### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello Dr. I am hoping i am speaking to a urologist with experience in adult phimosis and frenulum breve. This is about my boyfriend who is 42 years old. We started to make out recently-not sex yet-however i noticed that i never see the head of the penis. It is covered with the foreskin. I tried pulling it back but he had a lot of pain. He said he can retract the foreskin when flaccid. He uses oil. However i never saw the skin retracting when he is erect. He said he has been like this from childhood. My initial thought was that this is phimosis. He said his problem is a short frenulum. He also looks really small down there-like 3-4 inches when erect. So 1) does he have a frenulum breve or phimosis 2) Can a short frenulum cause the head of the penis not to be exposed at all? the photos i have seen of this condition show the glans pointing downwards. With this man it is not like that-instead the glans is not exposed at all. 3) could his small size be due to problems like phimosis or frenulum breve? Can these conditions limit erections? 4) if he gets treated for will there be any increase in size at least up to an inch? I am not looking for a big guy it is just his small size worries me. I am very much looking forward to your answers. I am very inexperienced myself so i have no idea what is going on and i really want to understand this issue.

### output:

HelloThanks for your query, based on the facts that you have posted it appears that your boyfriend has nothing but Mitosis from childhood. Please consult qualified general surgeon or Urologist for clinical assessment. He needs to get circumcised. This is a simple surgery carried UT under local anesthesia as an out patient procedure. The results of the surgery are gratifying, and he will have normal erection and enjoyable sexual life throughout rest of his life. Chat Doctor. 