Phimosis: Do You Need Circumcision?

Phimosis issue

I just started high school this year.
My foreskin covers the entire glans, but when I'm not erect, I can push it back completely to expose the glans (although it feels a bit tight and touching the glans is painful).
However, when I am erect, I cannot push it back completely; there was one time when I managed to push it back during an erection, but it was extremely tight, so I quickly pushed it back.
Do I need a circumcision? I read online that some people in a similar situation have been retracting their foreskin daily, and eventually, it no longer feels tight.
Is this approach correct?

A, 10~19 year old female. Ask Date: 2016/08/19

Dr. Li Xinyi reply Urology

It sounds like you may need a circumcision procedure, or it would be advisable to see a urologist for an examination and to discuss your concerns with a physician.

Reply Date: 2016/08/19

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 source of discomfort and may lead to complications if not addressed properly. In your case, it sounds like you are experiencing a tight foreskin that causes pain when attempting to retract it, especially during an erection. This can indeed be a sign of phimosis.

The decision to undergo circumcision is not always straightforward and depends on several factors, including the severity of the phimosis, the level of discomfort you are experiencing, and the potential for complications. Here are some considerations:
1. Symptoms and Discomfort: If you are experiencing pain when trying to retract the foreskin, especially during an erection, this is a significant symptom. Pain can indicate that the foreskin is too tight, which may lead to further complications such as tearing or infection.

2. Hygiene: A tight foreskin can make it difficult to maintain proper hygiene, which can lead to infections or other issues. If you find it challenging to clean the area effectively, this is another reason to consider treatment options.

3. Non-Surgical Options: Some individuals with phimosis may benefit from non-surgical treatments. These can include gentle stretching exercises of the foreskin, which some people find helpful. However, this should be done cautiously and ideally under the guidance of a healthcare professional. Topical corticosteroids may also be prescribed to help reduce inflammation and facilitate stretching.

4. Circumcision: If conservative measures do not alleviate the symptoms or if the phimosis is severe, circumcision may be recommended. This surgical procedure involves the removal of the foreskin and can provide a permanent solution to the problem. It is generally considered safe and effective, but like any surgical procedure, it carries risks and should be discussed thoroughly with a healthcare provider.

5. Consultation with a Specialist: It is crucial to consult with a urologist or a healthcare provider who specializes in male reproductive health. They can assess your specific situation, provide a proper diagnosis, and discuss the best treatment options for you. They can also help you understand the implications of both surgical and non-surgical treatments.

6. Self-Care and Monitoring: If you choose to try stretching techniques, it's essential to do so gently and not forcefully, as this can lead to injury. Monitor your symptoms closely, and if you notice any worsening pain, swelling, or signs of infection, seek medical attention promptly.

In summary, whether or not you need circumcision depends on the severity of your phimosis and the level of discomfort you are experiencing. While some individuals find relief through stretching exercises, others may require surgical intervention. It is best to discuss your symptoms and concerns with a healthcare professional who can guide you toward the most appropriate treatment for your situation.

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