Skin Peeling on Scrotum and Circumcision Considerations for Overweight Men

Q: Skin Peeling on Scrotum and Circumcision Considerations for Overweight Men

Hello： 1) If the condition persists despite maintaining cleanliness and dryness, it is advisable to seek medical attention, as it is likely a dermatological issue. <br>2) There is no need to lose weight first; you should consult a physician. <br>In some cases, surgery may not be

1. Scrotal peeling 2. Obese individual before circumcision

1.
Approximately in April, I noticed peeling on my scrotum, and until now, there are 5 to 6 circular areas with a diameter of 0.5 to 0.8 cm that have a color difference compared to the surrounding skin, but there is no sensation (pain or itching) at all.
Should I seek medical attention for topical medication or just let it be?
2.
My glans does not naturally expose during an erection, but I can manually retract the foreskin for cleaning regardless of whether I am erect or not.
I am currently considering undergoing a circumcision procedure, but I am somewhat overweight (weighing 85 kg, BMI: 29.1).
Should I lose weight before the circumcision? (I have heard that it is more difficult to determine the size for circumcision in overweight individuals, and I have already reduced my weight from 90 kg to 85 kg.)

Xiao Liu, 20~29 year old female. Ask Date: 2019/05/15

Dr. Du Shixi reply Urology

Hello: 1) If the condition persists despite maintaining cleanliness and dryness, it is advisable to seek medical attention, as it is likely a dermatological issue.
2) There is no need to lose weight first; you should consult a physician.
In some cases, surgery may not be necessary, or the excision may only be 1-2 centimeters, which is often not required.
As for sizing, it can be challenging to determine because physicians typically leave some extra length for adults to prevent tightness during erection, so there is no significant issue with sizing.

Reply Date: 2019/05/15

More Info

Skin peeling on the scrotum can be a concerning issue, especially when accompanied by changes in color and texture. Based on your description, it seems that you have developed patches of skin on the scrotum that are peeling but are not causing any discomfort, such as pain or itching. This condition could be due to a variety of factors, including irritation, fungal infections, or even a skin condition like eczema or psoriasis.
In cases where there is no discomfort, it may be reasonable to monitor the situation for a while. However, if the peeling persists, worsens, or if you notice any additional symptoms (such as itching, burning, or the development of new lesions), it would be advisable to consult a dermatologist. They can provide a proper diagnosis and recommend appropriate treatments, which may include topical medications or lifestyle changes to improve skin health.

Regarding your consideration of circumcision, it is important to note that being overweight can complicate surgical procedures, including circumcision. Excess weight can affect the anatomy of the penis and scrotum, making it more challenging for surgeons to determine the appropriate amount of skin to remove. Additionally, obesity can increase the risk of complications during and after surgery, such as infection and delayed healing.

It is generally recommended that individuals who are planning to undergo circumcision should be at a stable weight. Since you mentioned that you have already lost some weight (from 90 kg to 85 kg), continuing to work towards a healthier weight could be beneficial not only for the surgery but also for your overall health. A BMI of 29.1 places you in the overweight category, and losing additional weight may help reduce surgical risks and improve recovery outcomes.

Before proceeding with the circumcision, it would be wise to have a thorough discussion with your healthcare provider. They can assess your overall health, discuss the potential risks and benefits of the procedure, and help you determine the best timing for surgery based on your weight loss goals.
In summary, for the skin peeling on your scrotum, monitor the condition, and seek medical advice if it does not improve or worsens. For the circumcision, consider continuing your weight loss journey to minimize potential complications and ensure a smoother surgical experience. Always consult with a healthcare professional for personalized advice tailored to your specific situation.

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So is it that being overweight causes some coverage of the glans, rather than the circumcision being too shallow?

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