How to identify what constitutes phimosis

Patient's question:

I often hear people talk about phimosis and frequently see similar advertisements on TV, but I've always been unable to distinguish between phimosis and paraphimosis. When I'm not erect, I can force it to retract, but when I'm erect, I can't. Is this phimosis or paraphimosis? I really don't understand.

Doctor's answer:

Hello, phimosis refers to a condition where the foreskin completely covers the glans penis in a natural state, and it cannot be retracted to expose the glans during erection. The difference from paraphimosis is that the foreskin can be retracted manually to expose the glans. Excessive foreskin length is a risk factor for many diseases, such as balanitis, premature ejaculation, and painful intercourse. Considering disease prevention and improving sexual quality of life, it is recommended that you visit a hospital for diagnosis. If necessary, circumcision can be performed as early as possible. The surgery has advantages such as short operating time, no need for hospitalization postoperatively, minimal trauma, and inconspicuous wound healing that does not affect appearance. Additionally, attention should be paid to maintaining local hygiene and cleanliness.

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