This site discusses phimosis in its specific forms of phimotic ring, frenulum breve, adhesions or skinbridges. During erection these conditions inhibit the relationship between foreskin and glans. This functionally restricts the erection, and thus has an effect on the sexuality. With our culture's attitudes on health care, it would be appropriate to monitor boys before puberty and encourage early prevention.

2012 : note from author: My previous idea of monitoring boys before puberty is impractical, unecessary and now only of historical interest. please see Postscript.

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.
EXTRACT FROM
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)

INTRODUCTION

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.

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REFLECTIONS

The study of observed cases reveals that adolescent or young adult subjects suffering from phimosis have habits of masturbation different from others.

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.

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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.

Beauge's method 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 possible.

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.