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PAST HISTORY : previously it was ok before 2 years. day by day this problem is increasing.
Dr. Puneet Madan answered : 12 years ago
Hi,
What kind of treatment you have been taking for this,if you have already tried medical treatment and it has failed then surgery remains the option of choice.
Are you having any infection over penis repeatedly ?
Are you a diabetic ?
Medical treatment includes topical creams, steroidal and non steroidal, applied to the prepuce.
Gradual stretching of the opening of the prepuce to widen it.
Surgery like circumcision is preformed,after inflammation clears off.
There are more options also to surgeries.
Please mention about treatment what all you have taken
Patient asked followup Question: 12 years ago
Sir, I have not taken any treatment yet, actually before 2-3 years it was opening but a little bit problem only but now from last 2 years problem has become more critical. I am not diabetic and dont have any infection. I tried many times of Gradual stretching for the opening but it's not working. please suggest me, i dont want to have any sugery. Should I meet you directly??
Dr. Puneet Madan answered : 12 years ago
Hi,
If you have not tried the medical treatment,then first you should try medical treatment first,application of topical steroid cream, such as betamethasone, for 4–6 weeks to the narrow part of the foreskin.
Betamethasone cream 0.05% should be applied to the exterior and interior of the tip of the foreskin 2-3 times daily,but if it does not work even after 4 weeks then consult a genral surgeon.
You can directly also meet a genral surgeon or any doctor near your house.
Keep doing the gradual stretching along with medical management and you will be fine,and pay attention to your cleanliness of perineal area so that you don't get repeated infection on your penis because that will worsen the situation.
Patient asked followup Question: 12 years ago
Sir but if it will not work then should I prefer surgery. Is this type of surgeries are normal or it will have some side effects.please suggest is the surgery will be the best or it will affect my future marriage life.
Dr. Puneet Madan answered : 12 years ago
Hi,
Medical treatment is good enough for 70-80 percent of people and they work good,and if it does not work then yes there are surgical treatments which are absolutely normal and they basically don't have side effects but then it depends from person to person and they are fine for your future married life don't worry.