Phimosis: When to Consider Circumcision for Relief

Phimosis issue

I have a problem with phimosis...
I cannot expose the glans regardless of whether I am erect or not; I can only see the urethral opening.
Additionally, when using sexual toys, I feel pain because the glans cannot be exposed.
Recently, I have also experienced redness, swelling, itching, pain, and skin breakdown of the foreskin.
However, I can urinate normally and ejaculate normally when masturbating.
Do I need a circumcision?

Yuyuan, 20~29 year old female. Ask Date: 2020/09/30

Dr. Li Xinyi reply Urology

It is recommended to undergo a circumcision or dorsal slit procedure, but it is essential to visit a urologist for an in-person examination and to discuss the options with the physician.

Reply Date: 2020/09/30

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, pain, and potential complications such as infections or inflammation. In your case, it sounds like you are experiencing significant symptoms, including pain during the use of sexual aids, redness, swelling, itching, and even skin breakdown. These symptoms can indicate that your phimosis is causing more than just a cosmetic issue; it may be leading to inflammation or infection, which can complicate your situation further.

When considering whether circumcision is necessary, several factors come into play. First, it is essential to evaluate the severity of your symptoms. If you are experiencing pain, especially during sexual activity, or if there are signs of infection (such as redness, swelling, or discharge), these are strong indicators that intervention may be needed. The presence of these symptoms suggests that the condition is not just a minor inconvenience but may be affecting your quality of life and sexual health.

Circumcision is often recommended in cases of phimosis when conservative treatments have failed or when complications arise. Conservative treatments may include topical corticosteroids to reduce inflammation and allow for easier retraction of the foreskin. However, if these treatments do not provide relief or if the phimosis is causing recurrent infections or significant discomfort, circumcision may be the best option.

In addition to the physical symptoms, it is also important to consider the psychological impact of phimosis. Many individuals feel embarrassed or anxious about their condition, which can affect their sexual relationships and overall well-being. Addressing the issue through circumcision can provide not only physical relief but also psychological benefits by alleviating the anxiety associated with the condition.

Before making a decision, it is crucial to consult with a healthcare provider, preferably a urologist, who can assess your specific situation. They will likely perform a physical examination and may ask about your medical history, including any previous treatments or interventions you have tried. Based on this assessment, they can provide personalized recommendations and discuss the potential risks and benefits of circumcision.

In summary, given your symptoms of pain, redness, swelling, and the inability to retract the foreskin, it may be advisable to consider circumcision as a treatment option. This procedure can relieve the discomfort associated with phimosis and prevent potential complications. However, a thorough evaluation by a healthcare professional is essential to determine the best course of action tailored to your individual needs.

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