Changes in Sensation After Circumcision: Is It a Skin Issue or STD? - Urology

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The surface of the foreskin feels different than before, possibly indicating a tear?


I previously had a circumcision, so the glans is naturally exposed.
However, I recently noticed that the texture of the remaining foreskin has changed slightly, and there seems to be a possible abrasion at the junction with the glans.
I am quite puzzled and wonder if I might have contracted a sexually transmitted infection (STI).

TPmax17, 10~19 year old female. Ask Date: 2016/12/20

Dr. Du Shixi reply Urology


Hello: Please pay attention to the cleanliness of your foreskin.
If there is any broken skin, you should visit a urologist for an examination (the likelihood of a sexually transmitted infection is low).
Thank you for your inquiry.

Reply Date: 2016/12/20

More Info


Changes in sensation after circumcision can be concerning, and it's understandable to feel anxious about potential underlying issues, including sexually transmitted diseases (STDs). Based on your description, it seems that you are experiencing altered sensations in the glans (the head of the penis) and possibly some irritation or damage to the skin in that area.
Firstly, it’s important to note that circumcision can lead to changes in sensitivity. After the procedure, the glans is exposed and may become desensitized over time due to constant exposure to friction from clothing and other surfaces. However, if you are noticing a significant change in sensation, especially if it is accompanied by symptoms like irritation, redness, or a feeling of broken skin, it is crucial to consider other factors.

The symptoms you describe could potentially be due to several causes:
1. Irritation or Friction: If the area is experiencing increased friction, whether from clothing or sexual activity, it can lead to irritation. This is particularly common if there has been a change in activity level or if you are using new products (like soaps or lubricants) that may irritate the skin.

2. Infection: Conditions such as balanitis (inflammation of the glans) can occur, especially if there is poor hygiene or if moisture is trapped in the area. Symptoms may include redness, swelling, and discomfort.
3. Sexually Transmitted Diseases (STDs): Certain STDs can cause changes in sensation, irritation, or lesions in the genital area. For example, herpes can present with sores or blisters, while other infections may cause discharge or unusual symptoms.

4. Skin Conditions: Conditions like eczema or psoriasis can also affect the genital area, leading to discomfort and changes in sensation.

Given these possibilities, it is essential to seek a professional evaluation from a healthcare provider, preferably a urologist or a dermatologist. They can perform a physical examination and may recommend tests to rule out infections or other conditions.
In the meantime, here are some general recommendations:
- Maintain Hygiene: Ensure that the area is kept clean and dry. Use mild soap and avoid harsh chemicals or fragrances that may irritate the skin.

- Avoid Irritants: If you suspect that certain products (like soaps, lotions, or lubricants) may be causing irritation, consider discontinuing their use.

- Wear Loose Clothing: Opt for breathable, loose-fitting underwear to minimize friction and irritation.

- Monitor Symptoms: Keep track of any additional symptoms that may develop, such as discharge, persistent redness, or pain, and report these to your healthcare provider.

In conclusion, while changes in sensation after circumcision can be normal, any significant alterations, especially those accompanied by skin issues, warrant a thorough evaluation. Early diagnosis and treatment can help address any underlying conditions and alleviate your concerns.

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