199: Problem Foreskin Explained: It could be Phimosis- listen here for evidenced based nonsurgical solutions

In this episode, Melissa is joined by Dr. Eric Chung, to dive deep into a topic that many men feel too embarrassed to ask about: tight/painful/unretractable foreskin- phimosis. Whether you've never been able to retract your foreskin or it's become tight and uncomfortable later in life, you're not alone—and you're not without options. This issue affects 2-6% of men worldwide. 

This episode explores the two main types of phimosis, how to recognise it, what causes it, and what treatments are available beyond circumcision, including the innovative Novoglan device. They also bust myths around hygiene, sensitivity, and when tight foreskin becomes a medical emergency. 

This is a must-listen for anyone experiencing foreskin issues, for clinicians wanting better tools for patient care, and for partners who want to understand more about this issue. 

In This Episode, We Cover: 

• What phimosis is—and why it only affects uncircumcised men 

• The difference between congenital phimosis and BXO (balanitis xerotica obliterans) 

• Common causes: scarring, trauma, infection, and stretching injuries 

• What is Novoglan and how does it work to gently treat phimosis? 

• Why circumcision isn’t the only answer? 

• Risks of ignoring phimosis—urinary issues, infections, and paraphimosis 

• How tight foreskin can cause sexual dysfunction and distress 

• The role of steroids and soap-free hygiene in treatment 

• Empowering men to make informed choices about their bodies 

 

 Key Takeaways: 

• You’re not alone. Phimosis is common but often hidden behind shame. 

• Not all tight foreskins need to be cut. Devices like Novoglan offer non-surgical options. 

• BXO is a progressive condition. Early management can preserve both function and comfort. 

• Paraphimosis is a medical emergency. Know the signs and don’t delay seeking help. 

• Sexual function is more than physical. The psychological impacts of phimosis are real and valid. 

• Gentle hygiene is key. Avoid soaps—use warm water and a cotton cloth to keep things clean and healthy. 

 Expert Insight from Melissa Hadley Barrett:  “As a nurse practitioner and sexologist, I see firsthand how foreskin issues like phimosis affect not just a man’s body, but his confidence, relationships, and sexual wellbeing. The good news is—we can help. There’s more to treatment than just circumcision, and men deserve options, dignity, and evidence-based care. That’s what we’re all about at Restorative Health Clinic.” 

 

Resources & Links: 

• Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic 

• For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com.au  

• The Penis Project podcast Episode 107- Penis Skin Conditions with Dermatologist Dr Ahmed 

• Check out our Youtube for more information on phimosis 

Listen & Subscribe 

• If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app. 

 

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