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Phimosis where skin can't retract normally
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Pediatric Medicine
Question #11518
45 days ago
121

Phimosis where skin can't retract normally - #11518

Aditya

Can't retract skin when hard and if opens skin in normal it's gets hard and feels pain there. Skin is tight. My age is 17 years 11 months . Should I apply some cream or something, please help me out of this issue.

Age: 17
Chronic illnesses: No
Phimosis
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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
45 days ago
5

1.Phimosis means the foreskin is too tight to retract comfortably, especially when erect.

2.In some teenagers, it improves gradually with age, but persistent tightness and pain need treatment.

3.Daily gentle stretching exercises and application of a mild steroid cream (only if prescribed by a doctor) can help soften the skin.

4.Avoid forceful pulling, as it can cause cracks, pain, and scarring.

5.If the problem continues, a urologist can advise safe options like preputioplasty or circumcision, which are simple and effective procedures.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See the condition phimosis you are telling usually subsides by itself or may require preventive or curative measures Iam prescribing some medications for improvement Please apply them for 1 month Clobetasol 0.05 % twice a day for 1 month Betamethasone twice a day for 1 month In case no improvement is there, Then below surgical procedures may be recommended Dorsal slit Circumcision surgery In case of no improvement consult gynacolologist or sexologist in person for better clarification Kindly go for surgical treatment only after recommendation from concerned physician Hopefully you recover soon Regards

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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
44 days ago
5

Hello ADITYA, Its usually difficult to retract skin when you are hard there. The pain occurs as there is a formation of ring that tightens during to hardening there.

I suggest you to consult a surgeon for proper examination and treatment. Take care

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It sounds like you might be dealing with phimosis, which is where the foreskin is too tight to be pulled back over the head of the penis. This condition can vary in severity, and you’re at an age where it might just be natural development, but it can also cause discomfort or pain, especially during erections. Some cases do resolve on their own, but if it’s causing significant pain or interfering with your daily life, it’s worth considering a few steps before consulting a doctor. One evidence-based first step is using a topical steroid cream, such as hydrocortisone, which can help loosen the foreskin when applied as instructed over a period of weeks. You’ll typically apply a small amount to the tightest part of the foreskin two or three times daily, and gently try stretching exercises to encourage the skin to become more flexible. Warm baths can also facilitate this stretching. In case of frequent or severe pain, it’s important to avoid forcefully retracting the skin, as this can cause microtears, scar tissue, and lead to complications. If over-the-counter creams and gentle stretching do not improve the condition in a few months, or if the tightness worsens, you should see a healthcare professional. They may discuss the potential of minor surgical options like preputioplasty or circumcision if conservative treatments fail. Watch out for any signs of infection, such as redness, discharge, or swelling, and seek medical attention immediately if these occur.

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