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Difficult to retract tight foreskin on erection. PHIMOSIS?

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I am 27 years old patientold virgin and i guess i have partial phimosis, though not sure if it just a tight foreskin problem. I am able to retract my foreskin easily behind my penis head when limp. However when fully erect it is very difficult to retract. But after pulling with force it retracts just behind the head and ring is formed (Please see image). Still it is kind of uncomfortable and i am sure it will be trouble during intercourse. Please examine using the images i have uploaded at different conditions (erect, limp) and let me know if it is NORMAL and whether some natural remedy is needed. I do not want to undergo circumcision.

Category: Urologist

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Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
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Expert:  Dr. Rajiv Goel
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Dear sir
Thanks for your query at DoctorSpring.com
Your foreskin is certainly tight when penis is erect and must be painful.
You should daily apply any over the counter steroid cream on the inside of foreskin. This shall thin out the skin and allow you to normal retraction even when erect.
Take care
Sincerely
Rajiv Goel


Patient replied :

Thank you Doctor for your advice.
Can i request you to please suggest such a cream, without much side-effects and the duration that I should be using.
Also please me know if this condition is serious enough to cause difficulty during intercourse and if i really require a surgery.


Expert:  Dr. Rajiv Goel
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Dear sir
You can use betnovate N twice daily for 4 weeks. If the skin loosens then you don't need to do anything. However if it stays tight then you shall require surgery. Intercourse shall be painful with tight foreskin and certainly needs to be corrected.

Take care
Sincerely
Rajiv Goel

Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
DNB - NBE
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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