I want to undergo a circumcision, but the doctor told me it's not necessary?
Hello, Dr.
Hsu: I would like to undergo a circumcision, but the doctor told me that it is unnecessary because my foreskin normally covers the penis, and I need to retract it during an erection to expose the glans.
I consulted the doctor, and he said circumcision is not needed.
However, I feel that being circumcised would be cleaner and would help prevent odors, as sometimes when I retract the foreskin to urinate, I notice an unpleasant smell, which I find unsanitary.
Additionally, I’ve heard that men who are not circumcised may have a higher risk of their partners developing cervical cancer compared to those who are circumcised, and I don’t want to be a selfish man.
Xiao Zong, 20~29 year old female. Ask Date: 2006/10/20
Dr. Xu Weikai reply Urology
Hello, first of all, let me clarify a concept: circumcision and local odor are two different matters.
In other words, if proper hygiene is not maintained, there will still be odor even after circumcision.
Regarding the timing for circumcision, generally, there are only a few situations that necessitate it: 1.
Phimosis (narrowing of the foreskin) 2.
Frequent inflammation, which may even lead to local fibrosis 3.
Presence of lesions on the foreskin.
Other conditions do not require circumcision.
As for your statement about reducing the risk of cervical cancer for your partner, it fundamentally comes down to hygiene; if cleanliness is maintained, there is no evidence to suggest a higher risk.
Lastly, if you decide to proceed with circumcision, given your situation, it will be an out-of-pocket expense, currently estimated to be around $5000 to $8000, with laser surgery costing even more.
This is a response from Dr.
Hsu Wei-kai, Head of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2006/10/20
More Info
Deciding whether to undergo circumcision is a personal choice that can be influenced by various factors, including medical, cultural, and personal hygiene considerations. It’s important to understand the myths and facts surrounding circumcision to make an informed decision.
Understanding Circumcision: Myths vs. Facts
1. Hygiene: One common belief is that circumcision leads to better hygiene. While it is true that circumcision can make it easier to keep the penis clean, proper hygiene practices can also be maintained with an intact foreskin. Regular washing with soap and water can effectively prevent odor and buildup of smegma, a natural substance that can accumulate under the foreskin. If you are experiencing odor, it may be due to inadequate cleaning rather than the presence of the foreskin itself.
2. Risk of Infections: Some studies suggest that circumcision may reduce the risk of urinary tract infections (UTIs) in infants and sexually transmitted infections (STIs) in adults, including HIV. However, the risk of these infections can be minimized through safe sexual practices and proper hygiene. It’s essential to weigh these risks against the potential benefits of the procedure.
3. Impact on Sexual Health: There is a belief that circumcision can enhance sexual pleasure or performance. Research on this topic is mixed, with some men reporting increased sensitivity and others not noticing a significant difference. It’s important to consider that sexual pleasure is influenced by many factors beyond circumcision status.
4. Cervical Cancer Risk: You mentioned concerns about your partner's risk of cervical cancer. While some studies have indicated a potential link between uncircumcised men and an increased risk of cervical cancer in female partners, the overall risk is still relatively low. Regular screenings and vaccinations against human papillomavirus (HPV) are effective ways to reduce this risk.
5. Cultural and Religious Factors: For many, circumcision is a cultural or religious practice. If this is a significant factor for you, it may influence your decision. Understanding the cultural implications and discussing them with family or community members can provide additional context.
6. Medical Recommendations: It’s crucial to follow your healthcare provider's advice. If your doctor has assessed your situation and determined that circumcision is not necessary, it may be based on your specific anatomy and health status. If you are experiencing discomfort or hygiene issues, discussing these concerns openly with your doctor can lead to tailored advice or alternative solutions.
7. Personal Preference: Ultimately, the decision to circumcise should be based on your comfort and preferences. If you feel strongly about the procedure for personal or hygiene reasons, it’s worth discussing further with your healthcare provider. They can provide insights into the procedure, potential risks, and benefits, and help you make an informed choice.
Conclusion
In summary, circumcision is a personal decision that should be made after considering the myths and facts surrounding the procedure. It’s essential to maintain good hygiene practices regardless of circumcision status and to communicate openly with your healthcare provider about any concerns or symptoms you may be experiencing. If you still have doubts or feel uncomfortable with your current situation, seeking a second opinion from another qualified healthcare professional may also be beneficial.
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