Phimosis: When to Consider Circumcision Before Military Service - Urology

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Phimosis and excessive foreskin?


Hello, doctor.
I am preparing to enlist in the military and am considering whether to undergo circumcision.
I can fully retract the foreskin for cleaning while showering, but when I am erect, only about one-third of the opening is exposed.
Isn't circumcision usually necessary when one cannot clean properly due to the foreskin not retracting during an erection? When I am flaccid, I can fully retract it for cleaning, but it doesn't fully expose when erect, which seems strange.

Shan Dian, 20~29 year old female. Ask Date: 2020/06/20

Dr. Du Shixi reply Urology


Hello: Due to a small opening, it does not enlarge sufficiently during erection, making it unable to be exposed.
Wishing you good health.

Reply Date: 2020/06/20

More Info


Phimosis is a condition where the foreskin cannot be fully retracted over the glans (the head) of the penis. This can lead to difficulties in hygiene, discomfort during sexual activity, and potential complications such as infections. In your case, it seems that you can retract the foreskin when flaccid, but not fully when erect, which is a common presentation of phimosis.
When considering circumcision, especially in the context of preparing for military service, there are several factors to take into account. First, it is essential to understand the implications of phimosis on your daily life and military duties. If you experience pain, discomfort, or difficulty maintaining hygiene due to your condition, it may be advisable to consider circumcision.
Circumcision is often recommended when phimosis leads to recurrent infections, inflammation, or if it causes significant discomfort during erections. In a military setting, where physical activity and hygiene are crucial, having a functional foreskin can be important. If you find that your condition limits your ability to maintain proper hygiene or causes discomfort during physical activities, it may be wise to discuss circumcision with a healthcare provider.

Additionally, the timing of the procedure is important. If you are close to your enlistment date, consider that recovery from circumcision typically takes a few weeks. You would need to ensure that you have adequate time to heal before engaging in physical activities required in military service.
It is also worth noting that circumcision is not the only option. Some individuals with phimosis may benefit from topical steroid creams that can help loosen the foreskin, allowing for easier retraction. This non-surgical approach can be effective for some, but it requires consistent application and patience.

In summary, if your phimosis is causing hygiene issues, discomfort, or if you anticipate that it may interfere with your military duties, it would be prudent to consult with a urologist. They can provide a thorough examination and discuss the best options for your situation, including the potential benefits and risks of circumcision. Ultimately, the decision should be based on your symptoms, lifestyle, and personal preferences.

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