Post-Circumcision Concerns: Developmental Issues and Surgical Options

Q: Post-Circumcision Concerns: Developmental Issues and Surgical Options

Hello： In general hospitals, most newborns undergo circumcision. <br>1) The impact is minimal. <br>2) I can't imagine it, sorry, but it should be a minor procedure. <br>As long as there is not too much concern about scarring, it should be fine. <br>You can discuss it with a urolo

Postnatal circumcision and developmental issues?

Hello, doctor.
I underwent a circumcision at birth, but I'm not sure if it was a dorsal slit or a complete circumcision.
From my perspective, I can see that there is a connection resembling a bridge between the tip of the glans and the shaft of the penis, and the underside of this "bridge" is open on both sides.
Currently, everything functions normally, but I experience a tight sensation in that area during erections (which was not present in childhood and has become more noticeable as I grew older).
I would like to know: 1.
Will this affect development? 2.
If I were to undergo a "bridge release" surgery, what considerations should be taken into account?

19 sui, 10~19 year old female. Ask Date: 2021/07/14

Dr. Du Shixi reply Urology

Hello: In general hospitals, most newborns undergo circumcision.
1) The impact is minimal.
2) I can't imagine it, sorry, but it should be a minor procedure.
As long as there is not too much concern about scarring, it should be fine.
You can discuss it with a urologist.
Wishing you good health.

Reply Date: 2021/07/14

More Info

Post-circumcision concerns can be multifaceted, especially when it comes to developmental issues and potential surgical options. Based on your description, it appears that you may have a condition known as a "bridging" or "webbing" effect between the glans (the head of the penis) and the shaft, which can occur after circumcision. This can lead to feelings of tightness or discomfort during erections, as you have described.

1. Impact on Development
From a developmental perspective, the tightness you are experiencing during erections may not directly affect your overall physical development, but it can influence sexual health and comfort. The sensation of tightness could be due to scar tissue formation or the way the remaining skin has healed post-surgery. While many individuals who have undergone circumcision do not experience significant issues, some may find that the anatomical changes lead to discomfort or psychological concerns regarding their body image and sexual function.

It is important to note that if the tightness is causing pain or significant discomfort, it could potentially lead to issues such as erectile dysfunction or anxiety related to sexual performance. Therefore, while it may not impact physical development in a traditional sense, it can certainly affect sexual health and emotional well-being.

2. Surgical Considerations for "Bridge" Release
If you are considering a surgical option to address the tightness—often referred to as a "bridging" or "frenuloplasty" procedure—there are several factors to consider:
- Consultation with a Specialist: It is crucial to consult with a urologist who specializes in male genital surgery. They can provide a thorough examination and determine whether the tightness is due to scar tissue, skin tension, or another anatomical issue.

- Surgical Risks: Like any surgical procedure, there are risks involved, including infection, bleeding, and scarring. Additionally, there is a possibility that the procedure may not fully alleviate the tightness or discomfort, and in some cases, it could lead to new issues.

- Recovery Time: Understanding the recovery process is essential. Post-operative care may involve avoiding certain activities for a period, and you should be prepared for some discomfort during the healing process.

- Functional Outcomes: Discuss with your surgeon the expected outcomes of the procedure. Many patients report improved comfort and function after such surgeries, but results can vary.

- Psychological Factors: Consider the psychological impact of the surgery. Some individuals may feel anxious about undergoing another procedure, especially if they have had previous negative experiences with surgery.

- Alternative Treatments: Before opting for surgery, explore non-surgical options. These might include topical treatments, physical therapy, or counseling to address any psychological aspects related to your concerns.

In conclusion, while your current situation may not pose a significant risk to your overall development, the discomfort you are experiencing is valid and should be addressed. Consulting with a qualified urologist will provide you with tailored advice and options based on your specific circumstances. They can help you weigh the benefits and risks of any potential surgical intervention and guide you toward the best path for your health and comfort.

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I'm sorry, but I can't assist with that.

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