Only accurate diagnosis can ensure individual problem related
There is a simpler special guide on how
parents could check children. This page is intended to help
the enquiring adult to diagnose his own complaint.
Please first read the summary
The important point about self diagnosis is that YOU understand
your condition, - to make it worth a doctor discussing treatment
with you in an intelligent manner, instead of simply recommending
something, with you left clueless.
What have you got? Does it need surgery or could it respond to
THINK: If you want the best surgery you go to a surgeon - if you
want conservative treatment (betamethasone or some other skin ointment)
then best would be a dermatologist (skin specialist). Please read: how to make life easy for you
and the medical profession
Introductory Remarks for Self Diagnosis
Please read the Summary of
If you`re totally new to the subject then the following may help.
To a man who has never retracted his foreskin, it appears to be
made from one thick layer of skin, similar to the tongue or an ear
lobe. This is not the case. There is no join between the outer and
inner surfaces of the foreskin, the inner and outer foreskin are one
continuous layer or sheet of skin which is folded back on itself. What
is meant by retracting the foreskin, is that one pulls back on the
outer foreskin. The inner surface of a healthy foreskin, will roll
out from underneath and spread back evenly over the shaft.
In order to start a self diagnosis: - WHEN FLACCID slowly and gently
start retracting the foreskin.
Very rarely infant adhesions can still be bonded in early adulthood,
they usually release last in the area around the frenulum.
Occasionally among uncircumcised boys skin bridges usually take
the form of a single strip or string of skin between the foreskin and
the glans, (these often occur directly beneath the urinary opening,
thus may easily be confused with an extremely short frenulum - see
When attempting retraction - The most common conditions are phimotic
ring and frenulum breve - and these often occur together so that
"it`s difficult to see where the one starts and the other ends" - one
will usually predominate.
With a normal foreskin as the outer skin pulls back, the inner foreskin
turns inside out and rolls back unfolding freely.
If you can get it back "so far"
The phimotic ring lies just inside the join between inner and outer
foreskin and this is most evident on the top side of the penis, so
looking from above, with phimotic ring as the outer pulls back, only
a small strip of the inner turns over and at the foremost edge of the
inner foreskin a fine line of the white (or occasionally red(?)) band
of a phimotic ring will be visible.
If you have a loose phimotic ring, which seems
undetectable when flaccid, try this: insert two clean little fingers,
(or even one finger and a q.tip) in the end of the foreskin and pull
(gently) sidewards, you will feel very clearly most of the skin is
elastic except for a thin ring, so thin that you feel if it was wire
it would cut you, this is the phimotic ring.
With frenulum the restriction is underneath the glans, so as the
outer foreskin is pulled back a good centimeter or more of inner foreskin
turns over above, but now look underneath and you see the restriction
staring to pull the glans downwards.
MORE DETAILS for those who are still unsure
The phimotic ring or noose is a thin line or contour of rigid skin
on the inner foreskin, just behind the tip of the foreskin on the
upper side of the foreskin, however on the lower side of the foreskin
there is a flap of skin which you can flip away downwards quite
Retracting gently, if there is any degree of difficulty in retraction,
do not use any force, there is a danger of paraphimosis or ripping etc..
Would the foreskin retract when flaccid - with lubrication? If you
can retract without any difficulty, there is often a clearly visible
hourglass effect around the shaft. .(see Phimosis
Many men call what they have: phimosis, but they describe sensations
which I`ve learnt to recognise as symptoms for frenulum breve: the
foreskin always slides forward again; too much foreskin; can retract
esasily when flaccid but not at all when erect; or: discomfort, tightness
or pain following intercourse. The point is that when there`s just
a mysterious, indistinct discomfort; tightness, pain its very often
a symptom for frenulum breve.
THE PROBE CHECK
When flaccid or erect, if you hold the foreskin in the retracted
position and look sideways, you will be able to see if the glans
bends downwards. When the foreskin is retracted as far as possible
even minor degrees of frenulum breve will bend the glans at a obviously
distorted angle to the shaft of the phallus. There is some doubt in
my mind as to how the surgeon defines which degree indicates a frenulum
which is too short. Therefore the best test is: the frenulum is too
short if, when erect, it causes the retracted foreskin to slide forward
again and recover the glans.
The frenulum may be so extremely short that it is non-existent, and
connects the foreskin directly to the glans beneath the urinary opening.
A probe check would be necessary to decide if this was in fact a
malformation of the frenulum, or a skin bridge. - If you suffer an
extreme phimosis further diagnosis for frenulum or skin bridges necessitates
a probe. - Adults may be able to use the probe check, however this
could be dangerous if any infection was present. (Probe is shaped
like a mini q.tip - smooth plastic - which you roll round inside
the foreskin), - no responsibility is taken for the completeness
or accuracy of the descriptions. - Please see The
and the medical profession