Foreskin swells and pains after masturbation

Iam a 40 yrs old male, active in sex. Past 2 yrs I'm experiencing difficulty in masturbation as my foreskin gets minute cuts and swells up which burns a lot. I have only one sex partner and we used to have unprotected sex. I got checkups from a dermetologist for STD and other infections which was negative. Now the foreskin tightens during erection and if I rub it it makes my life hell. This was never a case in the history of 20yrs...This would make me hard to run my married life with my wife...! Kindly suggest me the best therapy to follow...

Regards

Suraj

[Bhupinder Kaur, MD]

Hello,
This can be due to adhesion formation after getting the cuts or phimosis of the penis. Phimosis is a constriction of the opening of the foreskin so that it cannot be drawn back over the tip of the penis.

Treatment includes application of a steroid cream to the foreskin up to three times a day for about a month to loosen the adhesive ring.If ballooning during micturition is present,then surgical removal of all or part of the foreskin(circumcision) may be recommended.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[suraj99]

Thanks for your reply...My doc told me its not Phimosis and gave me Iodine Povidone ointment which helps me temporarily. But yet I have problems of foreskin tightening during erection and for sure it generates minute cuts and swells with buring which takes 2-3 days of time to heal.My doc told you dont have much problem and adviced not to apply steroids. Pls advice how to get rid of this permanently.

Thanku

[Bhupinder Kaur, MD]

Hello,
It can be due to adhesion formation also or due to chafing skin or skin disease like eczema skin. Application of steroids is beneficial in all of these and hence I suggest you to consult a dermatologist to confirm the diagnosis.

I hope it helps. Take care and regards.

[suraj99]

Dear Doc...

Thanks again for your advice. I dont know if the surgery would be necessary. I have no idea how eczema could be detected and the tests to confirm it. But I want to avoid surgery as much a last resort. I would consider to see my doc for the specific diagnosis and treatement.

Thank you

Best..

Suraj