Post-Circumcision Concerns: Pain, Size Changes, and Solutions

Q: Post-Circumcision Concerns: Pain, Size Changes, and Solutions

Hello： 1) In this situation, the physician would recommend surgery; however, some individuals may tolerate the condition and opt not to undergo surgery. <br>2) Fat in the pubic area can visually shorten the penis, and exercise can still be effective, although the extent of the re

Questions related to circumcision?

Hello Doctor,
Although I have undergone circumcision, I would like to ask a few questions:
1.
When I have an erection, the foreskin cannot retract behind the glans.
When I pull the foreskin to the coronal ridge, it feels very tight, painful, and uncomfortable.
Does this mean I need to undergo circumcision?
2.
When I weighed 65 kg, I had significant fat around my pubic area, and the doctor mentioned it is congenital and cannot be eliminated through exercise.
Before circumcision, my erect length was 7 cm, and with the pubic fat pushed down, it was 10 cm.
After circumcision, I feel that my erect length has slightly decreased, and it still feels tight with the fat pushed down.
Now, due to long-term medication, I have gained weight, making it appear even shorter.
I am unsure if this is due to obesity or excessive circumcision.
If it is due to excessive circumcision, is there any way to remedy it? I feel very self-conscious about the length.
If exercise does not improve the situation, would you recommend pubic liposuction, lengthening surgery, or other options?
Thank you very much for taking the time to respond, Doctor!

Awei, 30~39 year old female. Ask Date: 2019/09/19

Dr. Du Shixi reply Urology

Hello: 1) In this situation, the physician would recommend surgery; however, some individuals may tolerate the condition and opt not to undergo surgery.
2) Fat in the pubic area can visually shorten the penis, and exercise can still be effective, although the extent of the results may vary.
The surgery you mentioned is available but is an out-of-pocket expense, and you should consult a physician who specializes in this area.
Additionally, these surgeries, aside from their costs, are not minor procedures; issues such as anesthesia need to be evaluated by the physician beforehand.
As for long-term medication, that should also be taken into consideration.
Regarding whether the foreskin is too short, it is rare for it to be excessively short due to its elasticity.
Wishing you good health.

Reply Date: 2019/09/19

More Info

Post-circumcision concerns can be quite common, and it's important to address them with accurate information and guidance. Based on your questions, let's break down the issues you're facing regarding pain, size changes, and potential solutions.

1. Pain and Tightness During Erection: It's not unusual to experience discomfort or tightness in the skin after circumcision, especially if the remaining skin is tight or if there is scarring. If you find that the skin does not retract comfortably during an erection, this could indicate that the circumcision may not have been performed optimally, or that there is excessive scarring. In such cases, it may be worth consulting with a urologist who specializes in circumcision complications. They can assess whether a revision circumcision is necessary or if other treatments can alleviate the tightness.

2. Changes in Size Perception: The perception of size changes post-circumcision can be influenced by several factors, including body weight and the amount of subcutaneous fat in the pubic area. When you mentioned that you were 65 kg and had significant pubic fat, this can indeed affect how the penis appears when flaccid and erect. After circumcision, if you feel that your penis appears shorter, it could be due to the removal of skin and the way the remaining skin is now positioned. Weight gain can also contribute to a shorter appearance due to the fat pad around the pubic area.

3. Weight Management: If your weight has increased due to medication, it may be beneficial to discuss this with your healthcare provider. They can help you develop a plan that may include dietary changes and exercise tailored to your situation. While spot reduction is not typically effective, overall weight loss can help reduce the fat pad and may improve the appearance of the penis.

4. Surgical Options: If after weight loss you still feel self-conscious about the size or appearance of your penis, there are surgical options available. Liposuction of the pubic area can help reduce the fat pad, potentially making the penis appear longer. Additionally, penile lengthening procedures exist, but they come with risks and should be considered carefully. Consulting with a qualified urologist or plastic surgeon who specializes in these procedures can provide you with more information on the benefits and risks involved.

5. Psychological Impact: It’s also important to consider the psychological aspect of these changes. Feelings of self-consciousness or insecurity about size can be common, and speaking with a mental health professional may help you address these feelings. They can provide support and strategies to improve body image and self-esteem.

In summary, if you are experiencing pain or discomfort post-circumcision, it is essential to consult with a healthcare professional who can evaluate your specific situation. They can provide tailored advice and treatment options. Additionally, if weight management is a concern, working with a healthcare provider to develop a sustainable plan can be beneficial. Lastly, if you are considering surgical options, ensure that you have a thorough discussion with a specialist to understand the implications fully.

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