[ ARC forum 2 ]

Re: Adhesion therapies

Written by nano at 10 Oct 2002 18:06:53:

As an answer to: Adhesion therapies written by Paul B. at 10 Oct 2002 12:27:04:

>> Paul, is the betamethasone of any use at this point?
>I'm not sure!

1 week after I started using it, it seems not only easier but more i>natural to retract the foreskin.

>> My thinking is that it may cause the skin to thin out which might hinder the separation process.
>Not to make too fine a point about thinning as such, but making the skin more stretchable might on the one hand weaken the adhesion and help them part - but it (steroid) may not penetrate very deeply and would thus be effective only at the parting edge of the adhesion at any given time.

I agree, by the logic it should be easier, not "hinder".
I already posted here (in a response to AJ) that some brazilian docs. tried a new enzime (hyaluronidase) together with betametasone successfully for the treatment of phimosis (adhesions). Have you heard anything about this enzime?

>On the other hand, it may tend to cause the skin to stretch more than the adhesion. But this is not a real disadvantage in any case, since it still works toward the goal of a mobile and retractile foreskin.
>> If there is thrush as you have suggested, would the use of it not be contraindicated?
>Indeed - if that is the suspicion, an anti-thrush antifungal such as Clotrimazole or Miconazole (etc. - imidazoles) should be used, but it can be used as well as the steroid.

Sorry but I don't know what thrush means. Do you have another word?

>> You have suggested also that a short frenulum would have prevented the normal separation, but the subject has stated that it was previously separated, only lately becoming stuck.
>I'm not sure he is actually saying that. Presumably he will explain, but perhaps it retracted before, but it was still stuck even at that stage.

To be honest, I just don't remember. But from what I can recall, my foreskin retracted even when erect and I believe it was a normal penis. But this was 10 years ago. Then it started to be dificult to retract. After that, for about 7 or 8 years I don't remember retracting my foreskin and this was the period when, I believe, the skin attached solidly to the glans.


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