Is Long Foreskin a Concern for Sexual Health? the Need for Circumcision - Urology

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Phimosis prevents the glans from being exposed?


In my case, my phimosis is different from others.
Most people hear about the foreskin being too tight and getting stuck on the glans, which leads to the need for circumcision.
However, my situation is that when I have an erection, the foreskin is too long and cannot retract over the glans.
Although I can clean normally, will this cause problems during sexual intercourse? In this case, do I need to undergo circumcision?

Ye Xiansheng, 20~29 year old female. Ask Date: 2021/09/20

Dr. Du Shixi reply Urology


Hello: If you feel that your foreskin is affecting sexual activity (which is generally not the case), you may consider circumcision.
Wishing you good health.

Reply Date: 2021/09/20

More Info


Long foreskin, or phimosis, can indeed be a concern for sexual health, but the necessity for circumcision depends on various factors, including the degree of discomfort, hygiene, and sexual function.
In your case, it sounds like you have a longer foreskin that does not cause tightness or pain during erections, which is a positive sign. If you can maintain proper hygiene and do not experience any pain or discomfort during sexual activities, you may not need to undergo circumcision. However, there are several considerations to keep in mind.

Firstly, proper hygiene is crucial. A longer foreskin can sometimes make it more challenging to clean the area thoroughly, which can lead to a buildup of smegma—a combination of dead skin cells and oils that can cause irritation or infections. If you are diligent about cleaning under the foreskin, this risk is minimized.
Secondly, sexual function is an important aspect to consider. If you find that the length of your foreskin interferes with sexual pleasure or causes discomfort for you or your partner, it may be worth discussing circumcision with a healthcare provider. Some individuals with longer foreskin report that it can lead to friction or discomfort during intercourse, which could affect sexual satisfaction.

Moreover, there are cases where a longer foreskin can lead to conditions such as balanitis (inflammation of the glans) or recurrent infections. If you experience any symptoms such as pain, swelling, or unusual discharge, it would be advisable to consult a healthcare professional.

Circumcision is a surgical procedure that involves the removal of the foreskin and is often recommended in cases of phimosis where the foreskin cannot be retracted easily, leading to pain or complications. However, it is not the only option. Some men opt for less invasive treatments, such as topical steroid creams that can help in retracting the foreskin over time or preputioplasty, which is a less extensive surgical procedure that can widen the foreskin without complete removal.

In summary, while a longer foreskin can be a concern for some, it is not inherently problematic if it does not cause discomfort or hygiene issues. It is essential to monitor your situation and consult with a healthcare provider if you have any concerns or if you experience any complications. They can provide personalized advice based on your specific circumstances and help you make an informed decision regarding circumcision or other treatment options.

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