Hi I am 17, i have pinhole phimosis. Basically i can't retract my skin back at all.
I have been stretching for just over 5 weeks now with really little results (almost none).
First i saw some minor results, basically the tip of my penis was more of a hole rather then just a slit.
The technique i have been using is just the simple pulling one, where i pull back as hard as i can and hold it there for a few seconds, continuously alternating hands to keep the skin tight. I think i should be using a different method as this has proven extremley ineffective as my hole has not increased in size at all in the five almost six weeks of stretching. I have also being using a topical cream.

Any suggestions? should i be using a different method due to the severity of the phimosis?
I tried sticking small cone shaped objects in to increase the width, but after stopping for a couple days my hole has shrunk down to a size where it has started to hurt to pee (maybe its swollen?)

What you are doing has no leverage because the glans is too soft. Try doing this for a while:



Work at the for about ten to fifteen minutes each session and do two to three sessions per day. Use gentle, but firm, tension, just short of causing pain.

What kind of cream are you using and why? Do you have any cracking or tearing of the end of your foreskin?

To you it may be obvious, but if you don't state it specifically, we don't know whether you are saying your foreskin was always like this, or whether at some point in the past you could retract it normally. This makes a lot of difference. It is also interesting to know at what point you figured out that something was not "normal" and what information (or mis-information) you have been finding about this.

Next, we need to know the result of the "balloon test". If you in fact can "balloon" the foreskin but it does not do this when you say it hurts to pee, then it is not the narrowing of the foreskin that is the problem, but some irritation you have caused by using dilators without a suitable lubricant.

You really need to do a fair bit of reading back through the discussion board here to follow the methods we advise to actually get the foreskin stretching.

Jim,
I am using betaderm ointment 0.1% (i take it back that i am using a topical cream hah)
I actually did start to have some cracking/tearing when i first started usuing the cream around the opening of my head

Paul,
I have never in my recollection been able to,
I actually went to a physical and my doctor told me i had phimosis and didnt realize that i should of by this time be able to pull it back. I always i assumed the exposed head would just appear over time. I was basically told upfront i needed circumcision, but after research found i can do stretching techniques. I am scheduled to see a urologist soon, and will be interesting to see what he has to say.

My penis does balloon, and now during my painful peeing (with my hole being very small now) i notice it alot and actualy have to physically squeeze the last bit of pee out of my head at the end to get everything out (without having to wait for it to dribble out slowly)

I have been doing some reason, and alot of searches on pinhole-style phimosis, but i didnt exactly know what i should be doing as no one specifically said what should be done for pinhole phimosis, i realized recently that my current technique is inadequate and how severe my phimosis is compared to other people

as well, I have always been sexually active (Always with condom though)

thanks, i will try the technique shown and see what happens

Cracking and tearing indicates yeast. Get some Lotrimin and start treating right away. Do the exercise I illustrated above.

yeast? even though it only happened when i started, and never again?

The cracking is not the only indicator. The pinhole size of the opening is another red flag, and the pain during urination is another. Get started on treating for yeast, and I think you're going to be surprised.

OK then, it seems you have always had this problem, which implies that it is not the result of a disease process. On the other hand, the cracking and soreness are not the behaviour of normal skin, which should tolerate stretching at least up to the point where it causes evident pain - if the stretching is not actually painful, it should not be a problem.

The betamethasone ointment is certainly the (absolutely) correct application for aiding stretching - which causes me to ask - who prescribed it for you, and with what instructions? It is most important to apply it only to the precise area you wish to stretch and nowhere else. In your case, this means that you might wish to apply it with a cotton bud into the narrow opening of your foreskin.

Now, note (in case it is not immediately obvious) that to get anything into that narrow opening, you need to stretch it out as you do so - as Jim depicts here or the "funnel" manoeuvre in other pictures posted every so often in other threads using two hands. This is a pre-requisite for getting the medication in, for using a suitable blunt "torpedo-shaped" object as a dilator, or indeed using a small finger as a dilator - both of which require some lubricant.

Now, what can we say about skin that is not healthy? Indeed, it should be healthy as it has not evidently caused problems in the past. Unfortunately, it may be that your manipulations have traumatised it a little and caused conditions favourable for that great bugbear, "Thrush" (aka: Candida). Also, the fact that you are indeed, sexually active - albeit with condom use - does allow for acquiring it from the young lady (simply by handling). Finally, and not at all insignificantly, one of the effects of the betamethasone is that it tends to suppress the normal protective immune responses of the skin to such infection.

This does not mean that one should not use the betamethasone, but it is advisable to counter the tendency by using the antifungal - such as clotrimazole/ Lotrimin® in addition to the betamethasone. It will be most practical to do this at alternate times to the betamethasone (presuming you apply each twice a day). You may use the clotrimazole as the lubricant for continued stretching by whatever means (but not the betamethasone, however you might apply that as the last thing you do after some stretching, so that it is not spread around).

I am guessing you are in Canada. It is fascinating - in a quite disturbing fashion - to see doctors suggest that you "need" circumcision - since even as you are, everything is (or was, before the disturbance) perfectly functional and of no complaint. You might of course ask, there must be some advantage to having a nicely and comfortably retractile foreskin and no doubt there is, but to say that circumcision would, or even could somehow "improve" matters is quite obscenely bizarre and perverse.

Yes Paul you are correct, I am located in vancouver, Canada
I will go to the store today and pick some of that stuff up for the potential yeast infection,
for added benefit i uploaded 2 pictures to help give you guys an idea (this is currently with the really small hole problem)
I will just message them to paul as i am unable to post them here using imageshack

Pictures:

Head:http://tinypic.com/r/11rwrp0/4

While stretching:http://tinypic.com/r/1zzorxz/4

Well, the hydrocortisone in "Hyderm" is the weaker - and in the respect you desire, relatively ineffective - relation of the betamethasone you presently have, so I would see that as somewhat inappropriate. The Clotrimaderm if it is clotrimazole only, would perhaps be more appropriate - I tend to advise against using "extras" that are not necessary, just as a matter of principle.

As to whether a given product is used for vaginal or external application; that is of little consequence (after all, where does one put a penis anyway? I have been known to advise the use of vaginal anti-candidals prior to intercourse as a convenient method of treating the partner ...).

After bringing it up with my mother,
she suggested I use a cream she already has just in case of vaginal yeast infection:
Hyderm / Clotrimaderm cream

Is this okay for me to use instead? A quick google search of clotrimadern reveals its for vaginal yeast infections, but would it be okay for my case?

Yeast knows no gender.