Do I Need Surgery for My Persistent Foreskin Issue?

Q: Do I Need Surgery for My Persistent Foreskin Issue?

Hello： Congenital phimosis is generally like this, and medically, surgery is not necessary. <br>Wishing you good health.

I would like to ask about the issue of phimosis again?

Hello, Dr.
Du: I apologize for bothering you.
Yesterday, I asked about the issue of phimosis.
You mentioned that the foreskin can retract during an erection, but I would like to clarify that my foreskin still almost completely covers the penis when I am erect and does not retract naturally.
I have to use my hand to pull it back.
Do I still need to consider surgery to remove it? I would appreciate your response.
Thank you.

Azheng, 10~19 year old female. Ask Date: 2021/04/20

Dr. Du Shixi reply Urology

Hello: Congenital phimosis is generally like this, and medically, surgery is not necessary.
Wishing you good health.

Reply Date: 2021/04/20

More Info

When it comes to persistent issues with the foreskin, particularly in cases of phimosis (the inability to retract the foreskin), surgery may be necessary depending on the severity of the condition and its impact on your quality of life. Based on your description, it seems that your foreskin does not retract naturally during an erection, which can lead to discomfort, pain, or even complications such as infections or inflammation.

Phimosis can be classified into two types: physiological and pathological. Physiological phimosis is common in infants and young children, where the foreskin gradually becomes retractable over time. However, if you are an adult and still experiencing this issue, it is likely to be pathological phimosis, which may require intervention.

Here are some considerations regarding your situation:
1. Symptoms and Quality of Life: If your condition is causing discomfort, pain, or affecting your sexual function, it is advisable to seek treatment. Persistent phimosis can lead to complications such as balanitis (inflammation of the glans), recurrent urinary tract infections, or even paraphimosis (where the retracted foreskin cannot return to its original position).

2. Non-Surgical Options: Before considering surgery, some non-surgical treatments may be explored. These include topical corticosteroids, which can help to soften the foreskin and make it easier to retract. Gentle stretching exercises may also be recommended, but these should be done under the guidance of a healthcare professional to avoid injury.

3. Surgical Options: If non-surgical methods are ineffective, circumcision (the surgical removal of the foreskin) is a common procedure that can resolve the issue permanently. There are also less invasive options, such as preputioplasty, which involves widening the opening of the foreskin without complete removal. The choice of procedure will depend on your specific condition and the recommendation of your healthcare provider.

4. Consultation with a Specialist: It is essential to consult with a urologist or a healthcare provider specializing in male genital health. They can perform a thorough examination, discuss your symptoms in detail, and recommend the most appropriate course of action based on your individual needs.

5. Potential Risks and Benefits: As with any surgical procedure, there are risks involved, including bleeding, infection, and complications related to anesthesia. However, the benefits of resolving the issue and improving your quality of life often outweigh these risks.

In conclusion, if your foreskin issue is causing significant discomfort or functional problems, it is advisable to consider surgical options. A thorough evaluation by a healthcare professional will help determine the best approach for your specific situation. Remember, it is essential to address these concerns promptly to avoid potential complications in the future.

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