Concerns After Circumcision: Skin Color Changes and Sensation Loss

A problem that has been bothering me?

Dear Doctor: A few years ago, I underwent a circumcision procedure, but after the surgery, I noticed that the skin near the glans of my penis has turned white (and has no sensation), which is significantly different in color from the remaining skin.
Unfortunately, only half of the area is affected this way.
Additionally, it seems that during the suturing, the doctor stitched the base of the glans to the remaining foreskin, causing my glans to appear asymmetrical.
This has been a huge blow to my confidence, and I am now afraid to engage in sexual relations with my girlfriend (I can't imagine how she would react).
I would like to ask: 1.
Does this count as a surgical failure? 2.
Are there any methods to restore normalcy? I would greatly appreciate your guidance.
Thank you.

Yīzhí fánnǎo de rén, 10~19 year old female. Ask Date: 2005/08/29

Dr. Liu Jianting reply Urology

Erection is not an issue; as long as it works, that's fine.
If you're concerned, consult a urologist.

Reply Date: 2005/08/29

More Info

After undergoing circumcision, it's not uncommon for patients to experience changes in skin color and sensation, particularly around the glans (the head of the penis). Your concerns about the white discoloration and loss of sensation are valid and warrant a thorough understanding.

1. Surgical Outcomes: The changes in skin color you are experiencing may be attributed to several factors, including the healing process, the surgical technique used, and individual variations in skin pigmentation. In some cases, the skin may appear lighter due to a lack of blood flow or nerve endings in the area, which can occur if the surgical procedure inadvertently affected the surrounding tissues. While these changes can be distressing, they do not necessarily indicate a "failed" surgery. However, if the appearance or sensation is significantly affecting your quality of life or mental health, it is essential to consult with a healthcare professional who specializes in urology or dermatology.

2. Restoration Methods: Unfortunately, there is no guaranteed method to restore the skin color to its original state, especially if the discoloration is due to changes in pigmentation or nerve damage. However, there are a few approaches you might consider:
- Topical Treatments: Some patients find that using topical treatments, such as creams containing retinoids or hydroquinone, can help with skin discoloration. However, these should only be used under the guidance of a healthcare provider, as they can sometimes cause irritation or adverse effects.

- Dermatological Procedures: In some cases, dermatological procedures like laser therapy or microdermabrasion may help improve the appearance of the skin. These treatments can promote skin regeneration and may help with pigmentation issues. Again, consulting with a dermatologist who has experience with sensitive areas is crucial.

- Sensation Recovery: If you are experiencing a loss of sensation, this could be due to nerve damage during the procedure. Nerve regeneration can take time, and in some cases, sensation may improve over months or even years. Physical therapy or desensitization techniques might also be beneficial, but these should be discussed with a healthcare provider.

3. Psychological Impact: It's understandable to feel anxious about intimacy due to these changes. Open communication with your partner about your feelings can help alleviate some of the stress. If you find that these concerns are significantly impacting your mental health or relationships, speaking with a mental health professional may provide support and coping strategies.

4. Follow-Up Care: Regular follow-up with your surgeon or a urologist is essential. They can monitor your healing process, address any complications, and provide tailored advice based on your specific situation. If you feel that the surgical outcome is not as expected, discussing your concerns openly with your healthcare provider can lead to potential solutions or referrals to specialists.

In summary, while changes in skin color and sensation after circumcision can be concerning, they are not uncommon. Consulting with healthcare professionals who specialize in this area will provide you with the best options for management and support. Remember, you are not alone in this experience, and there are resources available to help you navigate these changes.

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