Is Circumcision Necessary for Painful Foreskin Issues?

Q: Is Circumcision Necessary for Painful Foreskin Issues?

Hello： Your condition is likely to require surgery (the glans is very painful). <br>As for whether the white substance is smegma, it may need to be evaluated by a physician. <br>Wishing you good health.

Pulling down the foreskin causes pain?

When I pull down my foreskin, there is a white ring.
If I pull down the foreskin during an erection, it causes significant pain to my glans.
Therefore, I usually masturbate by rubbing the foreskin.
Do I need to consider circumcision?

Niming, 20~29 year old female. Ask Date: 2017/11/15

Dr. Du Shixi reply Urology

Hello: Your condition is likely to require surgery (the glans is very painful).
As for whether the white substance is smegma, it may need to be evaluated by a physician.
Wishing you good health.

Reply Date: 2017/11/15

More Info

Circumcision, or the surgical removal of the foreskin, is a procedure that can be considered for various medical reasons, particularly when it comes to painful foreskin issues. Based on your description, it sounds like you are experiencing a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, pain during erections, and potential complications such as inflammation or infection.

In your case, the presence of a painful sensation when attempting to retract the foreskin, especially during an erection, suggests that the condition may be causing significant discomfort. The white ring you mentioned could indicate a buildup of smegma or a sign of inflammation, which can occur when the foreskin is not easily retractable.

When is Circumcision Necessary?
Circumcision may be recommended in the following situations:
1. Severe Phimosis: If the foreskin cannot be retracted at all or only with significant pain, circumcision may be the best option to alleviate discomfort and prevent further complications.

2. Recurrent Infections: If you experience frequent infections or inflammation of the glans (balanitis) or the foreskin (posthitis), circumcision can help reduce the risk of these issues.

3. Painful Erections: As you described, if the pain during erections is significant enough to affect your quality of life, circumcision can provide relief by removing the tight foreskin that causes discomfort.

4. Hygiene Issues: If you find it difficult to maintain proper hygiene due to the inability to retract the foreskin, circumcision can simplify this process and reduce the risk of infections.

Alternatives to Circumcision
Before deciding on circumcision, it’s essential to explore other treatment options:
- Topical Steroids: In some cases, applying a topical steroid cream can help loosen the foreskin and reduce inflammation, making it easier to retract.

- Gentle Stretching Exercises: Gradually stretching the foreskin over time can sometimes alleviate the tightness without the need for surgery.

- Consultation with a Urologist: A specialist can provide a thorough examination and discuss the best course of action tailored to your specific situation.

Conclusion
Ultimately, the decision to undergo circumcision should be made in consultation with a healthcare professional, preferably a urologist. They can assess the severity of your condition, discuss the potential benefits and risks of the procedure, and help you make an informed decision based on your symptoms and lifestyle. If the pain and discomfort are significantly impacting your daily life, circumcision may be a necessary step to improve your quality of life.

Similar Q&A

Consulting Urology: Painful Foreskin Issues and Circumcision Considerations

I would like to ask, if the glans does not emerge during an erection and pulling back the foreskin causes pain, does this mean I need a circumcision? I haven't had sexual intercourse in a long time, and I am afraid to clean it because pulling back causes pain. Is this not go...

Dr. Li Xinyi reply Urology
The foreskin needs to be retracted for cleaning. Over time, this will alleviate any discomfort. It is not possible to determine whether a circumcision is necessary based solely on your description; a consultation and examination by a physician are required.

Do I Need Circumcision for Painful Tight Foreskin During Intercourse?

Hello doctor, during intercourse, it seems that my foreskin retracts too far back and the opening is too small, which causes it to constrict around the glans. I experience pain during intercourse. Is it necessary to undergo a circumcision?

Dr. Cai Zongyou reply Urology
Hello: In response to your question, yes, your condition may require surgical intervention. It is advisable to consult with a urologist for further discussion.

Should You Consider Circumcision? Understanding Your Options and Care

My situation is that both when erect and not erect, the foreskin completely covers the glans, but I can easily retract the foreskin with my hand without any pain. Recently, I went to see a doctor for an examination, and the physician said that this condition can be treated with o...

Dr. Xu Weikai reply Urology
Hello, you probably do not need to undergo surgery.

Is Circumcision Necessary for Tight Foreskin Issues?

When erect, the foreskin is too long to expose the glans, but it can be retracted to reveal the glans for cleaning. When the glans is exposed during an erection, there is a slight feeling of tightness. Occasionally, during ejaculation, the foreskin may tear. After researching, it...

Dr. Du Shixi reply Urology
Hello: It depends on the severity, and it's important to take care of the areas with broken skin; otherwise, they may scar and become hardened, which could lead to increased tightness. It may be advisable to seek medical attention to check if the foreskin has the potential t...