Patient's Query
Hello doctor,
I am a 20 years old man. I think I have had phimosis since childhood, and I was not able to retract the foreskin of my penis behind its back. However, I never had any problem while urinating or ejaculating. I also have little white pores under my foreskin, but most importantly, I do not know whether it is a congenital disability or not. I can also see a small vein-like structure connected to the tip of my penis. Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern. I have reviewed the image you shared (attachment removed to protect the patient's identity). Your condition is caused by phimosis which is a tight foreskin. Therefore, I suggest you use steroidal cream like Betnovate (Betamethasone Valerate). Apply twice daily for six weeks, starting with gradual retraction after two weeks till complete retraction after six weeks and if cream treatment fails, you will need circumcision (surgical removal of the skin covering the tip of the penis). Consult a specialist doctor, discuss with them, and take medications with their consent.
If you have any more queries, please let me know.
Thank you.
Patient's Query
Hello doctor,
Thank you for your response.
I already know I have phimosis. I have shared the picture in which a small nerve-like or skin-like structure is seen attached to the tip of the penis. I do not know what it is exactly. But it feels very sensitive and is completely attached to the tip of the penis. Can you please suggest what it is? What about the white pores under the foreskin? Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
The white spots in the image (attachment removed to protect the patient's identity) are smegma, secondary to phimosis. This attachment can be treated medically with Hydrocortisone cream. As I mentioned, if medical treatment fails, then circumcision is required. Phimosis is a congenital condition, and the foreskin cannot be separated. It is better to get the treatment done as early as possible because the chances of infection will be more if we leave it like that. If the cream treatment fails, it is better to do surgery. Many people are doing circumcision surgery, and they do not have any problems with their sexual function. Few people complain about the sensitivity issue, but they mostly get well with time.
I hope I have answered your questions.
Thank you.
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