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Urology  (Expert Forum)
 | 
Penis head retracts under skin of the shaft
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Penis head retracts under skin of the shaft

by Paul__0, Jul 29, 1998 12:00AM
  I am in my early 50s and I was circumcized at birth.
  However recently I have noticed my penis "shrinking" back within
  as if I was never circumcized. When I wish to use the bathroom, I
  have to pull the skin back so that normal urination is possible.
  I have also noticed that during and after ejaculation, there is a
  burning sensation throughout my penis and scrotum.
  Can you tell me what these symptoms may indicate?

by hfhs M.D.-AK, Jul 29, 1998 12:00AM


-
Dear Paul,
If you were circumcised at birth there should be no reason why the skin on the shaft of the penis would cover the head of the penis.  If you cannot retract the skin completely this is a problem known as phimosis.  What I have seen in the clinic is that as patients age, they tend to put on some extra weight and this causes the suprapubic and penile shaft skin to advance over the underlying penile tissues.  This occurs to varying degrees and can ultimately bury the  penis.  If your having any difficulty urinating or having recurrent infections you should see a urologist in the office.
In regards to your other question, often times people have a periodic burning or irritative sensation after ejaculation.  I do not have the benefit of examining your penis, so it is difficult to comment on the size of the meatus (opening at the head) or the appearance of the shaft.  An obstruction such as meatal stenosis(small opening), urethral stricture(narrowing inside the penis), or enlarged prostate could all cause these symptoms your having. A stricture could be causes by a history of trauma or a sexually transmitted disease, particularly gonorrhea.
Prostatitis or an infection of the prostate gland may also cause similar symptoms such as fever,malaise, or lower back and bottom pain.  You may also have burning when you urinate.  
This information is provided  for general medical educational purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.  More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword: buried penis





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