Phimosis: Prevalence, Surgery, and Recovery Insights - Urology

More Info

---

Phimosis, a condition characterized by the inability to retract the foreskin over the glans penis, is relatively common among males, particularly in infants and young boys. The prevalence of phimosis varies, but studies suggest that it can be found in approximately 1 in 10 males, especially in the pediatric population. As boys grow older, many will naturally experience a resolution of this condition, with estimates indicating that around 90% of boys will have a retractable foreskin by the age of 16.
In Taiwan, the number of males who have undergone circumcision (the surgical procedure to remove the foreskin) is significant, although exact statistics can vary. It is estimated that a considerable percentage of males, particularly those in certain cultural or religious groups, may have had this procedure. In general, circumcision rates in Taiwan are influenced by cultural practices, personal preferences, and medical recommendations.

Regarding your specific situation, if you are experiencing phimosis where the glans is partially covered by the foreskin during an erection, but you can retract it manually, you may be a candidate for a surgical procedure known as circumcision or preputioplasty. During circumcision, the foreskin is removed, which can allow for full exposure of the glans when erect. However, the extent of foreskin removal can be tailored to your preferences and the surgeon's recommendations. It is essential to communicate your concerns and desires with your surgeon, as they can adjust the procedure to ensure that enough foreskin is left to meet your needs while still addressing the phimosis.

When it comes to the surgical technique, sutures are typically used to close the incision after the foreskin is removed. These sutures are placed in a way that they do not penetrate deeply into the penile tissue but rather secure the skin edges together. The sutures are usually absorbable, meaning they will dissolve over time without the need for removal. The surgeon will ensure that the sutures are placed in a manner that promotes healing and minimizes discomfort.

Recovery from circumcision generally involves some discomfort and swelling, which can be managed with pain relief medications as prescribed by your doctor. Most patients can return to normal activities within a week or two, but it is crucial to follow your surgeon's post-operative care instructions to ensure proper healing.

In summary, phimosis is a common condition, and surgical options are available to address it. If you are considering surgery, it is vital to have an open discussion with your healthcare provider about your specific needs and concerns. They can provide you with detailed information about the procedure, expected outcomes, and recovery, ensuring that you make an informed decision that aligns with your health and personal preferences.