What should I do if my foreskin is cut too short?

Foreskin cut too short can be treated through local care, drug treatment, surgical repair, etc. Short foreskin may be caused by factors such as improper surgical operation, scarring, postoperative infection, etc. It usually presents with symptoms such as erection pain, tight skin, and difficulty urinating.

1. Local care

If it is found that the foreskin is too short in the early stage after surgery, local blood circulation can be promoted through warm water sitz bath, 1-2 times a day, and the water temperature should be controlled below 40°C. Keep the perineum clean and dry to avoid friction and irritation. Wear loose cotton underwear to reduce skin traction. When erect, you can gently press the base of the penis with your hands to relieve tension. If there is slight redness and swelling, it can be temporarily observed. In most cases, it will gradually improve as the tissue elasticity recovers.

2. Drug treatment

When obvious pain or inflammatory reaction occurs, medications must be used as directed by your doctor. Erythromycin ointment can prevent secondary bacterial infection and should be applied to the incision area 1-2 times a day. Dexamethasone cream helps reduce scar hyperplasia and is suitable for people with scarring constitution. Ibuprofen extended-release capsules can relieve the pulling sensation during erection, but attention should be paid to gastrointestinal adverse effects. Periodic reexaminations should be carried out during medication to observe tissue repair.

3. Surgical repair

For foreskin that seriously affects function, plastic surgery should be considered. Foreskin dissection extends the skin through a Z-shaped incision and is suitable for mild contracture cases. Scrotal skin flap transfer uses adjacent skin to reconstruct the foreskin and is suitable for patients with large defects. Surgery should be performed 3-6 months after surgery, after the scar has stabilized. Penile blood supply and skin elasticity need to be assessed before surgery. Postoperative rehabilitation training is required to prevent recurrence of contracture.

4. Functional exercise

During the recovery period, you can perform progressive stretching training, gently stretching the remaining part of the foreskin every day for 10-15 seconds each time. Use vitamin E oil to massage scars to help soften fibrous tissue. You can use a squatting position to reduce urethral pressure when urinating, and wear a penis protection ring at night to avoid erection damage. Exercise must be carried out under the guidance of a doctor to avoid secondary injuries caused by excessive stretching.

5. Psychological counseling

When anxiety arises due to appearance or functional impairment, psychological counseling can be used to improve the emotional state. Partner therapy can help alleviate sexual fears. Join a patient support group to share recovery experiences, and use paroxetine tablets and other anti-anxiety agents for a short period of time if necessary. Parents should pay attention to the psychological changes of adolescent patients and provide timely sexual health education.

Strenuous exercise and sexual life should be avoided within 3 months after surgery, and the repair effect should be reviewed regularly to evaluate the repair effect. Choose non-irritating bath products for daily cleaning, and avoid spicy food to reduce local congestion. If you experience persistent pain, changes in urinary pattern, or wound dehiscence, seek medical attention immediately. People with scarring constitution need long-term follow-up, and if necessary, laser or drugs can be used to inhibit scar hyperplasia. Maintaining moderate physical exercise can help improve local microcirculation, but exercise that puts pressure on the perineum, such as riding a bicycle, should be avoided.