Does Health Insurance Cover Surgery for Phimosis and Frenulum Release? - Urology

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Does the National Health Insurance cover the surgery for the release of phimosis?


Does the National Health Insurance cover the surgery for phimosis and frenulum release? Recently, I've been considering getting a circumcision to address the phimosis that has troubled me for many years.
I discovered online that I have phimosis because I cannot retract the foreskin behind the glans; I can only expose a little bit of the tip.
After comparing with medical images online, I confirmed that I have phimosis, but I'm unsure if it is covered by National Health Insurance.
As I am still a student, whether or not it is covered makes a significant difference, so I kindly ask the doctor for a clear answer.
Wishing you good health, doctor.

Mr. Hsu, 20~29 year old female. Ask Date: 2004/02/26

Dr. Zhang Chengye reply Urology


Hello, Student Hsu; the National Health Insurance does not cover the surgery for phimosis.
This is a response from Dr.
Chang Cheng-yeh, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/02/26

More Info


When it comes to health insurance coverage for surgery related to phimosis and frenulum release, the specifics can vary based on the healthcare system in your country. In many cases, including Taiwan's National Health Insurance (NHI) system, surgical procedures for phimosis (a condition where the foreskin cannot be retracted over the glans) may be covered under certain conditions.

In Taiwan, the NHI does provide coverage for circumcision or frenulum release surgery if it is deemed medically necessary. This typically includes cases where phimosis leads to recurrent infections, pain, or other complications that significantly affect the patient's quality of life. If your condition is classified as phimosis and is causing discomfort or medical issues, it is advisable to consult with a urologist or a healthcare provider who can evaluate your situation and determine if surgery is warranted.

Regarding the financial aspect, if the procedure is deemed medically necessary, it is likely that the surgery will be covered by NHI, which would significantly reduce your out-of-pocket expenses. However, there may be some costs associated with the procedure, such as hospital fees or specific medical supplies that are not covered by insurance. It is best to discuss these potential costs with your healthcare provider or the hospital's billing department to get a clear understanding of what you might need to pay.

As for the procedure itself, frenulum release and circumcision are generally safe and effective surgeries. They can alleviate the discomfort associated with phimosis and improve hygiene. Post-surgery, patients often experience a significant reduction in symptoms, and many report improved quality of life. However, as with any surgical procedure, there are risks involved, including infection, bleeding, and complications related to anesthesia. It is essential to weigh these risks against the benefits of the surgery.

In terms of recovery, most patients can return to normal activities within a few days, but it is crucial to follow your doctor's post-operative care instructions to ensure proper healing. You may experience some swelling or discomfort in the initial days following the surgery, but this typically resolves quickly.

If you are a student and concerned about the financial implications of the surgery, it may be beneficial to inquire about any additional support or resources available to you through your educational institution or local health services. Some universities offer health services that can provide guidance on navigating health insurance and accessing necessary medical care.

In summary, if you are experiencing phimosis and it is affecting your daily life, it is advisable to seek a consultation with a urologist. They can provide a thorough evaluation and discuss the potential for surgery, including whether it would be covered by health insurance. Make sure to ask about any associated costs and the recovery process to prepare yourself adequately for the procedure.

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