Post-Circumcision Concerns: Your Recovery and Anatomy - Urology

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Post-circumcision care?


Dr.
Du: Hello! I underwent a circumcision last November and spent a long time waiting for the swelling to subside.
Now that it has finally resolved, I’ve noticed that when my penis is not erect, sometimes the entire glans, including a bit of the corona, is exposed, while other times the skin underneath the penis covers the glans slightly, but not much.
I’m wondering if the doctor might have removed too little skin? However, when I asked the doctor, he said that a bit of skin should be left to prevent pain during erection, and he also mentioned that I have a thicker layer of fat in my lower abdomen, and that if I lose some weight, the glans will be fully exposed all the time.
He suggested losing about 10 to 20 kilograms for a noticeable effect.
I currently weigh 102 kg and am 165 cm tall.
Is what the doctor said accurate?

Mr. Hsu, 20~29 year old female. Ask Date: 2021/04/02

Dr. Du Shixi reply Urology


Hello: Being overweight can cause fat to accumulate around the genital area, which may partially obscure the genitals.
Additionally, the size of the genitals can vary over time.
To improve this situation, you may consider weight loss.
Wishing you good health.

Reply Date: 2021/04/02

More Info


Hello! Thank you for your question regarding your recovery after circumcision and the concerns you have about the appearance of your penis post-surgery. It’s understandable to have questions about your anatomy and recovery process, especially after a significant procedure like circumcision.

From what you’ve described, it seems that you are experiencing some variability in the exposure of the glans (the head of the penis) when flaccid. This can be influenced by several factors, including the amount of skin that was removed during the circumcision, the elasticity of the remaining skin, and the distribution of subcutaneous fat in the pubic area.

1. Circumcision Technique: The surgeon typically leaves a certain amount of skin to ensure that there is enough coverage when the penis is erect, as you mentioned. This is to prevent discomfort or pain during erections. If the circumcision was performed correctly, it is normal for some skin to remain, and the appearance can vary from person to person. If you feel that the amount of skin left is excessive or insufficient, it’s best to consult with your surgeon or a urologist who can assess your situation directly.

2. Weight and Fat Distribution: Your doctor’s advice about weight loss affecting the appearance of your penis is valid. Excess fat in the pubic area can create a "buried penis" effect, where the penis appears shorter or less exposed due to the surrounding fat. Losing weight can help reduce this fat pad, potentially allowing more of the glans to be visible when flaccid. The amount of weight loss needed can vary greatly among individuals, and it’s important to approach weight loss in a healthy and sustainable manner.

3. Recovery Timeline: It’s also important to consider that recovery from circumcision can take time. Swelling can persist for several weeks, and the skin may take time to adjust to its new position. If you have recently noticed that the swelling has completely subsided, it may be beneficial to give it a little more time before making any final judgments about the results of the procedure.

4. Consultation and Follow-Up: If you have ongoing concerns about the appearance or function of your penis, or if you experience any pain or discomfort, it’s essential to follow up with your healthcare provider. They can provide a thorough examination and discuss any potential options if you feel that the results are not what you expected.

5. Psychological Impact: Lastly, it’s worth noting that concerns about body image can significantly impact your self-esteem and mental health. If you find that these concerns are affecting your quality of life, consider speaking with a mental health professional who can help you navigate these feelings.

In summary, while it’s normal to have concerns after a circumcision, many factors can influence the appearance and function of the penis post-surgery. Weight loss may help improve the visibility of the glans, but it’s crucial to consult with your healthcare provider for personalized advice and to address any specific concerns you may have. Your health and comfort are paramount, and open communication with your doctor is key to ensuring a satisfactory recovery.

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