Question #22519
72 days ago
166
Phimosis - #22519
Bhargav
I m 29 yrs old have tight foreskin when I pull my foreskin with Luke warm water I see the head of penis but see the rubber band type structure beyond which I can't stretch more . Can I get your valuable suggestions for it to relieve my tightness or I need surgery please tell honestly with your experience. I will be waiting for your response.
Phimosis tightness foreskin
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Doctors’ responses
Namaste
I Understand that this must be a source of significant physical discomfort and emotional stress, and I appreciate your current in seeking guidance with sincerity and honesty. You described that your 29 year old, and I have a tight foreskin which allows partial retraction only with warm water, revealing the head of the penis up to certain point-but then a tight, rubber band like structure prevents further moment. What you’re describing is most likely a case of pathological phimosis or fibrotic phimosis
According to Ayurveda, the reproductive organs or governed by shukra vaha stoats - the subtle channels that manage reproductive health, tissue, nutrition, and overall vitality, any obstruction or stiffness in this channel is often the result of dosha imbalance, particularly kapha and vata .
In your case, the tightness restriction and fibrous ring indicate a long-standing dominance of KAPHA dosha -which brings about thickness, rigidity, and stagnation in tissues.
Alongside this , vata dosha can contribute to dryness tightness and pain
When kapha is aggravated over a long period in a localised area-such as the foreskin- it can cause mama dhatu sthirata (rigid muscle/ tissue tone) and snayu granthi ( fibrotic or hardened bands in muscular tissue or ligaments)
This is exactly what we seen in phimosis, a non -elastic, thick ring of skin that is no longer functioning as it naturally should
Ayurveda always promotes the idea of swasthasya swasthya rakshanam ( preserving health) and aturasya Vijaya prashamanam ( eliminating disease)
In this context, preserving health involves not only treating disorders gently, but also knowing when nonvirtual treatments are no longer sufficient, there is an ancient Ayurvedic concept called Anupama sthiti, which means a condition where natural or medicinal methods, no longer yield effective outcomes and surgical corrections becomes the only viable path
In your case, this appears to be one of those situations
Since the Tightness is not due to temporary inflammation or mild skin rigidity-but rather a chronic structural change in the tissue-there is a very little likelihood that oils, massages or herbal therapy will help in resolving the issues completely
Even if there is a slight improvement, it will be temporary and insufficient to restore full function, more importantly, this level of tightness poses ongoing this such as
Micro tears or pain during sexual activity or erections
Recurrent infections
Difficulty in cleaning the area properly
Reduced confidence or anxiety in intimate situations
Because of these complications and nature of the fibrosis, I recommend with full honesty and experience that you go ahead with surgery called as circumcision
This is a minor routine procedure that permanently remove the fibrotic foreskin release the tension and tightness and restore comfort, cleanliness and confidence It is typically performed under local anaesthesia and recovery is fast. Most men return to normal activities within a few days and full healing happens in few weeks.
Ayurveda, honest nature, but also deeply respect the role of surgical science, which was established by an Ayurvedic masters like acharya sushrutha , the father of surgery
According to Sushruta, when structural deformity impaired the normal function of the body and do not respond to medicinal measures. Surgical intervention is the most right and practical path
So you do not need to live in discomfort or wait any longer
Circumcision is safe, effective and final
It will not only resolve the physical tightness, but also eliminate the worry and doubt you have been carrying around this condition
If you decide to go for procedure, then ensure it is done by a qualified surgeon unfollow, post-operative hygiene, and Care instructions properly. You will likely feel a sense of physical relief and emotional freedom afterwards, that you may not have realised was missing.
Wishing you strength, clarity and full recovery ahead
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Prefer for surgery. It looks like you are getting infection and if it continues you may get severe urinary tract infection.
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There is a method , put Coconut oil on the tip of penis allow to soften, slowly try to retract the foreskin back wards, need to do it slowly,if painful stop
May be this method takes longer time and need confidence and courage
If cannot do it , need to see urologist for evaluation
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HELLO BHARGAV,
I understand your concern, it sounds like mild to moderate phimosis- when the foreskin is too tight to fully pull back over the head of penis.
that rubber band ring you mentioned is likely the tight part of foreskin
now for mild to moderate case, surgery is not the first step-
try some natural remedies
1) GENTLE STRETCHING- do this daily after warm water bath
gentle pull the foreskin back as far as it goes without pain- hold for 30 sec to 1 min - repeat few times
be consistent do this for 4 to 8 weeks to see difference
2) SHATDHAUTA GHRITA OR JATYADI TAILA- apply on foreskin area gentle massage it 2-5 min
it helps soften the skin and promote healing
if not this then cow ghee or coconut oil is also best option
3) warm water soaking - sit in lukewarm water for 10 min daily-add neem leaves in it
after soaking try gentle stretching
4)also can apply paste of manjistha churna+ lodra churna+ daruharidra with few drops of water or ghee
apply at only tight ring outside only- leave for 10 min and wash off
internally take
gandhak Ramayana- 1 tab twice daily after meals- 21 days
triphala guggulu - 1 tab twice daily after food
drink plenty of water
avoid masturbation
if after 4-6 weeks of following this, there is no change, or if you feel pain, infection signs are then, then do not delay so to urologist
might suggest
circumcision or preputioplasty
thank you
hope this might be helpful
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Hello Bhargav
" NO NEED TO WORRY "
" I will help u to get recover in Phimosis condition Best Possible way "
UR CONCERNS
U have tight foreskin when u pull your foreskin with Luke warm water you see the head of penis but see the rubber band type structure beyond which I can't stretch more
MY ASSESSMENT
This suggests U have Mild to Moderate type of Phimosis
Also it's showing signs of Infections
SOLUTION:- 3 WAYS ARE THERE IN FRONT OF US
1.Self Foreskin Manipulation by Techniques I suggest need few days
2.Local Physician assisted Foreskin Manipulation under Anaesthetic Gels Stepwise needs Few days
3.If No Possibilities of Manual Foreskin Manipulation then Circumcision ( Small Opd based Surgery with minimum invasion no complications) can be considered as Last Option
1) TECHNIQUES OF SELF FORESKIN MANIPULATION BY URSELF
1.Gentle Self Streching Method
Step 1 - Warm water loosens the foreskin and retracting the foreskin becomes easier.
Step 2 - Apply Castor Oil / Olive Oil over Foreskin
The thick and viscous nature of castor oil nourishes the foreskin and aids easier retraction.
Step 3 - Start Gentle Push Back
try and gently pull back the foreskin to bring it to the original position
Pull back to pain limit Hold it for 30 sec to 1 Mins and leave.Again Start this procedure.Do at least 2 Sitting per day in different time.Follow this for few weeks u will see improvement
LUKE WARM FORESKIN IMMERSION
Keep Foreskin immersed in Luke Warm Water for 5 mins so Becomes loose and easily get Manipulated
INSTRUCTIONS TO FOLLOW
• Maintain Proper Urogenital Hygiene
• Avoid Too Stretching
• Avoid Forced Traction
• Must Use Lubrication for Manipulation
2 ) TECHNIQUES OF PHYSICIAN ASSISTED FORESKIN MANIPULATION
BALLOON DILATION:
A doctor or urologist may use a special device to gently inflate a small balloon under the foreskin, gradually stretching it. This procedure is performed under local anesthesia and is often used for more severe cases of phimosis.
3 ) CIRCUMCISION PREPUTIOPLASTY
Small Minor OPD Based Operation with Minimal pain and quickly healing
AYURVEDIC TREATMENT TO AVOID SECONDARY INFECTION
• Tab.Triphala Guggulu Dhootapapeshwar Phrama 2 -0-2 After Food
• Tab.Gandhak Rasayan ( Dhootapapeshwar Pharma) 2 -0-2 After Food
• Himalaya Antiseptic Cream ( Himalaya Pharma) For Local Application
REGARDS
Dr Arun Desai
God Bless You 😊 🙏
If you have any questions u can ask me.U have text option.
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It sounds like you might be experiencing phimosis, a condition where the foreskin becomes too tight to be easily pulled back over the glans (head of the penis). In Ayurveda, phimosis can be linked to imbalances in the doshas, perhaps particularly Vata, which can affect the elasticity of tissues. Here are some Ayurvedic recommendations that could help, though it's important to also consider consulting with a healthcare professional for a more comprehensive evaluation.
Firstly, incorporating Ayurvedic oils may aid in improving elasticity. You can try massaging the foreskin gently with sesame oil, known for its warming and moisturizing properties, that can calm the Vata dosha. Apply a few drops to the area twice daily, preferably after a warm bath when the skin is more supple. Take care to massage very gently to avoid any tearing or irritation.
Herbs also offer benefits. Ashwagandha, for instance, is revered for balancing Vata and supporting tissue health. It’s recommended to take it as a supplement – you might take powdered Ashwagandha (about 1 teaspoon) with warm milk before bedtime. Drinking good amounts of warm water throughout the day keeps the tissues hydrated, aiding flexibility.
Furthermore, maintaining a balanced diet can support skin health and overall wellness. Favor warm, oily, and nourishing foods to balance Vata. Include ghee and turmeric – both are anti-inflammatory and can support healing processes internally. Also, avoid excessive caffeine or dry, cold food items that may aggravate Vata.
Gentle stretching exercises are sometimes recommended, but should be approached with caution – it’s essential to avoid force or cause pain. If there is no improvement through these natural measures within a few weeks, or if you experience pain or other symptoms, consulting a healthcare provider for a more conventional evaluation would be wise, as surgical intervention can sometimes be necessary for relief. Always prioritize comfort, safety, and professional guidance where needed.
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