Foreskin Issues: When to Consider Circumcision

Q: Foreskin Issues: When to Consider Circumcision

Hello： From a medical perspective, an erection occurs when the foreskin can retract without any tight ring, which means circumcision is not necessary. <br>The perception of length is due to the elasticity of the genitalia. <br>Wishing you good health.

Prepuce issues

When I was younger, my foreskin was retractable, but during kindergarten, it became non-retractable and was inflamed.
In middle school, I was able to retract it again, but sometimes the foreskin appears longer.
When I pull the foreskin back to the coronal sulcus and then return it, it seems to shorten and exposes a bit of the glans.
Is this normal? Also, do I need a circumcision?

Niming, 10~19 year old female. Ask Date: 2019/03/18

Dr. Du Shixi reply Urology

Hello: From a medical perspective, an erection occurs when the foreskin can retract without any tight ring, which means circumcision is not necessary.
The perception of length is due to the elasticity of the genitalia.
Wishing you good health.

Reply Date: 2019/03/18

More Info

When it comes to foreskin issues, particularly in the context of whether or not to consider circumcision, there are several factors to take into account. Based on your description, it seems that you have experienced some changes in your ability to retract your foreskin over the years, along with episodes of inflammation. Let's break down the considerations regarding your situation.

Firstly, it's important to understand that the foreskin, or prepuce, is a fold of skin that covers the glans (the head) of the penis. In many males, the foreskin can be retracted easily, while in others, it may be more difficult due to various reasons, including anatomical differences or conditions like phimosis (where the foreskin cannot be fully retracted over the glans).

From your account, it seems that you had some difficulty retracting your foreskin during childhood, which is not uncommon. Many boys experience a natural process where the foreskin becomes more retractable as they grow older. However, if you have had recurrent inflammation (balanitis), it may indicate that there are underlying issues that need to be addressed. Inflammation can be caused by various factors, including poor hygiene, infections, or skin conditions.

Regarding the length of your foreskin and its ability to cover the glans, it is normal for the foreskin to appear longer or shorter depending on how it is manipulated. However, if you notice that it frequently causes discomfort, pain, or recurrent infections, these are significant factors to consider when evaluating the need for circumcision.

Circumcision is a surgical procedure that involves the removal of the foreskin. It is often recommended in cases of:
1. Phimosis: If the foreskin cannot be retracted fully and is causing pain or hygiene issues.

2. Recurrent infections: If you experience frequent episodes of balanitis or other infections that do not respond to treatment.

3. Hygiene issues: If you find it difficult to maintain proper hygiene due to the structure of your foreskin.

4. Pain or discomfort: If the foreskin causes pain during sexual activity or other daily activities.

In your case, since you mentioned that you can now retract your foreskin but have experienced inflammation in the past, it would be advisable to consult with a urologist. They can perform a physical examination and assess your specific situation. They may also consider other treatment options before recommending circumcision, such as topical steroids to help with inflammation or advice on proper hygiene practices.

Ultimately, the decision to undergo circumcision should be made based on a thorough evaluation of your symptoms, medical history, and personal preferences. If you are experiencing discomfort or recurrent issues, it is essential to seek medical advice to determine the best course of action for your health and well-being.

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