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Medication and surgical procedures for Partial phimosis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2288 Questions
User :   hello
Doctor :   hi
User :   is this the same doctor i spoke to a minute ago?
Doctor :   yes
User :   i've just had to pay money to keep talking to you
Doctor :   ok
Doctor :   proceed
User :   but yeah, about my penis
User :   this is the first time i've spoke to anyone about it
User :   and i can only hope that this is a serious help site
Doctor :   ok
Doctor :   you are 18 years old right
User :   i am
User :   thats why im so concerned
Doctor :   ok
User :   barely anyone else my age has this problem, ya know?
User :   i have a girlfriend, she's great. i've been putting off having sex with her though because im worried
User :   and eventually im going to have to bite the bullet
Doctor :   ok
User :   is that all you have to say?
Doctor :   actually you are able to retract your penile skin right
User :   yeah i can, but when i do it can get stuck beneath the helmet
User :   thats not normal
Doctor :   does it go beyond glans penis or not?
User :   where is the glans? sorry, im dont know much about it
Doctor :   the head of penis is called glans penis
User :   oh right
User :   yeah i can get it past that, but like i said, it can get stuck
Doctor :   you mean after losin erection
Doctor :   or during erection?
User :   both
User :   thats why the condom began to come off at the top i think
User :   because the foreskin pushes it off as its stuck behind the glans
Doctor :   Are you feeling the same right from the start?
User :   what do you mean?
Doctor :   i mean right from your adoloscense
User :   as far back as i can remember, yes
Doctor :   ok
Doctor :   Do you have any problem while pasing urine
User :   no, nothing like that
User :   its just the foreskin thats the problem
User :   everything else is fine
Doctor :   ok
Doctor :   IS there any religious restrictions for you to undergo circumcison
User :   no
User :   does that sound like the only option?
Doctor :   no
Doctor :   MEdical options are also there
Doctor :   like steroid ointments
User :   ok
User :   how do they work?
Doctor :   by using that 4-6 weeks
Doctor :   it releases the restriction of skin by weakening its collagen component
User :   ok
User :   i'm just so confused about it all
Doctor :   let me explain you
Doctor :   you have 3 options of treatment for your problem
User :   ok, what are they?
Doctor :   1. first , foremost and simple procedure in application of steroids for 4-6 weeks as per physicians advise after physical examination
Doctor :   2. Surgical release of that tight skin under glans penis which does not involve circumcision
Doctor :   3. Total circumcision
User :   ok
User :   well, as i'm sure you can understand, surgery would be very difficult for me
User :   i don't want to tell my parents about this, or anyone else
Doctor :   and another manual method is there
Doctor :   where person has to stretch the skin under his penis frequently , by these stress there will be additional growth of cells
Doctor :   which gives more skinny room for penis
Doctor :   Do you understand
User :   as in stretch it all the way over the glans when flacid?
User :   and hold it there?
Doctor :   was it totally covering the glans
Doctor :   or partially?
User :   it partially covers it
User :   but i CAN retract it when flaci
User :   d
Doctor :   ok it is common
User :   and when erect, but its uncomfortable when i do that
Doctor :   which does not deserve much attention
User :   but it does, because its stopping me from having sex
Doctor :   But there is another surgical procedure which is a minor one , can cover both your problems
Doctor :   Preputioplastly: Doctor :   here physician give a limited dorsal slit to penile skin
Doctor :   with transverse closure
Doctor :   which is as effective as full circumsicion
User :   right
Doctor :   and less cosmetic side effcets too
User :   these things would take along time wouldn't they?
Doctor :   The advantages of this one are :
Doctor :   less pain
User :   as in a long process before its fixed
Doctor :   short time of healing
User :   does it cost money?
Doctor :   these surgeries usually come under both general surgery category and plastic surgery category
Doctor :   if you go to a generel surgeon it costs less to you
User :   ok
User :   your based in AAAAAAA aren't you?
Doctor :   Do you understand all the above mentioned procedures
User :   yes i do
Doctor :   no we are india based
User :   oh ok
Doctor :   but serving globally
User :   i'm from england
Doctor :   ok
Doctor :   thats great
User :   not really, having to talk to somebody online at 1.30am about my penis
Doctor :   yes .. most of the people getting astonished by our services
User :   its a shame, i just want to know more about this because i don't have the courage to speak to a doctor in person
Doctor :   there is no need to feel any sort of guilty about this
Doctor :   you should speak as it is
User :   i know...
Doctor :   it is normal physiology
User :   it's just, embarassing
Doctor :   ok
User :   does my problem have a name?
User :   i thought it was phimosis
Doctor :   it is not complete phimosis
Doctor :   we can categorize it under mild degree of it
User :   ok
User :   so, and i know this will sound a bit forward
User :   but do you think its safe for me to have sex
Doctor :   yes absolutely
Doctor :   safe
User :   that's good
User :   i know i'd be able to without a condom, but when it comes to putting one on like i said before, it comes off slightly
Doctor :   ya
Doctor :   you better have treatment for this after seeing a physician
User :   yeah i know
User :   do you think the bend in my penis has something to do with all this?
User :   or is it just 2 bits of bad luck for me
Doctor :   sometimes skin tightening leads to bend
Doctor :   if you relieve that you can get straight erections
User :   oh i see
User :   i thought it was because of the bend that the skin is tight
Doctor :   no
User :   but its the other way round
Doctor :   just think about arrow
Doctor :   if you tighten the rope bend will increase
Doctor :   same physics is applicable here also
User :   yeah i see what you mean
User :   could all of this be resolved by those steroid creams you mentioned?
Doctor :   Yeah that is the most promisiong treatment which evolved recently
Doctor :   the results also on far with surgery
Doctor :   but you should use after having proper examination by physician only
User :   yeah
User :   will my gp know about this?
Doctor :   it wont come under genereal physicican case
Doctor :usually surgeons treat this cases in their offices
User :   so i'd have to go to hospital
User :   not my local surgery
Doctor :   yes
User :   ..brilliant
Doctor :   ok
User :   this is a silly question
User :   do condoms come in different sizes?
User :   because it's a little difficult putting one on
Doctor :   yes
Doctor :   they ll be available in lot of different sizes and flavours too..
User :   yeah
User :   maybe changing the size would help with the situation that it comes off slightly
User :   do you think?
Doctor :   yes
Doctor :   if you choose a condom which fits closer to your penis
Doctor :   you can avoid this problem until having a proper treatment
Doctor :   they will available in different lengths and width too
Doctor :   ok
User :   lenghts and widths?
Doctor :   condom sizes
User :   the strange thing is though, when i put the condom on it appears to be to tight
User :   but when it is on, it comes off
User :   that doesnt make sense does it?
Doctor :   atleast it can address your psychological feelings upto some extent
User :   how do you mean?
Doctor :   i mean
Doctor :   if it approximate close to penis .. the chances of skin retraction will be less up to some extent
User :   ok, i kind of understand
User :   basically, im going to buy bigger condoms
Doctor :   ok
User :   that should make them easier to put on
Doctor :   ok
User :   when it comes to having sex, i shall have to see if it comes loose
User :   hopefully it wont
Doctor :   ok
User :   i'm just trying to think if theres anything else i need to ask
User :   because this is a rare oppurtunity
Doctor :   hmm
Doctor :   ok
Doctor :   proceed
User :   well, ill sum up what i think i know now then
User :   basically, i have a partial phimosis, correct?
Doctor :   yes
User :   so i should go and see my doctor
User :   and he'll refer me to a surgeon?
Doctor :   yes
Doctor :   exactly
User :   would my doctor be able to give me the steroid creams?
Doctor :   it totally depends on his practice and restrictions
User :   yeah, thats fair enough
User :   and, hopefully, everything will be fine with sex?
Doctor :   yes
Doctor :   it will be
Doctor :   nothing to worry about
User :   thanks
User :   its comforting to know
Doctor :   ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   yeah thanks for your help
Doctor :   ok
Doctor :   bye
User :   bye
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