Managing Redness and Swelling of the Inner Foreskin: Expert Advice - Urology

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Redness and swelling of the inner foreskin?


Hello, doctor.

1.
I recently exposed my glans for the first time, and the inner layer of the foreskin, which may not have been exposed often, is slightly red and swollen due to the pulling during erection.
Are there any ointments I can apply? Is Acyclovir ointment suitable for this condition?
2.
When I have an erection, my glans cannot fully expose itself; I need to pull it back manually.
After it becomes flaccid, the foreskin still gets stuck at the coronal sulcus.
Should I keep it exposed to reduce sensitivity, or should I cover the glans with the foreskin?

Dà Huáng, 20~29 year old female. Ask Date: 2016/03/01

Dr. Liu Jiaju reply Urology


It is recommended that you visit a urology clinic for a detailed physical examination by a physician.
If you have phimosis or are unable to retract the glans during an erection, it is advised to consider circumcision to alleviate the symptoms.

Reply Date: 2016/03/01

More Info


When it comes to managing redness and swelling of the inner foreskin, it's important to understand the anatomy and function of the foreskin, as well as the potential causes of irritation. The foreskin, or prepuce, is a fold of skin that covers the glans (the head) of the penis. It serves several purposes, including protecting the sensitive glans and maintaining moisture. However, when the foreskin is retracted or exposed for the first time, it can lead to irritation, especially if the skin is not accustomed to being exposed.

1. Topical Treatments: For mild redness and swelling, topical treatments can be beneficial. Over-the-counter creams such as hydrocortisone can help reduce inflammation, but it's essential to use them sparingly and not for prolonged periods. As for the specific cream you mentioned, "杏輝美康乳膏" (which translates to a type of ointment), it is crucial to check the ingredients and ensure it is suitable for sensitive areas. Generally, creams that are fragrance-free and formulated for sensitive skin are preferable. If you're unsure, consulting a healthcare professional for recommendations tailored to your situation is advisable.

2. Managing Sensitivity and Exposure: Regarding the issue of whether to keep the glans exposed or to cover it with the foreskin, this largely depends on personal comfort and the degree of sensitivity experienced. If the glans is overly sensitive, keeping it covered may help reduce discomfort. However, if you are trying to desensitize the area, gradually exposing it may be beneficial. It's important to listen to your body; if you experience pain or significant discomfort, it may be best to revert to covering the glans with the foreskin.

3. Hygiene Practices: Maintaining good hygiene is crucial, especially when the foreskin is retracted. Regular cleaning with mild soap and water can help prevent irritation and infections. After cleaning, ensure the area is thoroughly dried, as moisture can lead to fungal infections.

4. When to Seek Medical Attention: If the redness and swelling persist despite home care, or if you notice any discharge, increased pain, or other concerning symptoms, it is essential to consult a healthcare provider. Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) may require medical treatment, including prescription medications.

5. Potential Underlying Conditions: It's also worth considering that persistent issues with the foreskin may indicate underlying conditions such as phimosis (where the foreskin cannot be easily retracted) or other dermatological issues. If you find that the foreskin consistently remains retracted or if there is difficulty in retracting it, a consultation with a urologist may be warranted.

In summary, managing redness and swelling of the inner foreskin involves a combination of proper hygiene, topical treatments, and careful consideration of exposure. Always prioritize comfort and seek professional advice if symptoms do not improve or worsen. Remember, your health and comfort are paramount, and there are effective treatments available to address these concerns.

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