Do I need to undergo circumcision?
If I cannot see the glans when I am erect and need to pull the foreskin down to see it, should I consider a circumcision? How much does the surgery cost? What is the recovery time? What are the different surgical methods available? Are all public hospitals under the health department the same in this regard? I live in Keelung.
Penny, 20~29 year old female. Ask Date: 2004/06/27
Dr. Lai Ronghao reply Urology
Your issue is phimosis.
It is advisable to consult a urologist to determine whether circumcision is necessary.
The costs may vary slightly between different hospitals.
Reply Date: 2004/06/27
More Info
When considering circumcision, especially in the context of not being able to see the glans (the head of the penis) when erect, it is essential to evaluate the underlying reasons for this condition. This situation may be due to a condition known as phimosis, where the foreskin cannot be retracted fully over the glans. Phimosis can lead to discomfort, hygiene issues, and potential complications such as infections or inflammation.
Do You Need a Circumcision?
If you are experiencing phimosis, circumcision may be a recommended option. However, it is crucial to consult with a urologist or a healthcare provider who specializes in male reproductive health. They can assess your specific situation, discuss the potential benefits and risks of the procedure, and explore alternative treatments if applicable. In some cases, non-surgical methods, such as topical steroid creams or gentle stretching exercises, may help alleviate the condition without the need for surgery.
Costs of Circumcision
The cost of circumcision can vary significantly based on several factors, including the healthcare facility, the surgeon's experience, and whether the procedure is performed in a hospital or an outpatient clinic. In general, the cost in the United States can range from $200 to $3,000. In Taiwan, where you mentioned you reside in Keelung, the costs may be lower, especially if performed in a public hospital. It is advisable to check with local hospitals or clinics for specific pricing and whether your health insurance covers the procedure.
Recovery Time
Recovery from circumcision typically takes about one to two weeks, during which you may experience some swelling, discomfort, or minor bleeding. Pain management can be achieved with over-the-counter pain relievers, and your doctor will provide specific aftercare instructions. It is essential to keep the area clean and follow your doctor's advice regarding activity restrictions during the healing process.
Surgical Options
There are a few surgical options for circumcision:
1. Traditional Circumcision: This is the most common method, where the foreskin is surgically removed using a scalpel. It usually requires local anesthesia and is performed in a sterile environment.
2. Laser Circumcision: This method uses a laser to remove the foreskin. It may result in less bleeding and a quicker recovery time, but it is less commonly performed.
3. Preputioplasty: This is a less invasive procedure where the foreskin is not completely removed but is widened to allow for easier retraction. This option may be suitable for those with mild phimosis.
General Considerations
Most public hospitals in Taiwan, including those in Keelung, should provide similar services regarding circumcision. However, the quality of care, waiting times, and specific practices may vary. It is advisable to consult with your primary care physician or a urologist to discuss your symptoms and get a referral to a specialist if necessary.
In conclusion, if you are unable to see the glans when erect and are experiencing discomfort or hygiene issues, circumcision may be a viable option. Consult with a healthcare provider to discuss your symptoms, potential treatment options, and the specifics regarding costs and recovery. They can provide personalized advice based on your medical history and current health status.
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