Suggest Treatment For Difficulty In Retracting Foreskin

Posted on Mon, 16 Mar 2015

Question: Hello doctor. I got married last week and I am having sex with my wife almost every day after wedding. In fact I had more than 2 times for a couple of days in a week's time. Yesterday after sex I found my foreskin doesn't come back even when my penis is flaccid. I tried pulling it back. Foreskin is swollen and it feels very sensitive when it touches any kind of objects or clothes . could you pls help me out

Answered by Dr. Dr. Chintan Solanki (1 hour later)

Brief Answer:
Upload photo and avoid sex for a week

Detailed Answer:
Hello,

Congratulations for marriage.

Retracted and swollen foreskin suggest inflammation of foreskin.It is also called balanitis.

Considering your history likely cause in your case is injury during sex or excessive irritation of foreskin during sex. Sometime condom may be allergic to foreskin.

Other causes include infections which is mostly fungal, allergy to soap used to clean the foreskin or application of lubricant or cream for sex,and poor hygiene.Just think about any of the factors in your case.

To check severity of your problem, please upload photograph if feasible.

For a while avoid sex for a week. It will allow to resolve inflammation of foreskin and it will come back to normal state.
If there is any discharge or pain is severe you should consult doctor.Mild steroid(like clobetasol), antifungal topical cream(like clotrimazole) or moisturizer may be prescribed depending upon examination and severity of the problem.
Keep good hygiene of the area.
Wear loose clothes/briefs for relief.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Soanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Chintan Solanki (6 hours later)

Thanks for your comment doctor.
And for your further information.
1. I did not use condom while having sex anytime in this week
2. I did not use any kind of lubricant
3. No discharge observed

I have uploaded the photographs. Please let me know your valuable feedback

Answered by Dr. Dr. Chintan Solanki (11 hours later)

Brief Answer:
Avois sex,apply ice pack,try to retract manually or consult doctor

Detailed Answer:
Hello XXXXXXX

Thanks for photographs.Sorry for delayed response.
I can understand your concern. Your situation is called paraphimosis. Swelling is moderate. It can come back to normal.

Apply ice packs after wrapping penis in plastic.Gradually try to retract foreskin manually if swelling decreases. If you can not bring foreskin forward over glans today , consult doctor tomorrow.If today it is too painful, consult doctor now. Avoid sex for few days.
More the compression of blood vessels more the swelling and pain, which can restrict blood supply to glans penis.
It can be manually retracted by doctor after local application of mannitol or lignocaine.Or minor surgical procedure called puncture technique can be used.

Hope this will help.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar