This page is based on an extract from a medical report by Michel
Beauge M.D. which is well worth reading in full at CIRP pages Beauge records the methods of masturbation
used by young men with phimosis.
MICHEL BEAUGE MD.
CONSERVATIVE TREATMENT OF
PRIMARY PHIMOSIS IN ADOLESCENTS
Traitment Medical du Phimosis Congenital de l'adolescent
Translated by Dr J. P. Warren
(Quimper, France. Thesis for the University Diploma of Andrology.
Director of Studies Professor G. Arvis. Faculty of Medicine Saint-Antoine
University Paris V1 University Year 1990-1991)
Being in charge for over ten years of the routine examination of
college freshmen as part of the preventive medicine programme of the
university, I diagnose a significant number of phimoses among older
children and young adults.
Among this male population aged 18 to 22, we have observed that
nearly 10% have various degrees of tightness of the foreskin, ranging
from total inability to expose the glans to a simple ring which gets
stuck in the sulcus. In this report the word phimosis is used to mean
the diameter of the inferior preputial ring is smaller than the diameter
of the erect glans.
From the interviews it appears that the great majority of these
subjects are virgin, and that among those who have had sexual experience,
many have failed, with difficulty in penetration, pain and loss of
erection; except perhaps in cases of the tightest phimoses who were
successful in penile penetration with the glans covered. The remainder
expose themselves to considerable risks of paraphimosis by persevering
in intercourse. This possibility and the difficulties in carrying out
successful intercourse make it necessary to intervene medically.
The study of observed cases reveals that adolescent or young adult
subjects suffering from phimosis have habits of masturbation different
Conventionally the pursuit of solitary pleasure is done with the
dominant hand closed over the penis making alternate back and forth
movement over the shaft, the hand going down towards the pubis, uncovering
the glans which the index finger or thumb may now and then stroke lightly,
reproducing the sensation of intercourse.
This exercise results in moving the penile skin in the same way
as will occur in vaginal intercourse, and therefore it is a preparation
for adult sexual relations. We shall see later that this training is
not only mechanical, but also participates in the psychological development
of the individual.
I have established a classification of the other methods of masturbation
and have often seen them among patients with phimosis.
1 Some boys never masturbate! We may doubt their assertions, but
the tightness of their phimosis suggests their statements are correct.
Ejaculation takes place during sleep (nocturnal emissions), and more
rarely spontaneously while awake prompted by stimulating events, among
those subjects who attach guilt to contact with the penis.
2 Others stroke the glans through the foreskin in the usual way,
but attempt to pull the skin towards the tip of the penis instead of
pulling it back toward the pubis. We find among these boys the persistence
of a long tubular foreskin such as is seen in infants.
3 In some cases the boy rolls the penis between two palms or between
one hand and another surface such as the abdomen, the thigh, a table,
the edge of a chair (in particular the toilet). It is usual in these
cases for the raphe on the underside of the penis not to be in the
midline but more or less displaced to one side or even spiral; the
preputial orifice is often displaced: figure 1.
4 Mechanical stimulation without use of the hands is perhaps found
most frequently (perhaps causing less guilt). In general, the boy,
flat on his face on his bed, labours as if for intercourse with the
help of his pelvic musculature, and rubs his penis against the mattress,
the bolster or a pillow, often through a cover in which -- sign of
the times-- he has placed a disposable paper tissue to avoid stains
which would betray his activities to his mother.
5 Interfemoral stimulation is found, facilitated by a penis curved
downward (figure 2), unless it is this activity which determines this
anatomical anomaly. This technique has the advantage that it can be
carried out in company, much as some females have orgasms by squeezing
their thighs, while climbing a rope, or while riding a bicycle.
6 Instrumental masturbation: this can be achieved by vibro-masseur
or by showering, but it has never been demonstrated in this population
studied and therefore must be rare or of occasional practice.
7 For the record: auto-fellation when mobility allows it.
of stretching phimosis
Thanks to CIRP for discovering and thoroughly recommended reading: Beauge's full text.
APPENDIX - (R.Stuart)
I suspect that each condition and each combination of conditions
leads to different methods of masturbation, depending on what is physically
8 Inserting a finger between the foreskin and the glans is ocasionally
reported among both frenulum and phimosis sufferers
9 Quelling the full erection is fairly often reported (to allow
some mobility without crossing the pain threshold) Masturbating (with
ejaculation) when flaccid is also occasionally practiced though this
has also been reported from one circumcised and one uncircumcised man.
The Kinsey New Report report this among the old and infirm: "The
mechanisms governing erection, ejaculation, and orgasm are separate,
so it is possible - and not uncommon - for a man to retain interest
in sex and to ejaculate even though his penis is not erect. (16).
There are reports of young men with adhesions,
10 Stroking very lightly, or
11 Applying pressure around the area of the glans.