Circumcision: Managing Phimosis and Post-Procedure Care

Q: Circumcision: Managing Phimosis and Post-Procedure Care

Mr. <br>Lin： Hello, what you need is to clarify whether the foreskin can still cover the glans in its natural state, and only exposes the glans during an erection? Currently, isn't that the case for you? After the incision made by the emergency physician, the glans should be expo

Circumcision

Hello Doctor, I have an issue with phimosis and previously had a problem with balanitis, which has resulted in a small ring that prevents the glans from being exposed when erect.
I once got stuck at the corona of the glans and had to go to the emergency room.
The emergency physician only made an incision to restore the condition but did not perform a circumcision.
I would like to ask if, after undergoing circumcision, it is possible to maintain a state where the remaining foreskin can cover the glans and only expose it during an erection.
Thank you.

Lin Xiansheng, 20~29 year old female. Ask Date: 2005/10/17

Dr. Xu Weikai reply Urology

Mr.
Lin: Hello, what you need is to clarify whether the foreskin can still cover the glans in its natural state, and only exposes the glans during an erection? Currently, isn't that the case for you? After the incision made by the emergency physician, the glans should be exposed during an erection.
Perhaps, this surgical method may appear somewhat unsightly (in my personal opinion), but it indeed achieves the goal of easier hygiene.
Generally, after the surgery, I personally leave a portion of the foreskin to cover about 1/2 to 2/3 of the glans; some physicians prefer to expose it completely.
Of course, we will fully communicate with the patient before the procedure.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director Xu Weikai.

Reply Date: 2005/10/17

More Info

Circumcision is a surgical procedure that involves the removal of the foreskin (prepuce) from the penis. It is often performed for various medical reasons, including phimosis (the inability to retract the foreskin), recurrent infections, and other complications such as the one you described. In your case, it seems that you have experienced significant discomfort and complications due to phimosis and possibly balanitis (inflammation of the glans).
When considering circumcision, it is essential to understand the procedure, its implications, and post-operative care. After circumcision, the foreskin is permanently removed, which means that the glans (the head of the penis) will be exposed at all times. This is a significant change for many men, especially those who have had a foreskin their entire life.
Regarding your specific question about whether you can keep the glans covered by the remaining skin after circumcision, the answer is no. Once the foreskin is removed, the glans will remain exposed. However, many men find that this exposure leads to increased sensitivity and a different sexual experience. Over time, the glans may become less sensitive as it adapts to being exposed.

Post-operative care is crucial for a smooth recovery after circumcision. Here are some key points to consider:
1. Wound Care: After the procedure, you will need to keep the area clean and dry. Your doctor will provide specific instructions on how to care for the surgical site, including how to clean it and what types of ointments or creams may be beneficial.

2. Pain Management: It is common to experience some pain or discomfort after circumcision. Your doctor may prescribe pain relief medication or recommend over-the-counter options.

3. Activity Restrictions: You may be advised to avoid strenuous activities, including sexual intercourse, for a certain period after the surgery to allow for proper healing.

4. Signs of Infection: Be vigilant for any signs of infection, such as increased redness, swelling, discharge, or fever. If you notice any of these symptoms, contact your healthcare provider immediately.

5. Follow-Up Appointments: Attend any scheduled follow-up appointments with your healthcare provider to ensure that the healing process is progressing as expected.

6. Emotional and Psychological Considerations: Some men may experience emotional responses to the changes in their anatomy after circumcision. It is essential to discuss any concerns with your healthcare provider or a mental health professional if needed.

In conclusion, if you are considering circumcision due to your history of phimosis and related complications, it is essential to have a thorough discussion with your urologist or healthcare provider. They can provide personalized advice based on your medical history and current condition. While circumcision will permanently remove the foreskin, it can alleviate the issues you have been experiencing and improve your overall quality of life.

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