Do I Need Circumcision? Foreskin Issues in Teens - Urology

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Foreskin issues


As a 13-year-old, having a penis size of 13 cm when erect is within the normal range.
If you are unable to retract the foreskin completely and can only expose the glans, this may indicate a condition known as phimosis.
Whether or not you need a circumcision depends on several factors, including any associated symptoms such as pain, difficulty with hygiene, or recurrent infections.
It is important to consult with a healthcare provider who can assess your specific situation and provide personalized recommendations.

ZCY, 10~19 year old female. Ask Date: 2024/02/08

Dr. Lin Wenxu reply Urology


Dear ZCY,
Please visit the urology outpatient clinic in person for a thorough examination by the physician, which will provide you with the most accurate diagnosis and recommendations.

Dr.
Lin Wen-Hsu, Urology Department, Nantou Hospital

Reply Date: 2024/02/08

More Info


When it comes to the question of whether you need circumcision, especially in the context of being a teenager with specific concerns about your foreskin, there are several factors to consider. At 13 years old, it's not uncommon for boys to have varying degrees of foreskin mobility, and many are still developing physically.
From your description, it sounds like you can retract your foreskin to expose the glans (the head of the penis) but not completely. This condition is often referred to as "partial phimosis." Phimosis is a condition where the foreskin cannot be fully retracted over the glans. In many cases, this is normal during puberty, as the foreskin may gradually become more retractable over time.
Here are some important points to consider regarding your situation:
1. Normal Development: Many boys experience some degree of phimosis during puberty. As you grow older, the foreskin often becomes more elastic, and retraction may become easier. If you are not experiencing pain, discomfort, or recurrent infections, it may not be necessary to pursue circumcision at this time.

2. Symptoms and Concerns: If you are experiencing symptoms such as pain during erections, difficulty with hygiene, or recurrent infections, it would be advisable to consult a healthcare professional. These symptoms may indicate that circumcision could be beneficial.
3. Hygiene: Proper hygiene is crucial. If you can retract the foreskin enough to clean the area without discomfort, you should be able to maintain good hygiene. If you cannot retract it at all, it may be more challenging to keep the area clean, which could lead to infections.

4. Consultation with a Healthcare Provider: It is essential to discuss your concerns with a healthcare provider, such as a pediatrician or urologist. They can assess your specific situation, provide guidance, and determine whether circumcision is necessary based on your physical examination and any symptoms you may have.

5. Circumcision Considerations: If circumcision is recommended, it is typically a safe procedure with a low risk of complications. However, it is essential to weigh the benefits and risks. Some individuals choose circumcision for cultural, religious, or personal reasons, while others may prefer to keep the foreskin.

6. Alternative Treatments: In some cases, non-surgical treatments, such as topical steroids or stretching exercises, may help alleviate phimosis without the need for circumcision.
In conclusion, whether or not you need circumcision depends on your individual circumstances, including the degree of foreskin retraction, any associated symptoms, and your overall health. It is best to have an open discussion with a healthcare provider who can provide personalized advice and recommendations based on a thorough evaluation. Remember, it is perfectly normal to have questions and concerns about your body during this stage of development, and seeking guidance is a positive step towards understanding your health.

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