Post-Circumcision Concerns: Sexual Desire, Discomfort, and Skin Issues - Urology

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Hello Doctor,
I had a circumcision surgery a month ago (I was previously completely phimosis), and my recovery seems to be going well.
However, I have a few concerns:
1.
Since the surgery, I feel that my libido has significantly decreased, to the point where I have no desire at all.
Could this be a psychological issue?
2.
Although my recovery appears to be good, there is a line at the junction of my penis and glans, which I believe is called the frenulum.
It feels tight and uncomfortable when I have an erection, but it’s manageable when flaccid.
Does this indicate that the surgery was not completely successful, or is this a normal phenomenon? If the surgery was not successful, would I need to undergo another procedure? Would this be covered by health insurance?
3.
I have developed a bump on my penis that resembles an acne lesion.
When I squeezed it, it bled like a pimple, but it is not painful and only mildly itchy.
Is this abnormal, or could it just be a hygiene issue?
Thank you for your response!

Dan shen gong hai, 30~39 year old female. Ask Date: 2005/10/06

Dr. Chen Xiuyi reply Urology


Hello: Changes in libido after circumcision should not be related to the surgery.
Discomfort in the penile frenulum during erection, feeling tight, may indicate that the wound has not fully healed.
The bumps on the penis that resemble acne could be sebaceous glands; it is advisable to visit a urology clinic for evaluation.
Sincerely, Dr.
Chen Hsiu from Urology.

Reply Date: 2005/10/06

More Info


Post-circumcision concerns can be quite common, and it's understandable to have questions regarding changes in sexual desire, discomfort, and skin issues following the procedure. Let's address your concerns one by one.

1. Reduced Sexual Desire: It's not uncommon for individuals to experience a decrease in sexual desire after circumcision. This can be attributed to a variety of factors, including psychological effects, physical changes, and the healing process. After surgery, your body undergoes a significant adjustment period, and it may take time for your sexual desire to return to pre-surgery levels. Psychological factors, such as anxiety or stress related to the surgery, can also play a role in diminished libido. If this concern persists, it may be beneficial to speak with a healthcare professional who specializes in sexual health or psychology to explore these feelings further.

2. Discomfort at the Frenulum: The area you are referring to, often called the frenulum, is a sensitive part of the penis that can feel tight or uncomfortable, especially after circumcision. Some degree of tightness can be normal as the area heals, but if the discomfort is significant or persistent, it could indicate that the frenulum is too tight or that there are other complications. In some cases, a procedure called frenuloplasty may be recommended to alleviate this tightness. If you feel that the surgery was not successful or if the discomfort is affecting your quality of life, it is advisable to consult with your surgeon or a urologist. They can assess the situation and determine if further intervention is necessary. Regarding insurance coverage, this can vary by location and specific health plans, so it would be best to check with your insurance provider.

3. Pimple-like Bump on the Penis: The appearance of a bump that resembles an acne lesion can be concerning. If it is not painful, itchy, or causing any significant discomfort, it may simply be a sebaceous cyst or a normal variant of skin on the penis. However, if the bump is bleeding after being squeezed, this could indicate irritation or a minor infection. It is crucial to avoid squeezing or picking at any lesions, as this can lead to further irritation or infection. Maintaining good hygiene is essential, but if the bump persists, changes in appearance, or causes discomfort, it is advisable to have it evaluated by a healthcare professional. They can provide a proper diagnosis and treatment if necessary.

In summary, while some of your concerns may be normal post-operative experiences, it is essential to monitor your symptoms and seek medical advice if they persist or worsen. Open communication with your healthcare provider can help address any psychological or physical issues you may be facing after circumcision. Remember, healing takes time, and it's important to be patient with your body as it adjusts to the changes.

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