Does Circumcision Affect Penis Size in Adolescents with Pseudophimosis? - Urology

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Will it have an impact?


I am 16 years old and I have a condition called pseudophimosis.
However, when I have an erection, the skin retracts, and I have very little redundant skin (15 cm when erect, and it can be as small as 3 cm when flaccid).
If I decide to undergo a circumcision, will it affect the length?

Shu, 10~19 year old female. Ask Date: 2020/01/07

Dr. Li Xinyi reply Urology


Each individual's situation is different, and it is necessary to consult a urologist for an in-person examination in order to discuss with the physician.

Reply Date: 2020/01/07

More Info


Circumcision, particularly in adolescents with pseudophimosis, is a topic that often raises concerns regarding its potential effects on penis size. Pseudophimosis is a condition where the foreskin cannot be easily retracted, but unlike true phimosis, it does not cause significant obstruction or discomfort. In your case, it seems that you can retract the foreskin when erect, which is a positive sign.

When considering circumcision, it is important to understand the anatomy and the changes that occur post-surgery. Circumcision involves the surgical removal of the foreskin, which is the fold of skin covering the glans (the head) of the penis. The procedure itself does not directly affect the length of the penis. The penis is composed of erectile tissue, and its size is primarily determined by genetic factors, hormonal influences, and overall health.

In terms of size, studies have shown that circumcision does not significantly alter the length of the penis. The foreskin does not contribute to the length of the penis; therefore, its removal should not affect the length when measured in a flaccid or erect state. However, some individuals may perceive a difference in appearance post-circumcision, as the glans becomes more exposed and may appear larger or differently shaped due to the absence of the foreskin.

It is also worth noting that the psychological impact of circumcision can vary from person to person. Some may feel more comfortable and confident post-surgery, while others may have concerns about their appearance or sexual function. It is crucial to discuss these feelings with a healthcare provider to ensure that you are making an informed decision.

Regarding your specific situation, since you mentioned that your penis can retract the foreskin when erect and that you have minimal redundant skin, circumcision may not significantly impact your penis size. However, it is essential to consult with a urologist or a healthcare professional who specializes in this area. They can provide personalized advice based on your anatomy, health history, and any concerns you may have.

In summary, circumcision in adolescents with pseudophimosis is unlikely to affect penis size significantly. The procedure primarily addresses functional issues related to the foreskin and can improve hygiene and reduce the risk of infections. If you are considering circumcision, it is advisable to have a thorough discussion with a healthcare provider to weigh the benefits and potential risks, ensuring that you make the best decision for your health and well-being.

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