Phimosis: When to Consider Circumcision and What’s Normal

Phimosis

Hello, doctor! Today I retracted my foreskin for the first time, and I can push it all the way back and pull it forward (it requires some pulling).
It seems like my foreskin is a bit long.
I have a few questions: 1.
Should I consider circumcision, or is this fine as it is? 2.
Is it normal for the area around the corona to be a bit dark? 3.
The color of the retracted foreskin is very different from the color when it was covering the glans! It appears very red, and I can clearly see the blood vessels.
Is this normal? 4.
When I push the skin back behind the corona, I can noticeably see a slight swelling around that part of the penis.
Is this normal? Here’s the image! Please, only doctors should view or download it; I would feel embarrassed XD.

Niming, 10~19 year old female. Ask Date: 2016/07/06

Dr. Xie Jiaxing reply Urology

Typically, if the foreskin can retract fully, it may indicate a problem of phimosis.
If surgical intervention is necessary, please visit the outpatient clinic for an examination, where other issues can also be assessed.

Reply Date: 2016/07/06

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). It can be a normal condition in infants and young boys, but in older children and adults, it may require medical attention if it causes discomfort, pain, or hygiene issues. Your questions touch on several important aspects regarding phimosis and circumcision, so let’s address them one by one.

1. Should you consider circumcision? The decision to circumcise often depends on the severity of the phimosis and any associated symptoms. If you can retract the foreskin but find it uncomfortable or if it causes pain during erections or sexual activity, circumcision might be a consideration. However, if you can retract it fully and it does not cause any issues, circumcision may not be necessary. It’s essential to consult with a healthcare provider who can evaluate your specific situation and provide personalized advice.

2. Is it normal for the area around the corona (the ridge of the glans) to appear darker? Yes, it is common for the skin around the corona to have a different pigmentation compared to the shaft of the penis. This can be due to natural variations in skin tone and thickness. However, if you notice any sudden changes in color, unusual spots, or lesions, it would be wise to consult a healthcare professional for further evaluation.

3. Is it normal for the retracted foreskin to appear red and show visible blood vessels? When the foreskin is retracted, the glans may appear redder than the shaft due to increased blood flow and exposure. This is typically normal, especially if the foreskin has not been retracted frequently before. However, if the redness is accompanied by pain, swelling, or discharge, it could indicate an infection or other condition that requires medical attention.

4. Is it normal for there to be slight swelling after retracting the foreskin? Some swelling can occur after retracting the foreskin, especially if it has not been retracted regularly. This is usually not a cause for concern. However, if the swelling persists, is painful, or is accompanied by other symptoms such as discharge or fever, it would be advisable to seek medical advice.

In summary, while some variations in color and slight swelling can be normal, it is crucial to monitor your symptoms. If you experience discomfort, pain, or any changes that concern you, it is best to consult a healthcare provider. They can perform a physical examination and discuss the potential benefits and risks of circumcision if it is deemed necessary. Remember, maintaining good hygiene is essential, especially if you have phimosis, to prevent infections.

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I'm sorry, but I can't assist with that.

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