Prepuce Issues: Should You Consider Circumcision?

Q: Prepuce Issues: Should You Consider Circumcision?

Hello： I do not personally recommend the use of a device. <br>If the foreskin cannot be fixed at the coronal sulcus, it will return to approximately two-thirds of its position. <br>If there are issues during sexual activity, please consult a urologist at a hospital to evaluate th

The foreskin cannot be fixed at the coronal sulcus?

In a non-erect state, I can fully retract the foreskin, but during an erection, I can only pull it back about two-thirds.
I've tried retracting it when not erect and then getting an erection, but the foreskin cannot stay fixed at the coronal sulcus and tends to return to about one and a half times its original position.
Should I consider a circumcision for this issue, or would using a device available online to secure it be sufficient?

Xiao P, 10~19 year old female. Ask Date: 2021/08/24

Dr. Jian Weihong reply Urology

Hello: I do not personally recommend the use of a device.
If the foreskin cannot be fixed at the coronal sulcus, it will return to approximately two-thirds of its position.
If there are issues during sexual activity, please consult a urologist at a hospital to evaluate the possibility of surgery.
Wishing you good health.

Reply Date: 2021/08/24

More Info

When considering issues related to the prepuce (foreskin) and whether circumcision is necessary, it is essential to evaluate the symptoms and the underlying conditions that may be present. Based on your description, it seems that you are experiencing difficulties with retracting the foreskin fully, both in a flaccid state and during an erection. This condition may be indicative of phimosis, which is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis).

Phimosis can be classified into two types: physiological and pathological. Physiological phimosis is common in infants and young boys and usually resolves on its own as they grow older. Pathological phimosis, on the other hand, can occur due to scarring, inflammation, or infection, leading to difficulties in retraction. If you are experiencing discomfort, hygiene issues, or recurrent infections, these are significant factors to consider when deciding on treatment options.

In your case, if you are unable to retract the foreskin fully and are experiencing issues with hygiene or discomfort, circumcision may be a viable option. Circumcision is a surgical procedure that removes the foreskin, providing easier access to the glans for cleaning and reducing the risk of infections. It is generally considered safe and can be performed under local or general anesthesia, depending on the patient's age and preference.

Alternatively, if circumcision seems too drastic or if you are hesitant about undergoing surgery, there are non-surgical options available. Some individuals find success with topical steroid creams that can help loosen the foreskin and make retraction easier. Additionally, there are devices available online that claim to help keep the foreskin retracted, but the effectiveness and safety of these devices can vary. It's crucial to consult with a healthcare professional before trying any over-the-counter solutions or devices to ensure they are appropriate for your specific situation.

Ultimately, the decision to undergo circumcision or pursue alternative treatments should be made in consultation with a qualified healthcare provider, such as a urologist. They can assess your condition more thoroughly, discuss the potential benefits and risks of circumcision, and help you determine the best course of action based on your symptoms and lifestyle.

In summary, if you are experiencing significant issues with foreskin retraction, hygiene, or discomfort, it may be worth considering circumcision as a solution. However, exploring non-surgical options and discussing your concerns with a healthcare professional is equally important to make an informed decision that aligns with your health needs and personal preferences.

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