This site discusses phimosis in its specific forms of phimotic ring, frenulum breve, adhesions or skinbridges. During erection these conditions inhibit the relationship between foreskin and glans. This functionally restricts the erection, and thus has an effect on the sexuality. With our culture's attitudes on health care, it would be appropriate to monitor boys before puberty and encourage early prevention.

2012 : note from author: My previous idea of monitoring boys before puberty is impractical, unecessary and now only of historical interest. please see Postscript.

INTERNAL SWELLING

I read your letter, and its probably not the sort of thing anyone on the forum could answer, ... also I am not a trained Urologist ...

You need a real specialist ... I am afraid your situation might be something of a rarity, hope an expert could help.

>Dear Sir

>I am writing in desperation and request your assistance.
>I had a circumcision back in Feb 1999 due to excessive infections at the base of the glans and a swelling of the foreskin after sexual intercourse. The swelling must have started during the intercourse but after ejaculation and retraction the swollen area became very painful and raw. Cold water was splashed onto it in an attempt to prevent further swelling and to reduce the burning sensation. After a while this became the usual chain of events except that it started to happen after masturbation and then when I woke up with an erection.

>The operation was performed in the February of 1999. After a couple of days I noticed that the swelling, that the doctor informed me would subside, was more defined and larger. The doctor was not aware, until my re-examination, of this problem which was a large swelling just on the scar tissue at the base of the glans where the slip of skin connects. The opposite area to this had become tight, with no swelling, due to the swelling on the other side pulling the unswollen skin tight, as it is to this day.

>I had blood tests performed searching for Melkersson Rosenthal Syndrome, by the refered Dermotologist, and nothing was found. I am now under going steroid injections which are leaving the area bruised sore and painful during erection. The area is semi fluid in that one day it feels spongy and the next it is rock hard even whilst flacid.

>Have you any ideas as to a treatment or cause as this problem is now affecting my psychological life as I have been unable to approach women due to the ugliness of my ailment and my last relationship broke down due to my inability to want sex, undress infront of her or talk about it through embarrasment. My dermotologist is reluctant to remove the area by surgery as he it is not sure that it would cure the problem.

>I sincerely hope you can help, as your article suggests you have done extensive research into this part of the anatomy. If you are unable to assist me in my plight, would you know of any one who might be able to assist.
>Yours faithfully