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 positioned at the coronal sulcus, it will revert to approximately two-thirds of its original position. <br>If there are issues during sexual activity, please consult a urologist at a hospital

The foreskin cannot be retracted?

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

Xiao P, 10~19 year old female. Ask Date: 2021/08/27

Dr. Du Shixi reply Urology

Hello: I do not personally recommend the use of a device.
If the foreskin cannot be positioned at the coronal sulcus, it will revert to approximately two-thirds of its original 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: 2021/08/27

More Info

When considering issues related to the prepuce (foreskin) and whether circumcision is necessary, it is essential to understand the anatomy, potential complications, and the implications of both surgical and non-surgical options.

From your description, it seems that you are experiencing difficulty with the retraction of the foreskin during an erection, which may indicate a condition known as phimosis. Phimosis is characterized by the inability to retract the foreskin fully over the glans (the head of the penis), which can lead to hygiene issues, discomfort, or pain during erections, and in some cases, increased risk of infections.

In your case, the fact that you can retract the foreskin completely when not erect but face challenges during an erection suggests that there may be some tightness or elasticity issues with the foreskin. This is not uncommon, and many men experience varying degrees of phimosis at different stages of life.

Options to Consider:
1. Circumcision: This is a surgical procedure that involves the removal of the foreskin. It is often recommended for individuals with severe phimosis that does not respond to conservative treatments, recurrent infections, or other complications. Circumcision can provide a permanent solution and may alleviate any discomfort or hygiene issues you are currently experiencing.

2. Non-Surgical Options: There are non-surgical alternatives that you might consider before opting for circumcision. These include:
- Topical Steroids: Applying a topical steroid cream can help to soften and stretch the foreskin, making it easier to retract over time.

- Stretching Exercises: Gentle manual stretching of the foreskin can sometimes help improve elasticity. This should be done carefully to avoid pain or injury.

- Foreskin Retainers: As you mentioned, there are devices available online that can help keep the foreskin retracted. These may provide temporary relief and allow for better hygiene but may not address the underlying issue if there is significant tightness.

Consultation with a Healthcare Provider:
It is crucial to consult with a healthcare provider, preferably a urologist, who can assess your specific situation. They can provide a thorough examination and discuss the pros and cons of each option based on your symptoms, lifestyle, and preferences.

Conclusion:
Ultimately, the decision to undergo circumcision or pursue other treatments should be made based on a comprehensive evaluation of your condition and personal preferences. If the foreskin is causing significant discomfort, hygiene issues, or emotional distress, circumcision may be a suitable option. However, if the symptoms are manageable and you prefer to avoid surgery, exploring non-surgical options with the guidance of a healthcare professional is advisable.
Remember, it is essential to prioritize your health and comfort, and seeking professional advice will help you make an informed decision.

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