Do You Need Circumcision? Foreskin Issues in Adult Men - Urology

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Prepuce issues


In normal adult males, the glans penis is typically protected by the foreskin when not erect.
However, during an erection, the foreskin may retract to expose the glans.
In your case, it seems that you can fully retract the foreskin for cleaning without any issues, but during an erection, it only retracts to the coronal sulcus and does not fully tighten, requiring manual adjustment.

This condition may indicate a tight foreskin or phimosis.
Whether or not you need a circumcision depends on several factors, including any discomfort, hygiene issues, or recurrent infections.
It is advisable to consult a healthcare professional for a thorough evaluation and to discuss the best course of action for your specific situation.

A-Q, 10~19 year old female. Ask Date: 2022/06/14

Dr. Liu Mingyue reply Urology


Hello: Before surgery, the foreskin covers the glans, and after surgery, the glans will be fully exposed or slightly exposed.
In your case, the medical necessity for surgery is not required, and you can decide for yourself.
Wishing you good health.

Reply Date: 2022/06/14

More Info


When considering whether circumcision is necessary for adult men, it is essential to understand the anatomy and function of the foreskin, as well as the potential issues that may arise. The foreskin, or prepuce, serves several purposes: it protects the glans (the head of the penis), provides sensitivity, and contributes to sexual pleasure. In a healthy male, the foreskin can retract during an erection, exposing the glans, which is typically the desired state during sexual activity.

In your case, you mentioned that you can push the foreskin back for cleaning purposes, which indicates that you do not have a condition known as phimosis (where the foreskin cannot be retracted). However, you also noted that during an erection, the foreskin does not retract completely and requires manual adjustment. This situation can be uncomfortable and may lead to hygiene issues or increased risk of infections, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin).

The decision to undergo circumcision often depends on several factors:
1. Hygiene: If you find it challenging to maintain proper hygiene due to the inability of the foreskin to retract fully, circumcision may be beneficial. Proper hygiene is crucial to prevent infections.

2. Discomfort or Pain: If the foreskin causes discomfort during sexual activity or daily life, circumcision could alleviate these issues.

3. Medical History: If you have a history of recurrent infections or other complications related to the foreskin, circumcision might be recommended.

4. Personal Preference: Some men choose circumcision for cultural, religious, or personal reasons. It's essential to consider your feelings and beliefs regarding the procedure.

5. Consultation with a Healthcare Provider: It is crucial to discuss your symptoms and concerns with a urologist or healthcare provider. They can perform a physical examination, assess your specific situation, and provide tailored advice based on your health and lifestyle.

In summary, while the foreskin serves protective and sensory functions, if it is causing you discomfort or hygiene issues, circumcision may be a viable option. It is essential to weigh the benefits and risks and consult with a healthcare professional to make an informed decision. Remember that circumcision is a surgical procedure, and like any surgery, it carries risks, including bleeding, infection, and complications related to anesthesia. Therefore, a thorough discussion with your doctor is vital to ensure that you make the best choice for your health and well-being.

Similar Q&A

Do All Men Need Circumcision? Understanding Foreskin and Health

Is it necessary for all males to undergo circumcision? How can one determine if the foreskin is too long? Is it essential to retract the foreskin to expose the glans? What are the consequences if the foreskin is not retracted? I am very curious about these questions.


Dr. Lin Hexing reply Urology
Hello Jeff: Not all males need to undergo circumcision. If the foreskin completely covers the glans when the penis is erect, it may be considered phimosis. It is best to retract the foreskin to expose the glans for proper hygiene. If the foreskin cannot be retracted at all, it in...

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Doctor, I would like to ask, my foreskin can only retract to the back of the glans and cannot retract further. Do I need a circumcision? (I was circumcised as a child.) Will this hinder future sexual intercourse? Thank you, doctor.


Dr. Li Xinyi reply Urology
If there are concerns about the foreskin, it is advisable to have an in-person examination. It is recommended to consult a urologist for evaluation and discussion with the physician.

[Read More] Understanding Foreskin Issues: Do You Need Circumcision?


Understanding Foreskin Issues: Do You Need Circumcision?

Hello, doctor! I have an issue where when I have an erection and pull back my foreskin, several small cracks appear. I have been applying ointment, but once it heals, pulling it back again causes the wounds to reappear. Do I need to undergo a circumcision, or are there other opti...


Dr. Li Xinyi reply Urology
Hello: It sounds like it could be phimosis or chronic inflammation. It's important to see a doctor in an outpatient setting so that the physician can assess the situation and determine whether a circumcision is necessary. I hope this information is helpful to you.

[Read More] Understanding Foreskin Issues: Do You Need Circumcision?


Consulting Urology: Painful Foreskin Issues and Circumcision Considerations

I would like to ask, if the glans does not emerge during an erection and pulling back the foreskin causes pain, does this mean I need a circumcision? I haven't had sexual intercourse in a long time, and I am afraid to clean it because pulling back causes pain. Is this not go...


Dr. Li Xinyi reply Urology
The foreskin needs to be retracted for cleaning. Over time, this will alleviate any discomfort. It is not possible to determine whether a circumcision is necessary based solely on your description; a consultation and examination by a physician are required.

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