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Sexual Health & Disorders
Question #22519
153 days ago
375

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.

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Doctors’ responses

Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
147 days ago
5

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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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
153 days ago
5

Better to go for surgery, circumcission, which is a minor surgery,

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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.

481 answered questions
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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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I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
155 reviews

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6 hours ago
Thank you for explaining my condition and offering a plan. Feeling hopeful and ready to try what you suggested! Appreciate it.
Thank you for explaining my condition and offering a plan. Feeling hopeful and ready to try what you suggested! Appreciate it.
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11 hours ago
Got super helpful advice here! The suggested meds seem promising, and easy to follow. Really appreciate the clear guidance! 🙌
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