Do You Need Circumcision? Foreskin Issues and Solutions

Q: Do You Need Circumcision? Foreskin Issues and Solutions

Hello： If you feel tightness, it may indicate a problem with blood circulation, and it is advisable to address it. <br>As for the ointment, I feel it may not be very effective, especially unless the condition is very mild to begin with. <br>Since circumcision is not an emergency

Does the foreskin need to be removed?

Doctor, I would like to ask about my penis.
When it is not erect, I can push the foreskin back to the coronal ridge, but it forms a ring of folds.
However, when fully erect, I can only push the foreskin back to about one-third to two-thirds of the glans.
In a partially erect state, I can push the foreskin back to the coronal ridge, but the frenulum feels very tight, and the foreskin feels constricted after being pushed back, also forming folds.
Does this mean that my foreskin is too long and needs to be removed? Or can this situation be improved with steroid medication?

Shuang Tian, 20~29 year old female. Ask Date: 2016/12/28

Dr. Du Shixi reply Urology

Hello: If you feel tightness, it may indicate a problem with blood circulation, and it is advisable to address it.
As for the ointment, I feel it may not be very effective, especially unless the condition is very mild to begin with.
Since circumcision is not an emergency procedure, you can wait until you have more time to undergo the surgery.
Thank you for your question.

Reply Date: 2016/12/28

More Info

When considering whether circumcision is necessary, it's essential to understand the specific issues related to the foreskin and the potential solutions available. Based on your description, it seems you are experiencing some tightness and discomfort with your foreskin, particularly during erection, which can be indicative of a condition known as phimosis. Phimosis occurs when the foreskin cannot be fully retracted over the glans (the head of the penis), which can lead to discomfort, pain, and potential complications during sexual activity.

In your case, it appears that while you can retract the foreskin when not erect, you experience significant tightness and discomfort when attempting to do so during an erection. This tightness can lead to a range of issues, including pain during intercourse, difficulty maintaining hygiene, and increased risk of infections. The presence of a "tight band" sensation and the formation of wrinkles when the foreskin is pushed back may suggest that the skin is not as elastic as it should be, which is a common symptom of phimosis.

There are a few options to consider for addressing this issue:
1. Topical Steroid Creams: In some cases, applying a topical steroid cream can help to soften and stretch the foreskin over time, potentially alleviating the tightness. This method is non-invasive and can be effective for mild cases of phimosis. It typically requires consistent application over several weeks, and it is essential to follow your healthcare provider's instructions closely.

2. Preputioplasty: This is a surgical procedure that involves making small incisions in the foreskin to relieve tightness without complete removal. It is less invasive than circumcision and can be a suitable option for those who wish to retain their foreskin while alleviating the associated discomfort.

3. Circumcision: If the tightness is severe and other treatments are ineffective, circumcision may be recommended. This procedure involves the complete removal of the foreskin and is often considered a definitive solution for phimosis. It can provide long-term relief from the symptoms you are experiencing and reduce the risk of future complications.

4. Consultation with a Urologist: Given your symptoms, it would be beneficial to consult with a urologist who specializes in male genital health. They can perform a thorough examination, discuss your symptoms in detail, and recommend the most appropriate treatment based on your specific situation.

It's important to note that while circumcision is a common procedure, it is not always necessary for every case of phimosis. Many men live with a tight foreskin without complications, and treatment options vary based on individual circumstances. If you are experiencing significant discomfort or if your symptoms are affecting your quality of life, seeking medical advice is crucial.

In conclusion, while circumcision is one potential solution for your foreskin issues, it is not the only option. Topical treatments and less invasive surgical procedures may provide relief without the need for complete removal of the foreskin. Consulting with a healthcare professional will help you make an informed decision based on your specific needs and preferences.

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

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Jason: Hello, after looking at the photos, I think if there is no narrowing (which cannot be determined from the photos), the length should be normal, and surgery is not necessary. Note: Currently, the medical community is increasingly inclined to preserve the foreskin. Indicatio...