Stretching techniques are particularly useful for treatment of the adult or adolescent non-retractile foreskin where BXO is not present [
17 ].
Stretching for a tight foreskin.
Use baby oil, Vaseline intensive care hand and body lotion, Nivea or any bland cream as a lubricant. Pull the foreskin forward away from the body several times then pull it back and hold it in the stretched position for several minutes twice daily. When the hole is large enough insert your thumb , or smaller finger if necessary, into the foreskin and grip the glans ( the head of the penis) between finger and thumb. Roll the foreskin over the thumb until the tight ring is white with stretching. Hold it in this position as long as you can at a time- say 5 minutes. . Repeat as often as you have the time and enthusiasm for. If later you find there is room for two or more fingers then use them.
If time permits even better results may be possible if you soak your penis in warm water for some minutes before you start to stretch.
If the opening to the foreskin is very narrow consider using a Glansie (
Glansie.com - cure phimosis) to advance to the methods above.
Steroid creams should be used next if no significant progress has been made after a month- You can always have a preputioplasty* if all else fails. The cream you need is called Betamethasone 0.05% sold in 30 G tubes. Sold in this country as DiproSone ..
It is a prescription only medicine which means you will have to ask your doctor for a prescription.)
The cream should be massaged into the tight part of the foreskin inside and outside 2-3 times a day for at least a month combined with further stretching.
As the foreskin widens it may become apparent that the frenulum is restricting retraction. This can be remedied by a small operation called a frenuloplasty performed under a local anaesthetic.
Take care to avoid premature retraction beyond the corona of the glans to avoid paraphimosis.