What should men do if their foreskin is too long?

Men's foreskin can be treated through daily cleaning and care, manual repositioning, drug treatment, foreskin expansion, circumcision, etc.

1. Daily cleaning and care

Wash the head of the penis and the inside of the foreskin with warm water every day to keep the area dry and clean. When cleaning, gently lift the foreskin to avoid tearing it due to excessive force. After washing, wipe dry immediately and apply moisturizer appropriately to prevent dryness and chapping. Choose breathable cotton underwear to avoid sitting in wet conditions. This method is suitable for physiological foreskin hyperplasia without inflammation and infection.

2. Manual reset

For reversible phimosis, progressive manual expansion training can be performed under the guidance of a doctor. After washing your hands, use your thumb and index finger to gently push the foreskin toward the root of the penis, hold for 10-15 seconds each time, and repeat every day. Before operation, you can soak the skin in warm water to soften it, and use lubricants such as Vaseline to reduce friction. If pain or edema occurs, stop immediately.

3. Drug treatment

When combined with balanitis, topical antibiotics such as triamcinolone acetonide and econazole cream and erythromycin ointment can be used as directed by the doctor.； Severe fibrosis can be treated with local injection of glucocorticoids such as compound betamethasone injection. Oral medications include cefaclor dispersible tablets to fight infection, or loratadine tablets to relieve allergic symptoms. Medical treatment needs to be combined with cleaning care and cannot replace mechanical expansion.

4. Foreskin dilation

Symptoms can be improved by gradually dilating the narrow foreskin opening. Commonly used devices include balloon catheter dilators, Hegar dilation rods, etc. The outpatient operation is performed under local anesthesia, 1-2 times a week, and a course of treatment is 4-6 weeks. It is necessary to keep the wound clean after surgery and avoid sexual intercourse for 2 weeks. This method is suitable for mild cicatricial phimosis and has a higher effectiveness rate in children.

5. Circumcision

Traditional surgery or laser resection can completely remove the overlong foreskin and is suitable for recurrent infections, impacted phimosis and adult patients. Commonly used surgical procedures include sleeve circumcision, dorsal incision, etc. The operation time is about 30 minutes, and the sutures are removed 7-10 days after the operation. It is necessary to choose a regular medical institution, change dressings regularly after surgery, and prohibit strenuous exercise within 1 month.

It is recommended to avoid using harsh cleaning products such as soap and wear loose, breathable underwear. The diet should be light and the intake of spicy food should be limited. If you have difficulty urinating, foreskin impaction, etc., you need to seek medical attention immediately. During the postoperative recovery period, the wound should be kept dry, iodophor disinfectant should be used as directed by the doctor to prevent infection, and the healing status should be reviewed regularly. Kegel exercises can be performed daily to enhance pelvic floor muscle control.