Do I Need Circumcision? Penile Issues and Normal Size - Urology

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Penile issues


Hello Doctor: My foreskin almost completely covers the glans when I am not erect, but there is a narrow opening and it does not cover it entirely.
When I am erect, a large portion of the glans is exposed, but it is not completely uncovered.
Do I need a circumcision? Additionally, my flaccid length is about 7 cm, and my erect length is about 12 to 13 cm.
Is this length considered normal?

Xiao Lin, 20~29 year old female. Ask Date: 2021/10/13

Dr. Li Minghui reply Urology


Hello: If the foreskin becomes tight around the glans after an erection, it is advisable to seek medical attention to determine if surgery is necessary.
If the foreskin is loose after an erection, surgery is not needed.
As for the length, it is normal.
Wishing you good health.

Reply Date: 2021/10/13

More Info


When considering whether circumcision is necessary, it's essential to evaluate both the anatomical aspects and any potential medical concerns. From your description, it seems that your foreskin partially covers the glans (the head of the penis) when flaccid but retracts significantly during an erection. This situation is relatively common and can be considered normal, especially if you do not experience any pain, discomfort, or issues with hygiene.


Understanding Normal Anatomy
The average size of an erect penis varies widely, with studies suggesting that the average erect length is approximately 12 to 16 cm (about 4.7 to 6.3 inches). Your reported measurements of 7 cm when flaccid and 12 to 13 cm when erect fall within the normal range. It's important to remember that penis size can vary significantly among individuals, and what is considered "normal" encompasses a broad spectrum.


Circumcision Considerations
Circumcision is a surgical procedure that involves the removal of the foreskin. The decision to undergo circumcision can depend on several factors:
1. Medical Reasons: If you have recurrent infections, phimosis (where the foreskin cannot be retracted fully), or other medical conditions that cause discomfort or complications, circumcision may be recommended. Phimosis can lead to pain during erections or difficulties with hygiene, which could justify the procedure.

2. Hygiene: Some individuals find it easier to maintain hygiene without a foreskin, while others manage well with proper cleaning techniques. If you can maintain good hygiene and do not experience any issues, circumcision may not be necessary.

3. Cultural or Religious Reasons: In some cultures and religions, circumcision is a common practice. If this is a consideration for you, it may influence your decision.

4. Personal Preference: Some individuals choose circumcision for aesthetic reasons or personal preference. It’s essential to weigh these factors carefully.


Recommendations
Given your description, it does not appear that circumcision is medically necessary unless you are experiencing specific issues such as pain, recurrent infections, or hygiene difficulties. If you are unsure, it would be beneficial to consult with a urologist or a healthcare provider specializing in male reproductive health. They can provide a thorough examination and discuss any concerns you may have, including the potential benefits and risks of circumcision.


Conclusion
In summary, your current situation does not seem to warrant circumcision based on the information provided. Your penis size is within the normal range, and if you are not experiencing any discomfort or hygiene issues, you may choose to forgo the procedure. However, it is always best to consult with a healthcare professional who can provide personalized advice based on a comprehensive evaluation of your health and circumstances.

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


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