Phimosis: Costs, Coverage, and Recovery After Circumcision - Urology

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Phimosis issue


I am 23 years old, and since I became aware of my body, my glans has never been exposed due to my foreskin.
In other words, I have never seen my glans, and I have researched this condition, which I understand is called "phimosis." Specifically, it means that the foreskin completely covers the glans, leaving only a 1-2 cm opening for urination.
I would like to know if health insurance covers the cost of circumcision.
If not, how much would it typically cost out-of-pocket at a public hospital? Additionally, after the procedure, can I return to work the next day? I really want to get circumcised, but I feel embarrassed.
Is there a significant difference in fees between Taichung City Hospital and 803 Hospital? I really want to have the procedure at Taichung City Hospital, but I'm concerned about the cost and my embarrassment.
I hope the doctor can provide some guidance.

Da Nansheng, 20~29 year old female. Ask Date: 2004/01/09

Dr. Xu Weikai reply Urology


Hello, regarding your question, in clinical terms, this condition is called complete phimosis, which means the glans has never been exposed.
This situation requires a circumcision procedure.
The out-of-pocket cost for the surgery generally ranges from $4000 to $7000, although prices may vary depending on the region and hospital.
For complete phimosis, after the surgery, there may be a more intense sensation of pain in the glans, and initially, it can be quite uncomfortable, with a tendency for erections to occur easily.
Some patients have reported experiencing premature ejaculation during sexual intercourse after the wound has healed.
However, as long as there were no pre-existing sexual function issues, these symptoms typically improve over time.
Urologist Hsu Wei-Kai responds on behalf of Taitung Hospital, Department of Health, expressing concern for you.

Reply Date: 2004/01/09

More Info


Phimosis, or the inability to retract the foreskin over the glans penis, can be a source of discomfort and concern for many individuals. In your case, since you have not been able to see your glans penis at the age of 23, it is understandable that you are considering circumcision as a solution. Let's address your questions regarding costs, insurance coverage, and recovery after circumcision.


Insurance Coverage
In many countries, including the United States, circumcision is often considered a medically necessary procedure when it addresses issues like phimosis, recurrent infections, or other complications. However, coverage can vary significantly based on your insurance plan. In Taiwan, the National Health Insurance (NHI) may cover circumcision if it is deemed medically necessary. You would need to consult with your healthcare provider to determine if your specific case qualifies for coverage under the NHI.

Costs of Circumcision
If your procedure is not covered by insurance, the cost of circumcision can vary widely depending on the hospital and the specific circumstances of your case. In public hospitals, the cost might range from NT$10,000 to NT$30,000 or more, depending on the facility and the complexity of the procedure. It is advisable to contact both Taichung City Hospital and 803 Hospital directly to inquire about their specific pricing for circumcision. They can provide you with a detailed breakdown of costs, including any additional fees for consultations, anesthesia, and post-operative care.


Recovery Time
Regarding recovery, circumcision is generally considered a minor surgical procedure. Most patients can expect to return to normal activities, including work, within a few days. However, it is recommended to avoid strenuous activities and sexual intercourse for at least two weeks to allow for proper healing. Some individuals may experience swelling, discomfort, or bleeding post-surgery, but these symptoms typically resolve within a week or so.

Emotional Considerations
It is completely normal to feel embarrassed or anxious about discussing this issue, but remember that healthcare providers are trained to handle such situations with professionalism and confidentiality. They are there to help you, and your concerns are valid. If you feel uncomfortable discussing this with your primary care physician, consider seeking a urologist who specializes in male reproductive health. They can provide you with a more focused consultation regarding your condition and the potential benefits of circumcision.


Conclusion
In summary, if you are considering circumcision for phimosis, it is essential to consult with a healthcare provider to discuss your specific situation, determine if the procedure is medically necessary, and explore insurance coverage options. The costs can vary, so contacting hospitals directly will give you the most accurate information. Recovery is typically quick, allowing you to return to work within a few days, but follow your doctor's advice for the best outcomes. Don't hesitate to seek help; addressing your concerns is the first step toward improving your health and well-being.

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