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.

ALL MY LIFE and AFTER FRENOPLASTY, STILL UNRETRACTABLE

I have suffered from an irretractable foreskin for ages (31 yrs - all my life!)

I was recently referred to a urologist and a frenuloplasty was carried out. It doesn't seem to have worked. Although, with difficulty, the foreskin can be retracted when flaccid it is impossible to do this when erect.

What are the alternatives now? Would a dorsal slit be appropriate? One urologist has suggested a circumcision which I would rather avoid.

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an accurate diagnosis seems to be rather appropriate first!! -, if the frenulums been operated then I suggest its a phimotic ring, if you check this out,
http://www.male-initiation.net/phimosis_research.html

then we can consider different treatments,
if you've had it all your life, it may stretch ...
keep in touch please with any results,
Cheers
Robin