Should circumcision be performed?
Previously, there was phimosis, and after using an ointment, the foreskin was retracted to the coronal sulcus, but the frenulum is not long enough and gets stuck at the coronal sulcus.
Is there a need for circumcision in this situation? What are the risks associated with circumcision? Will there be discomfort? What is the cost, how long does it take to heal, and are there any painless methods? Please provide answers to each of these questions.
Thank you.
mizuzu, 10~19 year old female. Ask Date: 2018/02/20
Dr. Du Shixi reply Urology
Hello: If there is a blockage, hospitals generally recommend circumcision, but it still requires a physician's examination.
The common issues associated with circumcision include bleeding, wound infection, poor healing, and some degree of pain, although it should be manageable.
The cost varies depending on the hospital's pricing.
A consent form will be signed before the procedure.
Typically, it takes about two weeks for the wound to heal and swelling to subside.
There may be discomfort during the procedure, and while complete pain relief is expected, some pain may still occur after the anesthesia wears off.
Wishing you good health.
Reply Date: 2018/02/20
More Info
Circumcision is a surgical procedure that involves the removal of the foreskin from the penis. It is often considered for various medical, cultural, or personal reasons. In your case, it seems that you have experienced phimosis, a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, hygiene issues, and potential complications such as infections or inflammation.
Reasons to Consider Circumcision
1. Persistent Phimosis: If the foreskin cannot be retracted comfortably, circumcision may be recommended to alleviate discomfort and prevent complications.
2. Recurrent Infections: If you have experienced frequent infections or inflammation of the glans (balanitis), circumcision can help reduce the risk of these issues.
3. Hygiene: Circumcision can make it easier to maintain proper hygiene, as it eliminates the area under the foreskin where bacteria and smegma can accumulate.
Risks of Circumcision
Like any surgical procedure, circumcision carries certain risks, including:
- Bleeding: Some bleeding is normal, but excessive bleeding can occur.
- Infection: There is a risk of infection at the surgical site.
- Pain and Discomfort: Post-operative pain is common, but it can usually be managed with medication.
- Scarring: Some degree of scarring is expected, but in rare cases, it can be more pronounced.
- Changes in Sensation: Some men report changes in sensitivity after circumcision, which can be either increased or decreased.
Costs
The cost of circumcision can vary widely depending on several factors, including:
- Location: Prices can differ based on the healthcare facility and geographic location.
- Insurance: If you have health insurance, it may cover part or all of the procedure, especially if it's deemed medically necessary.
- Type of Facility: Costs may vary between hospitals, outpatient surgical centers, and private clinics.
In the United States, the cost can range from $200 to $3,000, depending on the factors mentioned above.
Recovery Time
Recovery from circumcision typically takes about one to two weeks. During this time, you may experience some swelling and discomfort, which can be managed with over-the-counter pain relievers. It's important to follow your doctor's post-operative care instructions, which may include:
- Keeping the area clean and dry.
- Avoiding strenuous activities and sexual intercourse until cleared by your doctor.
- Monitoring for signs of infection, such as increased redness, swelling, or discharge.
Pain Management
While circumcision is performed under local or general anesthesia, some discomfort is expected during the recovery period. Pain management options include:
- Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help alleviate pain.
- Cold Compresses: Applying a cold compress to the area can reduce swelling and discomfort.
- Prescription Medications: In some cases, your doctor may prescribe stronger pain medications if necessary.
Conclusion
In summary, if you are experiencing persistent issues with phimosis and discomfort, circumcision may be a viable option to consider. It is essential to discuss your specific situation with a qualified healthcare provider who can provide personalized advice based on your medical history and current condition. They can help you weigh the benefits and risks, discuss pain management options, and provide information on costs and recovery expectations. Ultimately, the decision should be made based on a thorough understanding of your circumstances and in consultation with a medical professional.
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