Do You Really Need Circumcision for Phimosis? Your Options

Phimosis requires circumcision?

I have recently been reading about circumcision, and I see many discussions on the topic.
My penis is covered when not erect, but I can retract the foreskin to expose the glans completely, and there are no areas that are difficult to clean.
Everything is visible and can be washed easily.
Do I still need to consider circumcision?

Xiao Shou, 20~29 year old female. Ask Date: 2018/12/14

Dr. Chen Jiansheng reply Urology

It sounds like further observation is warranted.

Reply Date: 2018/12/14

More Info

When it comes to the question of whether circumcision is necessary for phimosis, it’s important to understand the condition itself and the various options available for treatment. 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 require attention.

From your description, it seems that you have some degree of retractability of the foreskin, which is a positive sign. If you can retract the foreskin to expose the glans without pain or difficulty, and you are able to maintain proper hygiene, circumcision may not be necessary. The key factors to consider include:
1. Symptoms: If you are not experiencing any pain, discomfort, or recurrent infections, and if you can clean the area effectively, then circumcision may not be warranted. Many men live with a non-retractable foreskin without issues.

2. Hygiene: Proper hygiene is crucial. If you can clean the area well and there are no signs of infection (such as redness, swelling, or discharge), this is a good indication that circumcision might not be needed.

3. Medical Advice: It’s essential to consult with a healthcare professional, preferably a urologist, who can assess your specific situation. They may recommend conservative treatments such as topical steroid creams that can help in loosening the foreskin, making it easier to retract over time.

4. Potential Risks of Circumcision: Like any surgical procedure, circumcision carries risks, including bleeding, infection, and complications related to anesthesia. Additionally, some men report changes in sensitivity or sexual function post-surgery, although many do not experience significant changes.

5. Alternative Treatments: If phimosis is causing issues such as pain during erections or recurrent infections, there are non-surgical options available. These include stretching exercises, topical steroids, or other medications that can help in loosening the foreskin.
6. Cultural and Personal Considerations: Some individuals choose circumcision for cultural, religious, or personal reasons. It’s important to weigh these factors alongside medical advice.

In conclusion, if you are not experiencing any significant issues related to your foreskin and can maintain hygiene effectively, circumcision may not be necessary. However, it is crucial to have a thorough evaluation by a healthcare professional who can provide personalized advice based on your specific circumstances. They can help you understand the potential benefits and risks of circumcision versus other treatment options, ensuring that you make an informed decision that aligns with your health needs and personal preferences.

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If the condition is complete phimosis, where the glans cannot be exposed even during an erection, is there still a possibility of manual retraction, or is circumcision the only option? After all, this is not an easy topic to discuss.

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