Overview
Redundant prepuce, commonly known as excess foreskin, is a condition where the foreskin of the penis is longer than usual, covering the glans even when retracted. It can cause hygiene challenges and increase the risk of infections. In Korea, urologists provide diagnosis and treatment options to manage this condition effectively.
What is Redundant Prepuce?
Redundant prepuce refers to an unusually long or excessive foreskin that may cover the glans penis partially or completely. It differs from phimosis (tight foreskin) as it involves excess skin rather than inability to retract.
Symptoms
- Difficulty cleaning under the foreskin
- Increased risk of smegma buildup
- Recurrent infections such as balanitis
- Discomfort during urination or sexual activity
- Cosmetic concerns
Causes
- Congenital anatomical variation
- Lack of foreskin retraction during development
- Poor hygiene leading to swelling or inflammation
Risk Factors
- Uncircumcised males
- Poor personal hygiene
- Repeated infections or inflammation
- Age (infants and young boys commonly have naturally redundant foreskin that usually resolves)
Complications
- Balanitis (inflammation of the glans)
- Urinary tract infections
- Paraphimosis if foreskin becomes trapped behind the glans
- Psychological distress related to appearance or function
Prevention
- Proper hygiene practices including gentle cleaning under the foreskin
- Regular medical check-ups to monitor foreskin health
- Early treatment of infections
Treatment Options in Korea
Diagnosis
Diagnosis is made via physical examination by a urologist, evaluating the extent of foreskin redundancy and associated symptoms.
Medical Treatments
- Topical steroid creams to reduce inflammation
- Hygiene education and care
- Treatment of infections with antibiotics or antifungals
Surgical or Advanced Therapies
- Circumcision or partial preputioplasty to remove or reduce excess foreskin
- Minimally invasive procedures with quick recovery times
Rehabilitation and Support
- Postoperative care instructions
- Psychological support if needed
- Follow-up visits to ensure proper healing