Brief Answer:
daily cleaning of glans penis and some minor surgical techniques.

Detailed Answer:
Hi,
Welcome to health care magic,

If you have been diagnosed with phimosis then I would suggest you some measures to deal with this, inability or difficulty in pulling back fore skin from the glans penis.

Cleaning of smegma:

This smegma is nothing but the mixture of dead skin cells,seminal remnants,urine deposits or sebaceous oil and there is nothing that you can do to stop it being produced throughout your life where bacteria and urine could make it smelly.

So be sure to deal with it as part of your daily hygiene.

One should wash it daily while bathing just retracting his foreskin downwards and by rinsing with clean shower water .

It will remove the excess smegma, leaving a healthy, natural, micro thin layer of this beneficial product to keep the glans moist and sensitive.

Never use soap under the foreskin as it leaves soap deposits that reactivate in the natural moisture, and cause burning or irritation. Soap also removes all the natural moisturising effect of the smegma, leaving the glans and foreskin dry and open to infections.

If your problem persists even after daily cleaning then the you can go for some surgical techniques (apart from circumcision if you have difficulty to bear pain) range from the complete removal of the foreskin to minor operations to relieve foreskin tightness.

I) Dorsal slit or superincision to expose the glans without removing any tissue.

II) Ventral slit to expose glans with removing frenulum,

III) Preputioplasty can be an effective alternative to circumcision. It has the advantage of only limited pain and a short time of healing relative to circumcision.

You can consult general surgeon for the above minor surgical procedure if you are not comfortable with circumcision.

However,circumcision would be the best option for nearly complete solution of phimosis.

At present,you can apply topical steroids over glans which will help to reduce inflammation with topical antiseptic creams.

If any query or doubt,then feel free to ask me.

Thanks and Regards,

Dr.Sandipkabra

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