Do You Need Circumcision for Phimosis? Your Options

Foreskin issues

Is circumcision necessary for exposed phimosis? When I push the foreskin back over the glans, it turns inside out, and during an erection, it can be exposed.
If that's the case, will it be uncomfortable during sexual intercourse? I'm not sure if doctors have seen similar cases like mine.

Haohao, 20~29 year old female. Ask Date: 2018/03/28

Dr. Xu Wencang reply Urology

If there is no discomfort, inflammation, or blockage, surgery is not necessary.
If there are any issues, please seek consultation at the outpatient clinic.

Reply Date: 2018/03/28

More Info

Phimosis is a condition where the foreskin of the penis cannot be easily retracted over the glans (the head of the penis). It can be a source of discomfort or pain, especially during sexual activity. Your description suggests that you have a form of phimosis where the foreskin can be pushed back but may not stay in that position, leading to it flipping back over the glans when erect. This can indeed cause discomfort during sexual intercourse.

When considering whether circumcision is necessary for phimosis, several factors come into play:
1. Severity of Symptoms: If you experience pain, discomfort, or difficulty during sexual activity, circumcision may be recommended. If the foreskin can be retracted without pain and does not cause other issues, some doctors may suggest conservative management instead of surgery.

2. Infection Risk: Recurrent infections, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin), can occur with phimosis. If you have a history of these infections, circumcision may be a more favorable option.

3. Personal Preference: Some individuals may prefer circumcision for personal, cultural, or religious reasons. It's essential to discuss your feelings and preferences with your healthcare provider.

4. Alternative Treatments: In some cases, non-surgical options may be available. These can include topical steroid creams that help to loosen the foreskin or gentle stretching exercises. However, these methods may take time and require consistent effort.

5. Potential Complications: If phimosis leads to complications such as paraphimosis (where the retracted foreskin cannot return to its original position), this can be a medical emergency requiring immediate attention.
6. Consultation with a Specialist: It’s advisable to consult a urologist, who specializes in male reproductive health. They can provide a thorough examination and discuss the best treatment options tailored to your specific situation.

In your case, since you mentioned that the foreskin can be pushed back but tends to flip over when erect, it may be beneficial to explore both surgical and non-surgical options with a urologist. They can assess whether circumcision is necessary based on your symptoms and lifestyle.
Ultimately, the decision to undergo circumcision for phimosis should be made collaboratively with your healthcare provider, considering your symptoms, preferences, and any potential risks or benefits associated with the procedure. If you are experiencing discomfort during sexual activity, it is crucial to address this with your doctor, as they can provide guidance on the best course of action for your health and well-being.

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