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This article was co-written by Scott Tobis, MD. Scott Tobis is a medical board certified urologist. With over seven years of experience, he specializes in treating patients with diseases of the urinary system, such as urinary tract cancer, prostate enlargement, vasectomy, kidney stones, polyuria/urinary urgency, Erectile dysfunction, urinary incontinence and blood in the urine. Tobis holds a bachelor’s degree in cell biology and developmental biology from the University of California, Santa Barbara and a medical doctorate from Dartmouth School of Medicine. He completed an internship in general surgery and a residency in urologic surgery at the University of Rochester School of Medicine and Dentistry, completed a PhD in urological oncology and robotic surgery at City of Hope National Medical Center. Tobis is certified by the American Urological Commission.
There are 7 references cited in this article that you can see at the bottom of the page.
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The foreskin covers and protects the sensitive tip of the uncircumcised penis. Most adolescents and adult men can easily pull down the foreskin without pain. However, if the foreskin is pulled off with severe pain or bleeding, redness and swelling underneath, especially if the foreskin is trapped in a retraction, call your doctor immediately. On the other hand, you can use methods to loosen the foreskin to deal with the problem. In any case, you need to keep the foreskin clean and be especially careful with the foreskin of boys.
Steps
Treatment of foreskin stenosis
- Stop if pain (or discomfort). If you continue, you can cause painful tears in sensitive skin. Let’s move on to another method to loosen the foreskin.
- Narrowing of the foreskin (phimosis) usually occurs in uncircumcised boys, but usually clears up by the time the child reaches adolescence. However, adults can also experience this problem.
- You can stretch the foreskin up to 2 times per day.
- Adolescents and adults should wash under the foreskin every time they shower. Pull the foreskin down, wash thoroughly with mild soap and plenty of water, and return the foreskin.
- Over time, this will usually dilate the foreskin and you will find it easier and more comfortable to pull it back.
- Do this movement for 3-5 minutes, 3 times a day. Visible results can be seen in weeks to a year or more.
- You might also consider using a foreskin dilator, a silicone ring that you will place under the foreskin at the tip of your penis every day for several hours. This tool will help gradually stretch the foreskin.
- Stop performing the exercise if there is pain, redness, or bleeding. You should talk to your doctor for instructions.
- Your doctor may prescribe a steroid cream for you to apply every day. Topical steroids will help stretch the foreskin.
- If you have an infection because of a narrowing of the foreskin, your doctor may prescribe an antifungal cream or an antibiotic.
- In some cases, circumcision — surgical removal of the foreskin — may be recommended as the best option. For adults, this is a quick procedure, performed under local anesthesia and takes about 1-2 weeks to recover.
Care for the foreskin for babies
- Trying to remove the attached foreskin is painful and can lead to skin tearing, bleeding, scarring, and potentially nerve damage.
- If the build-up is causing discomfort or odor and the foreskin has separated from the head of the penis, pull the foreskin down and begin cleaning underneath.
- If the annoying genital warts underneath the foreskin are still attached, talk to your doctor for guidance.
- Instruct the child to gently wash the tip of the penis thoroughly after removing the foreskin with mild soap and clean water, then pull it back into place.
- In rare cases, circumcision may be the best solution to treat severe stenosis of the foreskin.
Handling other problems of the foreskin
- A warm bath can also help soften and dilate the foreskin enough to resolve the problem, but don’t pull too hard to slide the foreskin back into place. You could break your skin or cause other damage if you do.
- Adolescents and adult men should wash under the foreskin with each bath with mild soap and plenty of water.
- You don’t have to worry about genital warts in young boys, unless there’s inflammation or discharge. In this case, take your child to the doctor.
- If over-the-counter antifungal medications don’t work, or if the affected area is more painful, inflamed, or swollen, you should contact your doctor.
- Hydrocortisone cream can help dilate the foreskin. Ask your doctor about a 1-month course of topical steroid treatment.
This article was co-written by Scott Tobis, MD. Scott Tobis is a medical board certified urologist. With over seven years of experience, he specializes in treating patients with diseases of the urinary system, such as urinary tract cancer, prostate enlargement, vasectomy, kidney stones, polyuria/urinary urgency, Erectile dysfunction, urinary incontinence and blood in the urine. Tobis holds a bachelor’s degree in cell biology and developmental biology from the University of California, Santa Barbara and a medical doctorate from Dartmouth School of Medicine. He completed an internship in general surgery and a residency in urologic surgery at the University of Rochester School of Medicine and Dentistry, completed a PhD in urological oncology and robotic surgery at City of Hope National Medical Center. Tobis is certified by the American Urological Commission.
There are 7 references cited in this article that you can view at the bottom of the page.
This article has been viewed 4,083 times.
The foreskin covers and protects the sensitive tip of the uncircumcised penis. Most adolescents and adult men can easily pull down the foreskin without pain. However, if the foreskin is pulled off with severe pain or bleeding, redness and swelling underneath, especially if the foreskin is trapped in a retraction, call your doctor immediately. On the other hand, you can use methods to loosen the foreskin to deal with the problem. In any case, you need to keep the foreskin clean and be especially careful with the foreskin of boys.
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