19 year old female. Ask Date: 2016/02/29

Dr. Xu Weikai reply Urology

Cody: Hello, please gently remove the adhesive areas and then apply ointment.
Eye ointments and similar products can be used.
If that doesn't work, it is advisable to seek medical attention.
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, it is still important to visit a medical facility.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, and is a response from Director Hsu Wei-kai.

Reply Date: 2016/02/29

More Info

Understanding the adhesion between the foreskin (prepuce) and the glans (the head of the penis) is crucial for addressing concerns related to phimosis or other related conditions. This adhesion can occur due to a variety of reasons, including natural developmental processes, inflammation, or the accumulation of smegma (the buildup of dead skin cells and oils).
In your case, it seems that you have been able to clean most of the smegma, which has allowed the foreskin to retract more easily in certain areas. However, the left side appears to be stuck to the glans, causing discomfort when you attempt to retract it. This condition is often referred to as "physiological phimosis," which is common in younger males and usually resolves on its own as they grow older. However, in some cases, it can persist into adulthood, leading to complications.

Causes of Adhesion:
1. Natural Development: In infants and young boys, the foreskin is often naturally adhered to the glans. As they grow, this adhesion typically resolves, allowing for easier retraction of the foreskin.

2. Smegma Accumulation: The buildup of smegma can lead to inflammation and irritation, which may cause the foreskin to stick to the glans.

3. Infections or Inflammation: Conditions such as balanitis (inflammation of the glans) can lead to scarring and adhesion.

4. Scar Tissue: Previous injuries or infections can lead to the formation of scar tissue, which may cause the foreskin to adhere to the glans.

Solutions:
1. Gentle Retraction: If you are comfortable doing so, you can try to gently retract the foreskin without forcing it. This should be done slowly and with care to avoid pain or injury.

2. Topical Treatments: Applying a mild steroid cream (such as hydrocortisone) can help reduce inflammation and may assist in loosening the adhesion. However, this should be done under the guidance of a healthcare professional.

3. Hygiene: Maintaining good hygiene is essential. Regular cleaning can help prevent the buildup of smegma and reduce the risk of infections.

4. Consulting a Healthcare Provider: If the adhesion persists, causes pain, or if you notice any signs of infection (such as redness, swelling, or discharge), it is important to consult a healthcare provider. They may recommend further treatment options, which could include:
- Manual Separation: A healthcare provider can sometimes gently separate the foreskin from the glans.

- Circumcision: In cases where phimosis is severe or recurrent, circumcision may be considered as a definitive solution.

When to Seek Help:
If you experience significant pain, bleeding, or any signs of infection, it is crucial to seek medical attention promptly. Additionally, if you find that the condition does not improve with home care or if you have concerns about your sexual health, a visit to a urologist or a healthcare provider specializing in male reproductive health would be beneficial.

In summary, while some cases of foreskin adhesion can resolve on their own, it is important to monitor the situation closely. If you are experiencing pain or if the condition does not improve, seeking professional medical advice is the best course of action. Remember, maintaining good hygiene and being gentle with any attempts to retract the foreskin can help alleviate discomfort and prevent further complications.

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