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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Phimosis Be Treated?

There is a problem in the foreskin. It does not move behind.At the tip it is big enough to open but after few cms it has to be stretched. I had met A skin specialist. He said it was fungal infection., The fungal infection got treated. He had also told me to do glucose test fasting & pp. Fasting plasma glucose was 91mg/dl PP plasma glucose was 109mg/dl Urine fasting & PP was PRESENT +++ (1.0gm/dl) After 8 days the skin specialist gave me Azithromycin 500mg OD for 10days & Rinifol for 10days He advised me meet a physician. He wrote :low renal threshold. My main concern is why the foreskin is not comimg behind. If it closes then I may have problem in urination.
Mon, 11 Sep 2017
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General & Family Physician,  's  Response
dear
I understand we have a problem in retracting the fore skin.As rightly said if the tip is ok,we are having a stricture behind which leads to the contracture.It might also be due to prolonged infection.But please be clear that the renal threshhold has nothing to do with that and I advise to repeat the urine sugar as well.
Are we having problem during urination? or balooning of the prepuse during urination?
in such case we usually advise a surgical consultation in stead.`
A mild dilatation may suffice ,so plz dont worry and more over take a lot of fluids in your diet.
hope this helps
most welcome for further queries.
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How Can Phimosis Be Treated?

dear I understand we have a problem in retracting the fore skin.As rightly said if the tip is ok,we are having a stricture behind which leads to the contracture.It might also be due to prolonged infection.But please be clear that the renal threshhold has nothing to do with that and I advise to repeat the urine sugar as well. Are we having problem during urination? or balooning of the prepuse during urination? in such case we usually advise a surgical consultation in stead.` A mild dilatation may suffice ,so plz dont worry and more over take a lot of fluids in your diet. hope this helps most welcome for further queries.