Hi im 28 i have pinhole phimosis and have been to see the doctor today. I told him i didn't want a circumision and mentioned Preputioplasty but he had not heard of this. He said there is something called a Frenoplasty? which cuts a Z shape on your forseskin but this wasn't a very safe method. I don't want a circumcision!! Can someone give me advice please??

Have you yet read back over several threads to get an idea of how to solve the problem? This is the first step. In doing so, you'll learn that others before you have succeeded. You can too.

You'll need to stretch the tight opening manually. How you do this may require some ingenuity on your part. We can advise only so far.

I believe you can gain faster by using a device to hold open the foreskin. Generally, something made of plastic will serve well. It needs to be smooth and cleanable. Start by trying something like the cap from a pen, something like perhaps a BIC. Lubricate it and insert it carefully, holding it place with medical tape.

There is a substance you can purchase at any good hobby store. Some call it friendly plastic. You can mold a device into any shape you need to serve your purpose.

Another good idea is to use skin tunnels to hold the skin open.

thanks for the reply but to do what you mentioned is impossible for me

What are the details?

It's just that you have not understood what you need to do.

Read the advice and I mean seriously read back through this discussion board - there is a lot of material and a lot if it is relevant to you.

Your doctor is even more confused than you are. A frænuloplasty is not a procedure to treat phimosis as such.

And how anything could be called "not safe" in comparison to a circumcision, is quite laughable.

Please do two things. Firstly, you may care to explain to us - in reasonable detail - just what problems you think that "pinhole phimosis" may be causing you and for which you think it needs to be treated in some fashion.

Secondly, just how much of this discussion board have you read? You mention "Preputioplasty" which we have discussed from time to time - we feel that it is something of a "blind alley" as you would most likely - in fact almost certainly - need to undertake a program of stretching manoeuvres in order for such surgery to achieve what you expect, while the stretching on its own will achieve as good or better eventual result, and just as likely as quickly taking into account the duration of healing from surgery.

I suggest you sit back and take your time - read a lot of the discussions here - each "thread" from many index pages - ten "threads" each - to gain an adequate understanding of techniques, concerns and expectations. Once you have a basic idea of techniques, immediately start performing the straightforward ones while you consider whether to go on to try a stretching "device".

appreciate your replys, just want to point out my foreskin is probably the tightest ever. So stretching can work for phimosis this extreme? I will read through more of the posts, thanks

But, first believe in yourself. This will work if you work it.

Boy, what an ego! Your foreskin is "probably the tightest ever".

Give us a break!

Almost every poster here seems to come with the clear conviction that he is the "worst case", practically unique amongst the human race, deserving of the most special attention, one for the medical textbooks, and so on.

Poppycock!

Look, you have not even taken the effort to answer what I asked. You have claimed "pinhole phimosis" without even describing what you imagine that means. It may be that the doctor you saw described it as such - but we have already ascertained that he is almost totally ignorant on the subject, so there is no reason for me to connect that description with your actual condition.

If you must know - but yes, you do need to do the reading to get a complete basis for discussion - the criterion of "pinhole phimosis" is that when you pee, your foreskin "balloons" to at least two inches in diameter and to the extent that it takes over a minute to pee, the stream is less than about 3 mm in diameter, is difficult to direct properly or "sprays" widely, and it takes many seconds for it to cease as the "balloon" deflates even when you can actually feel that your bladder has emptied and you "shut off" the flow.

If on the other hand you have little or no "ballooning", finish peeing in 40 seconds at the most (morning full bladder) and "shutting off" the flow deliberately causes the last spurt to last less than a second, then I can safely tell you you do not have "pinhole" phimosis.

But please, saying "yes, that's me" tells us little or nothing. If you do not have restriction in peeing, then perhaps you can explain - as I requested before - just what is the problem you see - what will you not be able to do that you think you should, because of your tight foreskin?

Yes it does baloon when i pee but i can control it ok. Phimosis in my case can make intercourse very uncomfortable and have lack of feeling. Can also get sore.

I couldn't retract my foreskin and had what I diagnosed as pinhole phimosis. Every day when I was in the shower I just pulled back on my foreskin so it was taught and held it for 30 seconds. Within a week I saw a difference.

Looking at the stretching techniques i can't even get 1 finger in never mind 2!! Any advice on techniques when the end is very tight?

You have to start somewhere.

Start by doing this:



You'll find this will get the skin looser so you can progress to more advanced steps.

Also do this:



Do what you can with it.

As soon as you have some progress, I think you're a good candidate for skin tunnels. Have you read the treads relating to them?

Look at the second picture Jim gives here. Stretching the foreskin forward as shown, forms a smooth "funnel" and removes the folds and wrinkles. At the bottom of that funnel is the tight area that requires stretching. Holding the skin like that allows you to push something down and through the narrow part to stretch it.

That "something" might be a finger, or might be a smooth, torpedo-shaped object such as the cap of a classic "Bic" ball-point pen. Knitting needles have been mentioned, but are too long and cumbersome and we would be talking about a very large gauge one, not the common thin ones. The object must be going to actually stretch the tight part, otherwise it is just fooling around. When it goes through the tight area it will of course need to slip beside the glans, so you do not want it to have too long a taper - the pen caps would generally be a good choice.

Now note that whatever it is, it must be absolutely smooth with no edges or moulding "flash" - that should be self-evident. And it must be lubricated unless you find this whole process sexually exciting and produce your own lubrication - which you may or may not. For this purpose, vegetable oil would generally be safe, as of course would be a "personal" or "surgical" lubricant.

Following these principles, it should not only be possible but entirely comfortable and effective to perform the stretching, however tight the opening is to start with. Precisely where you grip the foreskin is not all that important as long as you can stretch the inside layer and form that smooth "tunnel" into which to slide the dilator.