Circumcision: Insights on Preputial Length and Surgery - Urology

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Regarding circumcision at the base of the foreskin?


Hello, doctor.
I would like to ask why there is not much information available about root circumcision for simple phimosis.
Is it because most doctors do not perform it? Since I want to undergo root circumcision to avoid damaging many structures at the tip of the foreskin, should I consult a urologist or a plastic surgeon? Is this considered a difficult surgery? Thank you, doctor.

Nìmíng, 20~29 year old female. Ask Date: 2017/05/29

Dr. Du Shixi reply Urology


Hello: It should be rare for people to do this, and it shouldn't be difficult.
You might want to ask the plastic surgery department first.
Not every facility offers this.

Reply Date: 2017/05/29

More Info


Circumcision, particularly in the context of preputial length and surgical options, is a topic that often raises questions for patients considering the procedure. The decision to undergo circumcision can stem from various reasons, including medical necessity, personal preference, or cultural practices. In your case, it seems you are dealing with a condition known as phimosis, which is characterized by an inability to retract the foreskin over the glans penis due to excessive preputial length or tightness.

To address your concerns about the lack of information on root circumcision (also known as partial or dorsal slit circumcision), it is important to note that this specific technique may not be as commonly discussed in literature or among practitioners. This could be due to several factors, including the fact that many urologists and surgeons may prefer traditional circumcision methods, which involve the complete removal of the foreskin. Additionally, the choice of technique often depends on the individual case and the surgeon's expertise and experience.

When considering surgery, it is crucial to consult with the right specialist. Urologists are typically the go-to professionals for conditions related to the male reproductive system, including circumcision. They have the training and experience necessary to assess your specific situation and recommend the most appropriate surgical approach. While some plastic surgeons may also perform circumcision, especially in cosmetic cases, urologists are generally more familiar with the anatomical and functional aspects of the procedure.

As for the complexity of the surgery, circumcision is generally considered a minor surgical procedure. However, the difficulty can vary based on individual anatomy and the specific technique used. A root circumcision may require more precision to avoid damaging sensitive structures at the tip of the penis, which is why it is essential to choose a skilled surgeon who is experienced in this particular technique.

In terms of recovery, most patients can expect a relatively quick healing process, but it is essential to follow post-operative care instructions to minimize the risk of complications, such as infection or excessive bleeding. Pain management is also an important aspect of recovery, and your surgeon will likely provide guidance on how to manage discomfort during the healing period.

In conclusion, if you are considering root circumcision due to concerns about preputial length, it is advisable to consult with a urologist who can provide you with detailed information about the procedure, its risks and benefits, and what to expect during recovery. They can also help you determine if this specific technique is suitable for your situation. Remember, open communication with your healthcare provider is key to making informed decisions about your health and well-being.

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