What should I do if my penis becomes erect but the head of the penis does not come out?

Patient's question:

I am 19 years old. I feel that my penis foreskin. Because when my penis is hard, the head of the penis does not come out. When it is not hard, I can flip it out with my hand. But when it is hard, I need to use a lot of force to flip it up to make it come out. It also hurts a bit when flipping. There are also a few small white spots inside the skin of my penis. What are they? Please ask the doctor to explain it to me in detail.

Doctor's answer:

You have phimosis. When you retract the foreskin for the first time, it will be very painful to touch with your hand. After flipping it a few times, it will gradually get better. It's similar to some people who have had a circumcision, where the glans remains exposed all the time. At first, it can be very painful and irritating, but it improves after a period of time. The white substance in the coronal sulcus after retracting the foreskin is smegma (commonly known as urine alkali). You can clean it with clean water, and it will be fine. It might be a bit difficult to clean at first, but once you clean it thoroughly for the first time, it will be easier to clean afterward. It's best to wash it once a day.

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