Foreskin Issues: Questions About Surgery and Costs - Urology

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Please let the doctor answer my questions regarding the foreskin?


I'm sorry to disturb your time, but I would like to ask a question.
I'm currently 20 years old, and my foreskin covers the glans.
I have noticed that when I pull it back forcefully, it cannot be exposed.
Over the past couple of years, I have also noticed an unusual odor and observed a thick blood vessel, but I'm unsure if this is related to the foreskin or the penis.
I would like to know if this could affect the surgery.
As I am still a student, I would also like to inquire about the approximate cost of the surgery at Hsinchu Hospital and whether there is any health insurance coverage available.
Thank you for your assistance.

Da Tou, 20~29 year old female. Ask Date: 2004/11/08

Dr. Lai Ronghao reply Urology


Hello, Mr.
Da Tou: Your condition is phimosis, which tends to trap dirt and can lead to an unpleasant odor, making hygiene difficult.
The circumcision procedure is not covered by insurance and costs approximately NT$3,000.
This is a response from Dr.
Lai Rong-Hao, attending physician of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/11/08

More Info


When it comes to foreskin issues, particularly in young adults, it is important to understand the potential medical conditions involved, the surgical options available, and the associated costs. Based on your description, it seems you may be experiencing a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to hygiene issues, such as odor, and may also cause discomfort or pain during erections.


Surgical Options
The most common surgical procedure for phimosis is circumcision, which involves the removal of the foreskin. Another option is preputioplasty, a less invasive procedure that involves widening the opening of the foreskin without complete removal. The choice between these procedures often depends on the severity of the condition, personal preference, and the recommendation of a healthcare provider.


Costs and Insurance Coverage
In terms of costs, the price of circumcision can vary significantly based on the healthcare facility, the surgeon's fees, and whether the procedure is performed in an outpatient or inpatient setting. In Taiwan, where you mentioned you are considering surgery at a hospital in Hsinchu, the costs can range from approximately NT$10,000 to NT$30,000 or more, depending on the complexity of the case and the specific hospital policies.

Regarding health insurance coverage, in Taiwan, the National Health Insurance (NHI) may cover circumcision if it is deemed medically necessary. This typically includes cases where phimosis causes recurrent infections or significant discomfort. However, if the procedure is considered elective or for cosmetic reasons, it may not be covered. It is advisable to consult with the hospital's billing department or your healthcare provider to clarify what portion of the costs will be covered by NHI and what you may need to pay out-of-pocket.


Post-Surgery Considerations
After surgery, recovery time can vary. Most individuals can return to normal activities within a week, but full healing may take several weeks. It is important to follow post-operative care instructions to minimize the risk of complications, such as infection or excessive bleeding.


Conclusion
In summary, if you are experiencing issues with your foreskin, it is important to consult with a urologist or a qualified healthcare provider who can assess your condition and recommend the best course of action. They can provide you with detailed information about the surgical options available, the associated costs, and whether your procedure may be covered by health insurance. Addressing these concerns early can help prevent further complications and improve your overall well-being.

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