A question on Phimosis treatment - Tilted Forum Project Discussion Community

firefang2115 · 11-23-2009, 05:33 PM

A few quick facts before i start with the various questions i was too embarrassed to ask the doctor during my appointment and couldn't find answers to on the papery bit that comes in the box or on the internet site for the drug company.

1. I have Phimosis and spent a bit of time researching it before i managed to will myself into the doctors office.

2. I don't like the idea of circumcision and recently found that most patients (about 96%) respond favorably to the steroid cream treatment) don't require surgery to fix the problem. (to say the least this made me feel much better when i found out about this)

3. I have a Long term girlfriend who doesn't mind that my kit isn't quite up to spec

(big help, BTW she's the reason for question 1)

4. I've been prescribed Betnovate ointment (30g tube) with the active ingredient of Betamethasone 0.1% w/w as bethamethasone valerate the remaining mass is made up of white soft paraffin and liquid paraffin.

To the questions. Thanks in advance for any help you guys can provide

1. I'm using this stuff once a day on the tight skin that prevents the foreskin from moving backwards past Glans, the question is if im using this stuff everyday, am i allowed to have sex with my girlfriend? or will it affect her if i've already absorbed it into my skin? (the info sheet says under no circumstances to allow it to touch internals.

2. can someone please tell me what Preputial plasty or Z-plasty are? i was told they are alternatives to circumcision that leave you with a looser foreskin but an intact one but i can't find any good sources on the web.( i know the odds of me needing surgery are low but i'd rather get educated in the event the steroid cream doesn't work)

JStrider · 11-23-2009, 05:43 PM

heres the wikipedia article on preputial plasty Preputioplasty - Wikipedia, the free encyclopedia NSFW

i tend to think you should see the non surgical options completely through before trying surgical options.

firefang2115 · 11-23-2009, 05:49 PM

Thanks for the article.

Believe me I'm hoping the steroid ointment works, I'm not too thrilled by the idea of people using sharps on my penis. but if the steroid treatment doesn't do anything before the end of my Christmas holidays I've been told by the doctor to go back so i can be referred to a urologist. I'm definatly going to see the ointment treatment through like i said i just want to educate myself in the event it doesn't work.

LoganSnake · 11-23-2009, 06:28 PM

I did it the old fashioned way. By brute force. It was either that or get cut. Gotta love Eastern European medicine in the early 90s, eh?

I'm "fixed" now, by the way. So I can attest to that method being effective, albeit quite a lot son of a bitch on a stick painful.

Cimarron29414 · 11-24-2009, 10:26 AM

I'm sorry you are going through this. It looks painful and frustrating. I hope it all works out without the scalpel.

Milnoc · 11-25-2009, 02:24 PM

If you do have to be cut, make sure the doc leaves things reasonably loose, and preserves as much of the frenulum as possible.

Does anyone know if partial circumcisions actually exist? Can you remove just the ridged band, the part that's most likely the source of the problem?

LoganSnake · 11-25-2009, 08:27 PM

Quote:

Originally Posted by Milnoc

If you do have to be cut, make sure the doc leaves things reasonably loose, and preserves as much of the frenulum as possible.

Does anyone know if partial circumcisions actually exist? Can you remove just the ridged band, the part that's most likely the source of the problem?

Quote:

Partial circumcision is a common procedure that's favored by many men as a happy medium. The removal of just the contractile tip allows the foreskin to retract upon erection, but still retain its protective quality as a natural shield for the head of the flaccid penis.

The risks you run in undergoing a partial circumcision are largely the same as those that accompany a full one: a minute to moderate amount of bleeding, infection of the circumcision site or an infection of the urethral opening. Another long-term difficulty could arise, however, if the partial circumcision proves to be an insufficient one, leaving a bit of foreskin that is a nuisance during intercourse. In the hands of a skilled surgeon, however, this outcome is a rare one.

Partial Cut & More - AskMen.com

ASU2003 · 11-26-2009, 05:50 AM

Are you doing any streching with your fingers by pulling it? Don't pull too hard* , but that should help.

*(with the cream on it you may not be able to get a good grip though)

As for having sex, I would ask you doctor or pharmacist. Or wear a condom for the next few weeks.

firefang2115 · 12-04-2009, 05:39 AM

Well, its been 10 days and I'm pleased to say the steroid cream is slowly working i can now retract the foreskin without discomfort while flaccid. Its not working very fast but at least its doing the job no knife work for me

Milnoc · 12-05-2009, 07:02 AM

Slow and steady. Don't rush.

Pretty soon, it'll be as baggy as an old sock!

bobcow556 · 12-07-2009, 04:47 AM

I read that Betamethasone cream 0.05% works, but its prescription only. Are there any non-prescription alternatives?

ASU2003 · 12-07-2009, 05:42 PM

Quote:

Originally Posted by bobcow556

I read that Betamethasone cream 0.05% works, but its prescription only. Are there any non-prescription alternatives?

I don't know of anything else, but I wonder why this is prescription only? Are there any people who would be able to use this for some other purpose?

firefang2115 · 12-07-2009, 08:02 PM

most likely its prescription only due to the long list of side effects if too much is used/it is used too often/it is used in the wrong places.

possible side effects include
(the following may happen to 1 in 10,000 people)
Thinning skin
Veins becoming more pronounced
skin discoloration
pustules full of puss under the skin's surface
stretch marks may develop
Weight gain, rounding of the face and chin (this only effects infants and children)

(the following may happen to 1 in 10 people)
Skin irritation
a burning sensation where the ointment is used

In short this stuff should absolutely not be used without a doctors instructions. the leaflet says your not supposed to use it on your face or reproductive areas due to the skin being rather thin in these regions. The effects of the ointment however are useful in the case of Phimosis because it makes that rigid band thinner and easier to stretch gently, after the treatment stops. the band of skin (now at a comfortable circumference) will hopefully heal to its proper thickness without contracting.

I hope this answers your question

bobcow556 · 12-07-2009, 08:34 PM

Quote:

Originally Posted by firefang2115

most likely its prescription only due to the long list of side effects if too much is used/it is used too often/it is used in the wrong places.

possible side effects include
(the following may happen to 1 in 10,000 people)
Thinning skin
Veins becoming more pronounced
skin discoloration
pustules full of puss under the skin's surface
stretch marks may develop
Weight gain, rounding of the face and chin (this only effects infants and children)

(the following may happen to 1 in 10 people)
Skin irritation
a burning sensation where the ointment is used

In short this stuff should absolutely not be used without a doctors instructions. the leaflet says your not supposed to use it on your face or reproductive areas due to the skin being rather thin in these regions. The effects of the ointment however are useful in the case of Phimosis because it makes that rigid band thinner and easier to stretch gently, after the treatment stops. the band of skin (now at a comfortable circumference) will hopefully heal to its proper thickness without contracting.

I hope this answers your question

Thanks.

I'm not really sure how the ointment works. Do you just apply it and let it sit for a few minutes or something? If you have to stretch the foreskin how do you do it?

JStrider · 12-07-2009, 09:15 PM

I would think using any kind of moisturizing lotion to keep the skin soft and supple, and then doing some gentle stretching exercises would yield results given enough time, probably not as quick as using the steroid cream, but steps in the right direction.

Milnoc · 12-08-2009, 05:43 AM

Quote:

Originally Posted by firefang2115

a burning sensation where the ointment is used

firefang2115 · 12-08-2009, 08:15 AM

Quote:

Originally Posted by bobcow556

Thanks.

I'm not really sure how the ointment works. Do you just apply it and let it sit for a few minutes or something? If you have to stretch the foreskin how do you do it?

i just let it sit till most of it has been absorbed/evaporated while gently stretching since most of the cream is made up of white and liquid paraffin. as for how to stretch it, pull the skin back till you can make out the rigid band (it'll be paler than the rest because its almost reached its elastic limit) put a small amount on the band (all the way around mind) and try not to get any on the head (the doctor said it could lead to damage on the head, if you get some on there just grab a tissue and gently wipe it off.) and then keep the rigid band under a small amount of tension. I've not gotten to the point where a device is required to stretch it is required. but i shall give some thought to it and run a net-search or two I'll post back with results shortly.

also @Milnoc its normally due to a minor allergic reaction( at least that's what the coversheet says), if that happens stop treatment and return to the doctor.

---------- Post added at 04:15 PM ---------- Previous post was at 03:29 PM ----------

Alright here is what i found.

you can resort to mechanical methods eg. the Glansie
glansieDOTcom/en/glansie.htm

or you can use these stretching methods i found on a website for student health.
thestudentroomDOTcoDOTuk/wiki/Tight_Foreskin
(read the whole article, it provides advice on how to get that pesky tight band back over the head if you manage to get it stuck behind)

hope this helps.

I appologise for the murdered links im not allowed to post URLs till i have 15 posts to my name

Taglich · 12-14-2009, 10:44 PM

I'm a little late to the game on this topic, but I figured I'd pass along my experience.

Back in 2007, I suspected that I had phimosis. I went to my family doctor who referred me to a Urologist. I did a bit of research before going, which talked about some of the options, including the steroid treatments. When I saw the urologist, his suggestion right off the bat was circumcision. I brought up the steroid treatments and showed him some info I had printed out. He agreed to try the steroids first since I really wanted to avoid the scalpel, but advised me not to get my hopes up.

Ultimately, the steroids didn't work, and I ended up going with the circumcision. To be honest, I'm actually happy with the turnout, and have no complaints.

11-23-2009, 05:33 PM	#1 (permalink)
firefang2115 Upright	A question on Phimosis treatment A few quick facts before i start with the various questions i was too embarrassed to ask the doctor during my appointment and couldn't find answers to on the papery bit that comes in the box or on the internet site for the drug company. 1. I have Phimosis and spent a bit of time researching it before i managed to will myself into the doctors office. 2. I don't like the idea of circumcision and recently found that most patients (about 96%) respond favorably to the steroid cream treatment) don't require surgery to fix the problem. (to say the least this made me feel much better when i found out about this) 3. I have a Long term girlfriend who doesn't mind that my kit isn't quite up to spec (big help, BTW she's the reason for question 1) 4. I've been prescribed Betnovate ointment (30g tube) with the active ingredient of Betamethasone 0.1% w/w as bethamethasone valerate the remaining mass is made up of white soft paraffin and liquid paraffin. To the questions. Thanks in advance for any help you guys can provide 1. I'm using this stuff once a day on the tight skin that prevents the foreskin from moving backwards past Glans, the question is if im using this stuff everyday, am i allowed to have sex with my girlfriend? or will it affect her if i've already absorbed it into my skin? (the info sheet says under no circumstances to allow it to touch internals. 2. can someone please tell me what Preputial plasty or Z-plasty are? i was told they are alternatives to circumcision that leave you with a looser foreskin but an intact one but i can't find any good sources on the web.( i know the odds of me needing surgery are low but i'd rather get educated in the event the steroid cream doesn't work)

11-23-2009, 05:43 PM	#2 (permalink)
JStrider Poo-tee-weet? Location: The Woodlands, TX	heres the wikipedia article on preputial plasty Preputioplasty - Wikipedia, the free encyclopedia NSFW i tend to think you should see the non surgical options completely through before trying surgical options. __________________ -=JStrider=- ~Clatto Verata Nicto

11-23-2009, 06:28 PM	#4 (permalink)
LoganSnake We work alone Location: Cake Town	I did it the old fashioned way. By brute force. It was either that or get cut. Gotta love Eastern European medicine in the early 90s, eh? I'm "fixed" now, by the way. So I can attest to that method being effective, albeit quite a lot son of a bitch on a stick painful. __________________ Maturity is knowing you were an idiot in the past. Wisdom is knowing that you'll be an idiot in the future. Common sense is knowing that you should try not to be an idiot now. - J. Jacques

11-24-2009, 10:26 AM	#5 (permalink)
Cimarron29414 Still Free Location: comfortably perched at the top of the bell curve!	I'm sorry you are going through this. It looks painful and frustrating. I hope it all works out without the scalpel. __________________ Gives a man a halo, does mead. "Here lies The_Jazz: Killed by an ambitious, sparkly, pink butterfly."

12-07-2009, 09:15 PM	#15 (permalink)
JStrider Poo-tee-weet? Location: The Woodlands, TX	I would think using any kind of moisturizing lotion to keep the skin soft and supple, and then doing some gentle stretching exercises would yield results given enough time, probably not as quick as using the steroid cream, but steps in the right direction. __________________ -=JStrider=- ~Clatto Verata Nicto

11-23-2009, 05:49 PM	#3 (permalink)
firefang2115 Upright	Thanks for the article. Believe me I'm hoping the steroid ointment works, I'm not too thrilled by the idea of people using sharps on my penis. but if the steroid treatment doesn't do anything before the end of my Christmas holidays I've been told by the doctor to go back so i can be referred to a urologist. I'm definatly going to see the ointment treatment through like i said i just want to educate myself in the event it doesn't work.

11-25-2009, 02:24 PM	#6 (permalink)
Milnoc Crazy Location: Montreal	If you do have to be cut, make sure the doc leaves things reasonably loose, and preserves as much of the frenulum as possible. Does anyone know if partial circumcisions actually exist? Can you remove just the ridged band, the part that's most likely the source of the problem?

11-26-2009, 05:50 AM	#8 (permalink)
ASU2003 immoral minority Location: Back in Ohio	Are you doing any streching with your fingers by pulling it? Don't pull too hard* , but that should help. *(with the cream on it you may not be able to get a good grip though) As for having sex, I would ask you doctor or pharmacist. Or wear a condom for the next few weeks.

12-04-2009, 05:39 AM	#9 (permalink)
firefang2115 Upright	Well, its been 10 days and I'm pleased to say the steroid cream is slowly working i can now retract the foreskin without discomfort while flaccid. Its not working very fast but at least its doing the job no knife work for me

12-05-2009, 07:02 AM	#10 (permalink)
Milnoc Crazy Location: Montreal	Slow and steady. Don't rush. Pretty soon, it'll be as baggy as an old sock!

12-07-2009, 04:47 AM	#11 (permalink)
bobcow556 Upright	I read that Betamethasone cream 0.05% works, but its prescription only. Are there any non-prescription alternatives?

12-07-2009, 08:02 PM	#13 (permalink)
firefang2115 Upright	most likely its prescription only due to the long list of side effects if too much is used/it is used too often/it is used in the wrong places. possible side effects include (the following may happen to 1 in 10,000 people) Thinning skin Veins becoming more pronounced skin discoloration pustules full of puss under the skin's surface stretch marks may develop Weight gain, rounding of the face and chin (this only effects infants and children) (the following may happen to 1 in 10 people) Skin irritation a burning sensation where the ointment is used In short this stuff should absolutely not be used without a doctors instructions. the leaflet says your not supposed to use it on your face or reproductive areas due to the skin being rather thin in these regions. The effects of the ointment however are useful in the case of Phimosis because it makes that rigid band thinner and easier to stretch gently, after the treatment stops. the band of skin (now at a comfortable circumference) will hopefully heal to its proper thickness without contracting. I hope this answers your question

12-14-2009, 10:44 PM	#18 (permalink)
Taglich Upright	I'm a little late to the game on this topic, but I figured I'd pass along my experience. Back in 2007, I suspected that I had phimosis. I went to my family doctor who referred me to a Urologist. I did a bit of research before going, which talked about some of the options, including the steroid treatments. When I saw the urologist, his suggestion right off the bat was circumcision. I brought up the steroid treatments and showed him some info I had printed out. He agreed to try the steroids first since I really wanted to avoid the scalpel, but advised me not to get my hopes up. Ultimately, the steroids didn't work, and I ended up going with the circumcision. To be honest, I'm actually happy with the turnout, and have no complaints.