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My frenulum is attached to the tip of urethra with excessive foreskin. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 19 years old and worried about my penis. The frenulum does not seem to be attached to the underside of the head but it is attached more to the tip around the urethra. Also, I think I have excessive foreskin as when it is nonerect, it scrunches up more than it should at the tip. It also does not retract naturally when erect, I have to pull it over the head which can sometimes be quite tight when it is not lubricated or dry. Any ideas on how to fix these issues?

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

That attachment of frenulum to the tip around the urethra that can be a variation of normal. The main problem is the retraction of the foreskin which is difficult unless you use a lubricant. That is considered a mild degree of phimosis. Phimosis can be severe and foreskin can be so tight have pinhole and can be mildly retracted with difficulty. There can be two types of treatment which can be medical or surgical but for your case likely medical treatment will be effective. The treatment for this can be by using steroid cream applying Hydrocortisone cream twice daily on the foreskin and start retracting after two weeks until the completion of treatment for six weeks. Follow up is important with the picture to know more and have accurate assessment.

I hope this helps.

Patient's Query

Thank you doctor,

Where do I get this cream from and are there any recommended brands? Also, please can you elaborate more on the application process and how it works?

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

This cream is available at any pharmacy. It is available in the name of Hydrocortisone 1 % cream 15 g. You can put inside the foreskin at the tip and around the foreskin at the glans area then massage it for one minute. Repeat twice daily. Start retracting the foreskin back after two weeks gradually until six weeks of treatment. Hydrocortisone is a steroid cream it prevents inflammation and fibrosis and can reduce the existing band or fibrosis. In this way, it can treat the phimosis. Please follow up with me in four weeks time to update me about your progress.

Medically reviewed by Dr. Vinodhini J.
Published At June 25, 2020
Reviewed At July 26, 2023

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

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