Patient's question:
Previously, the doctor checked and said that when the penis is not erect, if the glans cannot naturally expose at least two-thirds, it is considered phimosis. Generally, phimosis is very likely to cause balanitis or. I am very troubled.What kind of help do I need: How is phimosis treated? Are there any methods?
Doctor's answer:
The foreskin covers the urethral meatus but can be retracted to reveal the urethral meatus and glans penis. In boys, mild adhesion between the glans and foreskin usually resolves spontaneously after the age of 3, allowing retraction. However, during childhood, the retracted foreskin often covers the urethral meatus. By adolescence, the glans gradually becomes exposed. In adults, when the penis is flaccid, the foreskin does not cover the urethral meatus, and retraction reveals the corona, indicating a normal-length foreskin. Excessive foreskin can lead to the accumulation of smegma within the foreskin, causing balanoposthitis. Recurrent inflammation may widen the foreskin orifice, leading to phimosis, where the foreskin becomes adherent to the glans. Penile cancer may be associated with long-term irritation from smegma. Foreskin orifice stenosis or adhesion between the foreskin and glans prevents the foreskin from retracting to reveal the urethral meatus and glans. In severe phimosis, the foreskin orifice may become very narrow, sometimes accompanied by urethral meatus stenosis, interfering with urination. Therefore, surgical treatment should be performed as early as possible for individuals with phimosis or excessive foreskin. It is worth noting that while excessive foreskin does not significantly affect health, it may occasionally lead to paraphimosis, where the foreskin is tightly trapped behind the corona and cannot be pushed down. In such cases, manual reduction should be performed as soon as possible. If manual reduction is unsuccessful, a doctor should incise the tight foreskin orifice and then perform a circumcision.