Is there any other way to treat excessive foreskin without surgery?

Excessive foreskin can be improved through conservative treatment, which mainly includes manual expansion, local cleaning and care, drug treatment, physical therapy and traditional Chinese medicine conditioning. Excessive foreskin can easily lead to the accumulation of smegma, which may lead to complications such as dermatitis and urinary tract infection.

1. Technique-assisted expansion

It is necessary to gently turn the foreskin up to the coronal sulcus every day under the guidance of a doctor. If you insist on it for 2-3 months, the foreskin opening can be enlarged in some patients. Clean your hands before operation and move slowly to avoid lacerations. If redness, swelling or pain occurs during the procedure, stop immediately. This method is suitable for patients with mild stenosis of the foreskin orifice and no recurrent inflammation.

2. Local cleaning and care

Wash the inner and outer plates of the foreskin with warm water every day, focusing on removing smegma in the coronal sulcus. You can use neutral lotion to assist cleaning, keep it dry and then apply a small amount of Vaseline to prevent adhesion. It is recommended to wear loose cotton underwear to reduce friction. This method can effectively prevent secondary infection but cannot change the anatomy.

3. Drug treatment

When combined with periposthitis, antibiotic ointments such as erythromycin ointment and clotrimazole cream can be used as directed by the doctor. Patients with obvious scar hyperplasia can use mometasone furoate cream for a short period of time to reduce fibrosis. It should be noted that hormonal drugs cannot be used for a long time. Drug treatment only treats complications and is not effective in the foreskin itself.

4. Physical therapy

Low-energy laser irradiation is used to improve local blood circulation, and infrared physiotherapy is used to relieve tissue edema. The foreskin elastic expansion performed by some medical institutions uses instruments to gradually expand the foreskin opening. It needs to be operated by a professional physician and combined with anti-inflammatory treatment. The physical therapy cycle usually takes 4-8 weeks.

5. Traditional Chinese Medicine conditioning

For patients with lower burner dampness and heat, they can dialectically take Chinese patent medicines such as Longdan Xiegan Pills. For external use, you can choose Chinese medicine decoctions such as Sophora flavescens and Cortex Phellodendron to be fumigated and washed, which have certain anti-inflammatory and anti-itching effects. Traditional Chinese medicine treatment needs to be combined with physical syndrome differentiation and treatment. It cannot change the anatomical characteristics of excessive foreskin but can improve the symptoms of discomfort.

During the conservative treatment period, the effect should be reviewed regularly to evaluate the effect. Surgery still needs to be considered if posthitis occurs repeatedly, difficulty urinating, or the quality of sexual life is affected. It is necessary to avoid foreskin damage caused by strenuous exercise and avoid eating spicy and irritating foods. It is recommended that pediatric patients be evaluated for surgery after puberty. Adult patients with underlying diseases such as diabetes should give priority to controlling the primary disease.