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Back to basics.

April 10 2012 at 12:17 AM
Paul B.  (Login Paul_B.)

Response to Very tight phimosis stretching methods

Firstly, wondering where was your starting point, 25 years ago (now that would be age 19, wouldn't it)? Could you retract - properly - at that point?

If you have been coming to this site for years, you should know the rules. No soap or "soap by any other name" - no "products" other than unscented Zinc and Castor Oil, "Thrush" cream or the appropriate steroid.

OK, Eumovate®/ Clobetasone cream is not suitable for this purpose; whilst it is a fluorinated steroid, it is apparently considered a "moderate" potency steroid (and so, available "over the counter") rather than the "ultra-high" potency variety required to effect weakening of the skin matrix to stretch.

The major point is the consideration of "Thrush", and the consideration related to this that at age 44, you should be tested for blood sugar level to exclude diabetes. Being sexually active (even with only one partner) represents a substantial mechanism for acquiring and re-acquiring the Candida yeast, even without symptoms other than the skin hardening and fissuring (cracking).

You do not mention treating for Candida ("Thrush") so this rather sounds like the critical factor. Initial treatment with topical cream possibly augmented by oral Fluconazole, continued with less intensity as you continue to stretch, is likely to be the "missing link".

A dilator using PTFE (Teflon®) tape sounds not unreasonable; I note that the more rigid "flesh tunnels" of the wrong design could be a problem. The stretcher and noting my amended suggestion to this, or at least the material used to fashion and re-fashion it, would seem to be worth pursuing as you can craft any form of the dilators from that material (without dangerous projecting parts!).

Given that you are using an effective treatment with anti-Candidal and optionally, appropriate steroid, and probably, some lubricant you really should not encounter fissuring. Zinc and Castor Oil may be an alternative as it has some anti-Candidal action in itself, and stretching should if at all possible be continued with slightly reduced pressure, even while any fissure is healing (as even a fissure represents a slight advance in dimension).

Response TitleAuthorDate
   respsonse to questionsjonathanApr 10, 2012, 4:46 PM
    The way to start.Paul B.Apr 11, 2012, 3:53 AM
     Re: The way to start.JonathanApr 16, 2012, 11:37 AM
      Not sure what to sayJimApr 16, 2012, 1:28 PM
   OK! first step ! ty...JonathanApr 16, 2012, 10:47 AM
   pubmed papers justification for clobetasone butyrate useJonathanApr 16, 2012, 12:18 PM
    Well you have convinced us!Paul B.Apr 16, 2012, 3:49 PM
     ty !JonathanApr 16, 2012, 4:25 PM
      Do not confusePaul B.Apr 17, 2012, 5:43 AM
       Re: Do not confuseJonathanApr 17, 2012, 4:40 PM
        Well now.Paul B.Apr 17, 2012, 11:14 PM
         well nowJonathanApr 18, 2012, 4:26 PM

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