Phimosis: When Is Circumcision Necessary and What to Expect

Prepuce

I would like to ask if phimosis refers to the foreskin covering the glans? However, I feel that it is too long, even though I can push it back behind the glans (it usually stays that way under normal circumstances, but sometimes it slips back due to movement).
It just looks wrinkled, as if it's different from others! I don't feel any tightness, so do I still need a circumcision? Why does it look smaller when it covers the glans, almost like it retracts, but when I push it back, it appears larger, as if the skin is holding it in place and preventing it from retracting? If I go to the hospital and it's determined that I need a circumcision, can it be done immediately, or do I need to schedule another appointment? Will there be nurses present? Since I am quite introverted, can I request that there are no female nurses present?

ken, 20~29 year old female. Ask Date: 2005/12/20

Dr. Chen Zhirong reply Urology

Your question should be addressed in person during a clinic visit.
If you are concerned about feeling awkward with a female nurse present, it is perfectly fine to request that the area be cleared.

Reply Date: 2005/12/20

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (head) of the penis. It can be a normal anatomical variation in infants and young boys, but in older children and adults, it can lead to complications such as pain, inflammation, or infections. Your description suggests that while you feel your foreskin is long, you can retract it over the glans, which indicates that you may not have a severe case of phimosis.
The appearance of the foreskin can vary significantly among individuals. When the foreskin is retracted, it may appear larger due to the skin being stretched out. Conversely, when it covers the glans, it can appear smaller or more compact. This is a normal physiological response and does not necessarily indicate a problem.

Regarding the necessity of circumcision, it is typically recommended in cases where phimosis causes pain, recurrent infections, or other complications. If you are not experiencing any discomfort or issues, circumcision may not be necessary. However, if you have concerns about hygiene, recurrent infections, or if the foreskin becomes tight and painful during erections, it would be advisable to consult a urologist.

If you decide to pursue circumcision, the process typically involves a consultation where the doctor will assess your condition. If circumcision is deemed necessary, it may not be performed immediately. Often, a separate appointment is scheduled for the procedure, allowing for proper preparation and consent.
Regarding your concerns about the presence of female staff during the procedure, it is completely reasonable to express your preferences. Most medical facilities are sensitive to patient comfort and privacy. You can request to have only male staff present during the procedure, and they will do their best to accommodate your wishes.

In summary, if you are not experiencing any significant issues with your foreskin, circumcision may not be necessary. However, if you have ongoing concerns or complications, it is best to consult with a healthcare professional who can provide personalized advice based on your specific situation. Always feel free to discuss your concerns and preferences with your healthcare provider to ensure you feel comfortable and informed throughout the process.

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