Tight foreskin ~ ? on another board

[momto4kids]

What can you do about this short of circ'ing?? It's come up on another board I am on and of course the answer was being circ'd as an adult ~ this was a reason for RIC and why a couple of moms did circ.

I just want to show that there are other options for the men then surgery.

TIA for any info I can pass on!!!!

Dana

[Frankly Speaking]

Dana, it must first be determined if it is a case of normal congenital phimosis or pathological phimosis. You see, all boys are born with congenital phimosis. Thats the norm. Pathological phimosis is a different thing. It is caused by severe trauma to the foreskin or long term untreated infections or repeated infections. If neither of these conditions have existed, it is not pathological phimosis but instead the normal condition of infants and children.

Now many if not most doctors in North America do not understand this distinction and almost all cases of diagnosed pathological phimosis are false diagnoses and the child is perfectly normal.

The appearance of the infant/child foreskin is very tight, only allowing urine to pass and it is also resistant to stretching. At some point in the child's life, this tight non-elastic foreskin opening will become elastic allowing the foreskin to be easily retracted over the glans. Just when this happens is highly variable. It appears the average age for this to happen is about 10 years old but it is not at all uncommon for it to be in the teen years.

Only about 1% of normal foreskins will not easily retract by the end of the teen years. For these boys/men, there are simple stretching exercises over a period of a few weeks that willl loosen the foreskin opening for normal retraction. Only about 1% of these boys/men will not respond to these routines. That represents 1 in 1,000 boys/men.

If this is an adult having this problem, send him here and get him to PM me for an explanation of the exercises. I've helped several men with this and have had a 100% success rate. However, I will also tell you that often those presenting with this problem are nothing more than trolls and it is just something they've read about and use it to advocate for infant circumcision.



Frank

[Ann-Marita]

Originally Posted by Frankly Speaking

Only about 1% of normal foreskins will not easily retract by the end of the teen years. For these boys/men, there are simple stretching exercises over a period of a few weeks that willl loosen the foreskin opening for normal retraction. Only about 1% of these boys/men will not respond to these routines. That represents 1 in 1,000 boys/men.

1% of 1% would be 1 in 10,000 boys/men.

And even then, in those very rare cases when the stretching doesn't work, there are non-surgical options (such as steroid cream) and less-damaging surgical options (such as a dorsal slit).

Not to mention that some men who are non-retractile are ok with that - it's just a variation on "normal" and they like it just fine.

The only valid medical reasons for circumcision are cancer of the foreskin, frostbite, gangreen or some kind of terribly mangling accident. Phimosis isn't one of those.

[Frankly Speaking]

Originally Posted by Ann-Marita

1% of 1% would be 1 in 10,000 boys/men.

Thank you! Can you tell I wasn't a math major?

Not to mention that some men who are non-retractile are ok with that - it's just a variation on "normal" and they like it just fine.

Yes, two of the men I have helped were 22 and 32 years old. It was not a problem for them and both had sired children. It was their wives who wrote me asking for help. The wives thought it would result in a better sexual experience for their husbands if they were retractile. I don't know, I didn't get any feedback about that from either of them.

The only valid medical reasons for circumcision are cancer of the foreskin, frostbite, gangreen or some kind of terribly mangling accident. Phimosis isn't one of those.

I've also read that the very rare case of lichen sclerosis (I think that was what it was) that resists treatment is also a valid indication. In rare cases, pathological phimosis can be caused by diabetes in older men (usually after age 50) and it appears that circumcision might be valid as treatment. However, I emphasize that these are very rare cases, one case per 10's of thousands.



Frank

[veganf]

Stretching the foreskin (after puberty) combined with topical steroid cream is the treatment I've heard of.
My oldest's foreskin in very very tight. He wonders why his doesn't move like his brothers' do. We've just told him it's fine and that when he is a grown up he can get special cream and stretch it, (or sooner if it gets too tight and causes pain I suppose).

[MCatLvrMom2A&X]

The first step to fix true phimosis (adult male) is stretching with or without the aid of steroid cream. If that dosnt do the job then there is something called a dorsal slit were a incision is made and allowed to heal open so that the foreskin can retract over the glans. The very last resort is circ.

It is important to note that there are men who have never been retractable and live their whole lives that way with no harm. It isnt something that has to happen.

[thixle]

Stretching exercise for phimosis, to be done only by the owner of the penis:
http://pages.suddenlink.net/manual_m.../phimosis.html

[Frankly Speaking]

Thanks for that link Thixle. The few men I helped, I just told them to retract the foreskin as far as was possible without pain every time they toileted and when they bathed. All wrote me back in as little as 10 days and no longer than 5 or 6 weeks to tell me the condition was completely resolved or nearly so and complete relief was in sight.

I always fear that when I use the term "stretching exercises" I am implying that it will be something that is difficult, ardous or intrusive. In fact, it is anything but those things and requires no significant difference than their daily routine. The exercises are just a slight modification of what they are already doing.


Frank

[Microsoap]

Dorsal Slit!!!!!!!!

I'd like to state that a full circumcision is awfully radical, even if it were a tight foreskin in adulthood. A dorsal slit is a tiny slit on one side of the foreskin to relieve pressure. It doesn't even seem to be a logical option when dealing with tight foreskin even though it's the most obviously logical! You'd still keep the functioning foreskin and protective nature of it and it would be loose enough for retraction. It may look physically... um, "bizarre" (I guess), but it's because it's what we're not use to seeing it, so who says it's "ugly" or "not right" or whatever? Non-circumcising countries who see circumcised penises think they're "weird", KWIM? So whose to say a dorsal slit isn't a viable option???

[glongley]

Preputioplasty is preferable to a dorsal slit, which can be disfiguring.

Here is a couple of comparitive links:
http://en.wikipedia.org/wiki/Preputioplasty
http://www.jrsm.org/cgi/content/full/96/12/619
http://www.edu.rcsed.ac.uk/HowIDoIt/...0phimosis.html

Gillian

[Frankly Speaking]

Originally Posted by glongley

Preputioplasty is preferable to a dorsal slit, which can be disfiguring.

I'm really hesitant to mention either one because I fear it will drive the surgery to avoid surgery excuse. It does appear there is a 1 in 10,000 chance of one of these procedures being needed, in my estimation, paying too much attention to them could be more harmful than just waiting until there is a case that has not responded to less invasive treatment and offering information on them then.


Frank