Dealing with Painful Erection After Excessive Circumcision: What to Do?

Q: Dealing with Painful Erection After Excessive Circumcision: What to Do?

To those feeling confused： The amount of foreskin that should be removed during a circumcision is subjective. <br>My principle is that when the penis is not erect, the foreskin should cover the glans, as the glans is a sensitive area for men and should be protected when not in us

If the foreskin has been cut too much and you experience pain during an erection, it is important to consult a healthcare professional. They can assess your situation and recommend appropriate treatment options, which may include medication for pain relief or, in some cases, surgical intervention to correct the issue?

Hello, doctor! I would like to ask: I had a circumcision three weeks ago, and during the procedure, I told the doctor not to cut too much! Now, when I have a full erection, the skin at the 12 o'clock position is extremely tight, and the glans is being pulled without any groove (the tip cannot expand to its previous size), and there is also a pulling pain.
What should I do? The doctor said I need to undergo a Z-plasty or Y-plasty to lengthen the tight foreskin at the 12 o'clock position and then stitch it up.
I don't understand what that means.
Can anyone tell me what I should do? I'm really frustrated about having to go through another surgery!!! The doctor is also a chief physician at a well-known hospital! Can you please explain in detail what I should do??? I'm feeling lost.

Bu zhi suo cuo de ren, 20~29 year old female. Ask Date: 2006/03/31

Dr. Xie Wenhuai reply Surgery

To those feeling confused: The amount of foreskin that should be removed during a circumcision is subjective.
My principle is that when the penis is not erect, the foreskin should cover the glans, as the glans is a sensitive area for men and should be protected when not in use, only to be exposed when necessary.
Your concern about excessive foreskin removal causing tension during an erection is relatively uncommon in practice.
Solutions include methods to lengthen the foreskin; Z or Y plasty techniques are viable options, but one could also consider artificial methods to extend the foreskin.

Reply Date: 2006/03/31

More Info

Dealing with pain after circumcision can be a distressing experience, especially when the procedure does not yield the expected results. It sounds like you are experiencing tightness and discomfort in the area where the circumcision was performed, particularly when you achieve an erection. This can occur if too much skin was removed during the procedure, leading to a condition known as "tight circumcision."
When the skin is too tight, it can pull on the glans (the head of the penis), causing pain and discomfort. The fact that you mentioned the glans being pulled tight and lacking the natural contours is indicative of this issue. The recommendation from your doctor to perform a Z-plasty or Y-plasty is a surgical technique aimed at relieving this tightness by creating a more flexible and functional skin flap.

Understanding Z-Plasty and Y-Plasty
1. Z-Plasty: This technique involves making two triangular incisions in the skin, which allows the skin to be rearranged in a way that increases the length of the skin and reduces tension. This method can help create a more natural appearance and function of the skin around the glans.

2. Y-Plasty: Similar to Z-plasty, Y-plasty involves creating a Y-shaped incision to allow for skin rearrangement. This technique is also aimed at relieving tension and improving the flexibility of the skin.

Both procedures are designed to alleviate the tightness you are experiencing and to restore some of the natural movement and comfort that may have been lost due to the initial circumcision.

What to Do Next
1. Consultation: It is essential to have a thorough discussion with your surgeon about your concerns. Ask them to explain the procedure in detail, including the expected outcomes, risks, and recovery process. Understanding the rationale behind the recommended surgery can help alleviate some of your anxiety.

2. Pain Management: In the meantime, managing your pain is crucial. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce discomfort. However, consult your doctor before taking any medication to ensure it is safe for your situation.

3. Follow-Up Care: Ensure that you attend all follow-up appointments with your surgeon. They can monitor your healing process and address any complications that may arise.

4. Emotional Support: It’s normal to feel frustrated and anxious about needing another procedure. Consider seeking support from friends, family, or even a mental health professional to help you cope with these feelings.

5. Avoiding Sexual Activity: Until you have consulted with your doctor and received appropriate treatment, it may be wise to avoid sexual activity to prevent further irritation or injury to the area.

Conclusion
While the prospect of undergoing another surgical procedure can be daunting, it is essential to prioritize your health and comfort. The techniques your doctor has suggested are designed to improve your situation and alleviate the pain you are experiencing. Make sure to communicate openly with your healthcare provider about your concerns and follow their recommendations for the best possible outcome. Remember, healing takes time, and addressing these issues now can lead to a more comfortable and functional result in the future.

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