Can phimosis be treated without surgery?

Patient's question:

Medical Description: The patient is male, 23 years old. Up to now, the glans cannot be exposed as the foreskin is still fully covering it! In a flaccid state, the entire glans can be retracted! When erect, only half of the glans can be retracted, or it will be very painful! I don't want to have surgery. Can physical therapy be used instead?
History of Treatment and Effects: No treatment has been administered. A classmate told me that he used to have the same condition, but after retracting the foreskin daily for a long time, it improved! He also said that sexual activity would gradually help improve it!
Help Needed: If surgery is not an option, what treatment methods can be used?

Doctor's answer:

Hello, the impact of excessive foreskin is poor hygiene, requiring frequent cleaning. Otherwise, it is easy to develop balanitis. If foreskin is not cleaned regularly, it can cause harm to sexual partners and bring them pain, such as vaginitis, cervicitis, pelvic inflammatory disease, and other diseases in women. The most frightening possibility is even causing cancer in women. Therefore, surgical treatment is the best option.
Our hospital adopts the American SAFE painless minimally invasive foreskin refinement and beautification technique. It uses a fully computerized photoion digital programming system to standardize precise data for implementing foreskin and phimosis surgery. The technology is highly advanced, causing minimal damage, pain, and scarring. The appearance is aesthetically pleasing, allowing patients to return home immediately after treatment without affecting normal work or study. No hospitalization is required.
The surgery takes about 20 minutes, and recovery generally takes 5 to 7 days.

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