Pre-Operative Considerations for Circumcision Surgery - Urology

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Inquiry about circumcision surgery?


Hello, doctor.
I would like to ask if it is necessary to inform the surgeon about the length of the penis when erect before undergoing a circumcision, to avoid excessive removal.
I would like to know how the doctor decides how much foreskin to remove.
Thank you for taking the time to answer.

Xiao Jiang, 20~29 year old female. Ask Date: 2021/05/04

Dr. Du Shixi reply Urology


Hello: You can inform the physician about the differences before and after erection.
Generally, during surgery, due to the elasticity of the foreskin, instances of insufficient foreskin are not common.
Personally, I sometimes notice that not enough foreskin has been removed, and there are still parts covering the glans.
However, when the penis is not erect, various factors can influence the appearance, leading to some discrepancies.
It is advisable to communicate your thoughts to the physician based on their experience and the issues at hand; the physician should be open to your concerns.
Wishing you good health.

Reply Date: 2021/05/04

More Info


When considering circumcision surgery, it is essential to communicate openly with your surgeon about various factors, including the length of the foreskin when erect. This information can help the surgeon make informed decisions regarding how much foreskin to remove during the procedure.
Circumcision is typically performed for various reasons, including medical, religious, or personal preferences. The decision on how much foreskin to remove is influenced by several factors, including the patient's anatomy, the reason for the circumcision, and the surgeon's experience and technique.

1. Pre-Operative Assessment: Before the surgery, the surgeon will conduct a thorough assessment, which may include a physical examination and a discussion about your medical history. This assessment helps the surgeon understand your specific needs and any potential complications that may arise during or after the procedure.

2. Erect vs. Flaccid Length: The length of the foreskin in both the flaccid and erect states can influence the surgical approach. If the foreskin is significantly longer when erect, the surgeon may consider this in determining how much to remove. It is crucial to communicate this information to ensure that the final result meets your expectations and does not lead to complications such as excessive skin removal, which could result in discomfort or cosmetic concerns.

3. Surgical Technique: There are various surgical techniques for circumcision, including the traditional method, the Gomco clamp, and the Plastibell method. Each technique has its advantages and disadvantages, and the choice of technique may also influence how much foreskin is removed. The surgeon will explain the chosen method and how it relates to your specific case.

4. Post-Operative Care: After the procedure, proper care is essential for healing. The surgeon will provide instructions on how to care for the surgical site, manage pain, and recognize signs of complications such as infection or excessive bleeding. Following these guidelines is crucial for a smooth recovery.

5. Potential Risks and Complications: Like any surgical procedure, circumcision carries risks, including bleeding, infection, and adverse reactions to anesthesia. Discussing these risks with your surgeon will help you make an informed decision about proceeding with the surgery.

6. Expectations and Outcomes: It is essential to have realistic expectations about the outcomes of circumcision. Discuss your goals with your surgeon, including any concerns about appearance or function post-surgery. This conversation can help ensure that you and your surgeon are aligned in your expectations.

In conclusion, before undergoing circumcision surgery, it is vital to communicate openly with your surgeon about the length of your foreskin in both erect and flaccid states. This information will assist the surgeon in determining the appropriate amount of foreskin to remove, ensuring that the procedure meets your needs and expectations. Additionally, understanding the surgical technique, potential risks, and post-operative care will help you prepare for a successful outcome. Always feel free to ask your surgeon any questions or express any concerns you may have regarding the procedure.

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