Concerns About Foreskin and Frenulum: Is Circumcision the Solution? - Urology

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Hello Dr.
Lai: My foreskin hardly covers my glans; it stays behind in that groove.
I try to pull the foreskin over the glans, but it quickly slips back into that groove.
Will this cause necrosis of the glans? Also, can a circumcision include the removal of the frenulum? The area of my frenulum is very sensitive, and I would like to have it removed.
Thank you for taking the time to answer.

Xiao Ming, 20~29 year old female. Ask Date: 2005/12/06

Dr. Lai Ronghao reply Urology


Hello: Please visit the urology outpatient clinic for further examination, and a preoperative diagnosis and treatment will be conducted based on your actual condition.
Thank you!

Reply Date: 2005/12/06

More Info


Hello, thank you for your question regarding concerns about the foreskin and frenulum. It sounds like you are experiencing some issues with your foreskin not covering the glans (the head of the penis) properly, and you have concerns about the sensitivity of your frenulum (the band of tissue on the underside of the penis that connects the glans to the shaft).

First, it’s important to understand that the foreskin serves several functions, including protecting the glans and maintaining moisture. However, if the foreskin is not functioning as it should, it can lead to discomfort or other issues. In your case, if the foreskin is consistently retracting and not covering the glans, it may not be a cause for immediate concern regarding the health of the glans itself, as long as there are no signs of irritation, infection, or other complications. The glans is designed to be exposed and is typically resilient, but if you are experiencing pain, discomfort, or any unusual symptoms, it would be wise to consult a healthcare professional for a thorough evaluation.

Regarding your question about circumcision, it is indeed a surgical procedure that involves the removal of the foreskin. Circumcision can be performed for various reasons, including medical, cultural, or personal preferences. If you are considering circumcision primarily to address issues with the frenulum, it is essential to discuss this with your doctor. They can provide guidance on whether circumcision is the best option for you or if there are alternative treatments available.

In some cases, a procedure called frenuloplasty can be performed, which involves modifying the frenulum to reduce sensitivity or to alleviate any issues related to tightness. This procedure can be less invasive than circumcision and may address your concerns without the need for complete removal of the foreskin.

It’s also worth noting that sensitivity in the frenulum is common, and many individuals experience varying degrees of sensitivity in this area. If the sensitivity is causing discomfort or affecting your quality of life, discussing this with a urologist or a healthcare provider specializing in male reproductive health can help you explore your options.

In summary, while circumcision can be a solution for certain issues related to the foreskin and frenulum, it is not the only option. It is crucial to have a detailed discussion with your healthcare provider about your symptoms, concerns, and the potential benefits and risks of any surgical intervention. They can help you make an informed decision that aligns with your health needs and personal preferences. Thank you for reaching out, and I hope this information helps you in your decision-making process.

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