I'm a bit scared?
Hello doctor, during my middle school check-up, there was no indication of phimosis, but it looks like I might have it.
Masturbation and urination are normal.
Do I need a circumcision, or is it a personal choice? I'm a bit afraid of the procedure, so I wanted to ask first.
The glans does not become exposed, whether during normal activities or masturbation, but the function is normal.
I can see the glans when the foreskin is pulled back, but it does not stay exposed.
Is circumcision necessary or not?
Yīqiè dōu shì jiǎxiàng, 10~19 year old female. Ask Date: 2017/09/27
Dr. Du Shixi reply Urology
Hello: If the glans cannot be fully exposed during an erection, surgery is recommended.
However, some individuals may not undergo surgery, but maintaining cleanliness and dryness is crucial and should be emphasized.
It is important to avoid moisture.
Reply Date: 2017/09/27
More Info
When considering whether circumcision is necessary, especially in the context of phimosis, it's important to understand both the medical implications and personal preferences involved. Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can be a normal condition in infants and young boys, but if it persists into adolescence or adulthood, it may lead to complications.
In your case, you mentioned that during middle school examinations, there was no indication of phimosis, but you now feel that it appears as if there is some issue. You also noted that you can retract the foreskin to some extent, allowing visibility of the glans, but it does not fully retract. Importantly, you have not experienced any pain during masturbation or urination, which are positive signs.
Here are some considerations regarding circumcision and phimosis:
1. Symptoms and Complications: If you are not experiencing pain, recurrent infections, or difficulty urinating, the need for circumcision may not be urgent. However, if you start to experience any of these symptoms, it would be advisable to consult a healthcare provider.
2. Personal Preference: Circumcision is often a personal choice influenced by cultural, religious, or aesthetic reasons. If you are uncomfortable with the idea of circumcision and your condition does not pose a medical risk, you might choose to delay the procedure.
3. Non-Surgical Options: In some cases, non-surgical treatments can help with phimosis. These may include topical steroid creams that can help loosen the foreskin, making it easier to retract over time. This approach can be effective and may alleviate the need for surgery.
4. Consultation with a Specialist: It’s always best to discuss your concerns with a urologist or a healthcare provider who specializes in male reproductive health. They can provide a thorough examination and help you understand the risks and benefits of circumcision versus conservative management.
5. Psychological Considerations: Fear of surgery is common, and it’s important to address these feelings. Understanding the procedure, its benefits, and potential complications can help alleviate anxiety. Many men who undergo circumcision report satisfaction with the results, but it is crucial to make an informed decision that aligns with your comfort level.
6. Long-term Considerations: If you choose to keep your foreskin, maintaining good hygiene is essential to prevent infections. If you notice any changes in your condition, such as increased difficulty retracting the foreskin or signs of infection, you should seek medical advice promptly.
In conclusion, whether or not to undergo circumcision is a decision that should be made based on your specific circumstances, preferences, and medical advice. If your condition is stable and not causing any issues, you may opt to monitor it while maintaining good hygiene. However, if you have ongoing concerns or if symptoms develop, consulting with a healthcare professional is the best course of action.
Similar Q&A
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Dr. Chen Jiansheng reply Urology
It sounds like further observation is warranted.[Read More] Do You Really Need Circumcision for Phimosis? Understanding Your Options
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Dr. Du Shixi reply Urology
Hello: This condition will likely become increasingly loose, unless there is inflammation and scarring causing narrowing. Another option is surgery. Wishing you good health. Based on personal experience, the effect of ointments is minimal and will not lead to significant changes.[Read More] Understanding Phimosis: Do You Need Circumcision or Alternatives?
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Dr. Du Shixi reply Urology
Hello: It is advisable to seek medical attention. Your description suggests that it may take a long time to gradually resolve, potentially ranging from several weeks to a few months. Wishing you good health.[Read More] Should You Consider Circumcision for Complete Phimosis?
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Hello: Since childhood, my foreskin has always ballooned up like a balloon when I urinate, and whether I am erect or not, I can only push it back a little with my hand, but I cannot retract it to the coronal sulcus. I also cannot completely clean the smegma. Do I definitely need ...
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