Circumcision: Timing, Procedure, and Costs for Teens - Urology

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Circumcision surgery?


I have a problem with phimosis.
1.
When is the best time to have surgery? 2.
Is circumcision the complete removal of the foreskin, or is it just a partial removal to allow the glans to be exposed? 3.
Is the surgery scary? How much does it typically cost? 4.
I would like to know what percentage of adolescents like me, at 16.7 years old, experience phimosis? I live in a dormitory, and I'm really afraid of showering with others because my foreskin is long.
It feels so awkward, and I'm sorry for asking so many questions.
Thank you, doctor!

abc, 10~19 year old female. Ask Date: 2001/05/27

Dr. Liu Jianting reply Urology


That's great! You've addressed all the questions.
Actually, not every male needs to undergo circumcision, but the timing for considering circumcision can be evaluated around the age of 17.
It's advisable to consult a urologist for an examination before deciding on the next steps.

Reply Date: 2001/05/27

More Info


Circumcision is a surgical procedure that involves the removal of the foreskin from the penis. It is often performed for various medical, cultural, or religious reasons. If you are considering circumcision due to phimosis (a condition where the foreskin cannot be easily retracted), here are some important points to consider regarding timing, procedure, costs, and prevalence among adolescents.

1. Timing of the Procedure: The best time to undergo circumcision can vary based on individual circumstances. For adolescents, it is generally advisable to have the procedure done when you are physically and emotionally ready, and when you can take time off for recovery. Many healthcare providers recommend scheduling the surgery during a school break or holiday to allow for adequate healing time. It is important to consult with a healthcare professional to determine the best timing based on your specific situation.

2. Extent of the Surgery: Circumcision can be performed in different ways. In most cases, the entire foreskin is removed, which is referred to as complete circumcision. However, some procedures may involve removing only a portion of the foreskin, allowing the glans (tip of the penis) to be exposed. The specific technique used will depend on the medical assessment by your surgeon and your personal preferences. It is crucial to discuss these options with your doctor to understand what is best for your condition.

3. Fear and Pain Management: Many individuals have concerns about the pain and fear associated with surgery. Circumcision is typically performed under local anesthesia, which numbs the area, or general anesthesia, which puts you to sleep during the procedure. While some discomfort may be experienced post-surgery, pain management options, including medications, are available to help alleviate any pain. Most patients report that the procedure is less painful than they anticipated, and the recovery process is manageable.

4. Cost of the Procedure: The cost of circumcision can vary widely based on factors such as location, the surgeon's experience, and whether the procedure is performed in a hospital or outpatient setting. In the United States, the cost can range from $200 to $3,000. It is advisable to check with your insurance provider to see if the procedure is covered, as some plans may cover medically necessary circumcision.

5. Prevalence Among Adolescents: Phimosis is relatively common among adolescents, and while exact statistics can vary, studies suggest that a significant percentage of males experience some degree of phimosis during their teenage years. It is estimated that around 1-2% of males may have persistent phimosis that requires surgical intervention. You are not alone in your concerns, and many young men experience similar feelings about their condition.

In conclusion, if you are considering circumcision due to phimosis, it is essential to consult with a qualified healthcare provider who can guide you through the process, address your concerns, and help you make an informed decision. Remember that it is completely normal to have questions and concerns about this procedure, and seeking answers is a positive step towards your health and well-being.

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