Can Circumcision Solve Common Issues with Excessive Foreskin? - Urology

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Foreskin issues


I have read many discussions where people experience insufficient lubrication or excessive friction, leading to injuries of the frenulum.
Is it common for individuals with these issues to have a longer foreskin? I have also injured mine several times, but I do not have phimosis.
If the goal is to improve aesthetics, hygiene, and safety during sexual activity, can circumcision help address this problem?

Lü Chá, 30~39 year old female. Ask Date: 2017/09/13

Dr. Du Shixi reply Urology


Hello: Circumcision surgery cannot improve the condition; the frenulum is injured because it is more fragile and susceptible to damage, making it easy to get hurt accidentally.
Wishing you good health.

Reply Date: 2017/09/13

More Info


Circumcision, or the surgical removal of the foreskin, is a procedure that can address several issues related to excessive foreskin. While it is often performed for medical, cultural, or religious reasons, many individuals consider it for aesthetic purposes, hygiene, and to reduce the risk of certain complications during sexual activity.

One of the common concerns associated with excessive foreskin is the potential for irritation or injury during sexual activity. As you mentioned, insufficient lubrication or vigorous movements can lead to trauma to the frenulum (the band of tissue connecting the foreskin to the glans). This can cause pain, bleeding, or even tearing, which may lead to anxiety about sexual performance and enjoyment. For individuals who experience recurrent injuries or discomfort due to an elongated foreskin, circumcision can provide a solution by removing the excess tissue and reducing the likelihood of such injuries.

In terms of hygiene, circumcision can make it easier to maintain cleanliness. The foreskin can trap smegma, a combination of dead skin cells and oils, which can lead to odor and potential infections if not cleaned properly. After circumcision, the glans becomes exposed, making it easier to keep the area clean and reducing the risk of infections such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin).

Moreover, circumcision has been associated with a lower risk of sexually transmitted infections (STIs), including HIV. The removal of the foreskin may reduce the risk of micro-tears during intercourse, which can serve as entry points for pathogens. While circumcision is not a foolproof method of preventing STIs, it can be part of a broader strategy for safer sexual practices.

However, it is essential to consider that circumcision is a surgical procedure and carries its own risks, including pain, bleeding, infection, and complications related to anesthesia. Therefore, it is crucial to weigh the benefits against the potential risks. Consulting with a healthcare provider is advisable to discuss your specific concerns, the potential outcomes of the procedure, and any alternative options that may be available.

In summary, circumcision can indeed address issues related to excessive foreskin, such as irritation during sexual activity, hygiene concerns, and the risk of infections. If you are considering this procedure, it is essential to have an open discussion with a qualified healthcare professional who can provide personalized advice based on your medical history and specific circumstances. They can help you make an informed decision that aligns with your health needs and lifestyle preferences.

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