In this way, you can keep loosening up your foreskin and move on to bigger rings. And you follow the same process with the new ring size. This is good news. This means that you are making progress and it is time to move to the next ring size. Start wearing the next ring size for only a small duration of time in the beginning (30 mins or less every day), and then gradually, once your foreskin gets used to the size, the duration can be increased. Two things will happen when the steroid cream is applied over the skin or specifically phimotic band-

This also helps with other related issues that you may be dealing with, but you may be unaware of, such as balanitis or BXO or Lichen sclerosus. All you need to do is apply consistent stretching on the phimotic band diameter. Here is a picture of the phimotic band, which in a normal foreskin, is just referred to as ridged band or preputial band- You should graduate from a ring when the phimotic band no longer holds the ring securely in place. Move to the next largest ring and wear it for 45 minutes a day. Repeat this process until the phimotic band can retract over the glans without any resistance. After using a certain ring size for a while, you ll find that your foreskin will become loose enough for you to move to the next bigger ring.When a controlled mechanical stretch, through Phimostretch rings and stretching exercises, is applied to phimotic band, the cells in the dermis layer of the foreskin are stimulated. This stimulation occurs because mechanical signal of stretching is converted into electrical signals in the cells through mechanotransduction. Phimosis is a completely curable condition and can be 100% cured with consistent stretching of the foreskin. This article was co-authored by Scott Tobis, MD. Dr. Scott Tobis is a board certified Urologist. With more than seven years of experience, he specializes in treating patients for urologic conditions such as urologic cancers, prostate enlargement, vasectomy, kidney stones, frequent/urgent urination, erectile dysfunction, incontinence, and blood in the urine. Dr. Tobis holds a BS in Cellular and Developmental Biology from The University of California, Santa Barbara, and an MD from Dartmouth Medical School. He completed his internship in General Surgery and residency in Urologic Surgery at the University of Rochester School of Medicine and Dentistry and his fellowship in Urologic Oncology and Robotic Surgery at The City of Hope National Medical Center. Dr. Tobis is a diplomat of the American Board of Urology. Physiologic phimosis refers to a tight foreskin from birth, and for the majority of individuals will resolve during normal development. For some however, the phimosis will continue into adulthood. The average age of the first, full foreskin retraction is considered to be 10 years old. To attempt to stretch the foreskin or force retraction during childhood can cause damage, as the glans is still commonly attached to the foreskin at a young age.

We would like to point out that it is going to be very rare where you can not put on a bigger ring if your current size ring is loose enough. Chances are that if you are unable to move on to the bigger ring size, your current ring is still snug and tight enough that it is providing sufficient stretch to your phimotic band. In most cases, users want to rush to the next ring size and they end up hurting their foreskin by using a bigger ring. You should avoid that. Skin is one of those tissues that responds well when put through controlled stretching. When a slight mechanical over-stretching is applied, the skin cells are stimulated to go through mitosis or cell division in that region to form newer cells that are identical to parent skin cells. This stimulation is made possible through a process called mechanotransduction where the mechanical overstretch is communicated as an electrical and chemical signal for the body to undergo mitosis. Mitosis Step 2: Apply a lubricant to the foreskin and glans - we recommend coconut oil or Vaseline. Retract foreskin over the glans as much as possible.As we mentioned before the collagen produced by the fibroblast cells in the inner layer are the most important connective tissue element and gives the skin its elasticity.. When the steroid cream is applied, this collagen production is also slowed down than normal. The phimotic band now becomes thinner and easier to stretch than it would with the normal collagen levels. These creams are readily available in the market over the counter and are very cheap. Steroid creams for Phimosis Through stretching, your goal should be to activate pathway#1 of skin expansion while avoiding pathway#2 of wound healing through scar formation. You can do this by not overstretching your phimotic band (use appropriate sized rings), understanding that it will take a little bit of time and hence, being patient with the stretching process. Active stretching through finger exercises should also be complemented with passive stretching through Phimostretch rings to see final results. If you have had sexual intercourse with tight foreskin, then you would probably know that it is uncomfortable as glans is sensitive and it can be painful too because your foreskin is not able to retract fully. Apart from that, it can also lead to erection issues as a person with phimosis can’t experience the sensations that a gliding motion of foreskin over the glans produces.