<s>[INST] i am 21 years old...and i had a problem regarding with the foreskin of my penis,i could not pull it down, however i am able to pull it down now but i seem to have alot of smegma covering around my glan, what measures should i take that would help me remove it ? [/INST] HelloYour findings may suggest fibrosis. It is a surgical condition in which fore skin can't be retracted over glans penis. I suggest going for circumcision. It is a minor operation in which foreskin is cut out and skin is tied over coronal Julius. It is better to get rid of this condition earliest because fibrosis may cause surgical emergency if it is stuck over glans penis. It may compromise distal blood supply. So, you should consult surgeon for proper management. Increased Sega may be related to poor genital hygiene. You should clean are regularly be exerting foreskin. Get well soon. Take Care Chat Doctor.  </s>