Phimosis or Frenulum Breve? Also what are those white spots?(20M)

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So I started noticing that my foreskin doesn't retract normally when I was 16. Back then, the prepuce was about 1 cm in diameter. After about 4 years of manual retraction but without proper stretching techniques, I was able to fully retract my foreskin to expose the glans and clean it. About 1 week ago I started using Betamethasone dipropionate 0.05% and started stretching using 2 fingers. But there seems to be a large vein on my foreskin that pains while stretching in a certain direction. Please give me tips on how to proceed. Also, do I have frenulum breve? Also, what are those white spots like tiny scars?image imageimage

0 likes, 6 replies

6 Replies

  • Posted

    Hello anyone wanna help a poor guy?

  • Posted

    Can someone please say something?????

  • Edited

    Hi Hip,

    The tiny spots are known as Fordyce spots- look it up on wikipedia. They are just prominent sebaceous (grease) glands and nothing to worry about.

    You can't do much about the large vein on your penis, but it does appear that you have frenulum breve. It really depends on what your thoughts are regarding conservative vs. surgical treatment. Now that you've tried conservative treatment for a while (e.g. manual stretching and steroid cream), it's probably time to speak to a specialist about getting a frenuloplasty. This is a plastic surgical procedure to lengthen your foreskin and is especially useful if you're not keen on circumcision.

    Hope this helps.

    Adhari.

    • Posted

      Hi Adhari,

      Thanks for the advice. Is it possible to stretch the frenulum manually? If so, please recommend some technique that would work. I'm not keen on surgical treatment currently due to financial reasons and also due to the current situation due to the outbreak of Covid-19. So I would like to stick to manual technique for as long as it does the job.

  • Edited

    Hi Hipto,

    I'm sorry, but I don't have any advice I can give you about stretching/pulling the foreskin to make it more 'elastic'. Only report I've identified in Pubmed was a study in young boys offered stretching exercises + steroid cream, which seemed to be effective (see Zampieri et al. J Pediatr. 2005 Nov;147(5):705-6.).

    Not found a similar study in men, which tends to suggest that these conservative methods are less effective in adults.

    I think it's time for you to speak to a sympathetic urologist...

    Rgds,

    Adhari

    • Posted

      Thanks a lot for you advice. Appreciated.

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