Essential Guide to Male Urology: Circumcision and Underwear Choices - Urology

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Male genitalia


I have a few questions for the doctor:
1.
In Taipei, can you recommend a well-known doctor for circumcision?
2.
There are various methods for circumcision, including the conventional surgical method, laser surgery, and dorsal slit surgery.
What are the advantages and disadvantages of each?
3.
I have a severe issue with phimosis, which makes it easy for the foreskin to get urine on it, leading to the accumulation of smegma.
Despite daily cleaning, there is still an odor even right after cleaning and before urination.
Would you recommend circumcision in this case?
4.
There are many types of men's underwear available.
I would like to ask the doctor which type is preferable.
What do you think about King Style's C-type underwear? (This is not a promotion; I am asking seriously.) To explain: Briefs can be stuffy, loose boxers can be unstable, and fitted boxers seem just right.
However, the brand I mentioned has a unique design that separates the testicles and penis to avoid overheating, while also providing stability to prevent movement.
However, there is a study by an Egyptian medical doctor that found synthetic fiber underwear may lead to oligospermia.
After wearing pure polyester underwear for 14 months, nearly 40% of men showed a significant decrease in sperm count, and after wearing a cotton-polyester blend for 10 months, about 9% experienced a decline in sperm count.
There are also concerns about underwear color; darker colors can be irritating to the body, while white may raise concerns about bleaching.
I would like to ask the doctor about the health implications of underwear styles and colors.

Niming, 10~19 year old female. Ask Date: 2018/06/30

Dr. Du Shixi reply Urology


Hello: 1) Minor surgeries are not likely to gain notoriety.
It is recommended to consult a urologist at the hospital.
2) The choice depends on the individual's condition regarding the foreskin; laser procedures result in less bleeding, while dorsal slit does not involve skin removal.
A physician should examine and provide further explanation.
3) After urination, it is important to dry thoroughly, and to drink plenty of water; insufficient hydration can lead to foul-smelling urine.
Limit consumption of sugary drinks, and if cleanliness is maintained, surgery may not be necessary.
4) Loose-fitting underwear is recommended, especially in hot weather.
Sperm count can be affected not only by the material of the underwear but also by lifestyle, dietary habits, and work conditions.
As for material, traditional fabric that is loose-fitting is preferable.
Wishing you good health.

Reply Date: 2018/06/30

More Info


When it comes to male urology, particularly regarding circumcision and underwear choices, there are several important considerations to keep in mind.

Circumcision
1. Recommended Surgeons in Taipei: If you are looking for a reputable surgeon for circumcision in Taipei, it is advisable to consult with urologists at well-known hospitals or clinics. You can consider institutions like National Taiwan University Hospital or Taipei Medical University Hospital, where experienced urologists perform circumcision procedures. It’s also beneficial to look for reviews or ask for referrals from friends or family who may have had similar procedures.

2. Types of Circumcision Techniques:
- Circumcision (Gomco or Plastibell): This traditional method involves the surgical removal of the foreskin. It is effective and has a low complication rate. However, it requires proper aftercare to prevent infection.

- Laser Circumcision: This method uses laser technology to remove the foreskin. It is often associated with less bleeding and a quicker recovery time, but it may not be available in all facilities.

- Dorsal Slit Circumcision: This technique involves making a cut on the top of the foreskin to relieve tightness. It is less invasive but may not provide the same aesthetic results as full circumcision.

Each method has its pros and cons, and the choice often depends on the specific medical condition, the surgeon's expertise, and patient preference. Discussing these options with a qualified urologist can help you make an informed decision.

3. Indications for Circumcision: Given your severe phimosis (tight foreskin) and the associated hygiene issues, circumcision may be a recommended option. Persistent issues with smegma (the buildup of dead skin and oils) can lead to infections and unpleasant odors, which circumcision can help alleviate. It is essential to discuss your symptoms with a urologist, who can provide personalized advice based on your health history.


Underwear Choices
1. Types of Underwear: The choice of underwear can significantly impact comfort and health. Here are some common types:
- Boxers: Loose-fitting and breathable, they allow for airflow but may not provide adequate support during physical activities.

- Briefs: Offer good support and are less likely to cause chafing. However, they can feel constrictive for some.

- Boxer Briefs: A hybrid that combines the support of briefs with the coverage of boxers. They are often recommended for their balance of comfort and support.

- Performance Underwear: Designed for athletic activities, these often use moisture-wicking materials to keep the area dry.

2. King Style C-Type Underwear: This style, which separates the penis and testicles, can be beneficial for temperature regulation and comfort. It helps reduce sweating and potential irritation, which is particularly important for maintaining healthy sperm production.

3. Material Considerations: Regarding fabric, cotton is generally the best choice for breathability and comfort. Synthetic materials, especially those that are not breathable, can trap heat and moisture, potentially leading to issues like fungal infections or reduced sperm quality. The study you mentioned about polyester underwear affecting sperm count is a valid concern; thus, opting for natural fibers or blends that prioritize breathability is advisable.

4. Color and Dye Concerns: While darker colors may be stylish, they can sometimes contain more chemicals from dyes, which could irritate sensitive skin. White underwear, while less likely to have harsh dyes, may require more frequent washing to maintain cleanliness. Ultimately, choosing underwear that feels comfortable and allows for proper hygiene is key.


Conclusion
In summary, if you are considering circumcision, consult a reputable urologist to discuss the best surgical options for your condition. Regarding underwear, prioritize comfort, support, and breathable materials to promote overall urological health. Always feel free to ask your healthcare provider for personalized recommendations based on your specific needs and lifestyle.

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