Phimosis and Paraphimosis: Health Insurance Coverage in Taiwan - Urology

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May I ask the doctor?


Is there coverage under the National Health Insurance for incarcerated phimosis and phimosis? I just checked with the Central Health Insurance Bureau, and it seems that there is coverage for incarcerated phimosis.
Is that true? Additionally, I can pull my foreskin down, but I can only pull it to the tip, and it hurts.
What does that mean? Also, during an erection, if I don't pull it hard, the glans won't come out by itself.
What does that mean? I also have difficulty urinating.
Please help me with these questions.
Thank you.

Huái yí zì jǐ yǒu bìng de rén, 20~29 year old female. Ask Date: 2006/10/30

Dr. Liu Jianting reply Urology


If the foreskin is difficult to retract during an erection, it is considered phimosis.
You can visit a urologist for an examination and discuss the option of circumcision.
Health insurance may cover some of the costs.

Reply Date: 2006/10/30

More Info


Phimosis and paraphimosis are conditions related to the foreskin of the penis that can lead to various complications if not addressed properly. In Taiwan, health insurance coverage for these conditions can vary based on the severity and the specific circumstances surrounding each case.

Phimosis is a condition where the foreskin cannot be retracted over the glans (the head of the penis). This can be a normal condition in infants and young boys, but if it persists into adolescence or adulthood, it may require medical intervention. Symptoms can include pain during erections, difficulty with hygiene, and urinary issues. In some cases, phimosis can lead to infections or other complications, necessitating treatment.

Paraphimosis, on the other hand, occurs when the foreskin is retracted behind the glans and cannot be returned to its original position. This can lead to swelling and restricted blood flow, which is a medical emergency that requires immediate attention.
In Taiwan, the National Health Insurance (NHI) does cover certain treatments for these conditions, particularly when they are deemed medically necessary. For instance, if phimosis is causing significant pain, recurrent infections, or other complications, surgical options such as circumcision may be covered. Paraphimosis, being an acute condition, typically warrants immediate treatment, and the costs associated with managing this condition are usually covered by health insurance.

Regarding your specific situation, if you can retract your foreskin but experience pain and difficulty, this may indicate a form of phimosis that could benefit from medical evaluation. The fact that you cannot retract the foreskin fully during an erection and experience pain is a concern that should be discussed with a healthcare provider. They can assess the severity of your condition and recommend appropriate treatment options, which may include topical treatments, stretching exercises, or surgical intervention if necessary.

It is essential to consult with a urologist or a healthcare professional who can provide a thorough examination and discuss your symptoms in detail. They can also clarify the specifics of health insurance coverage for your condition, including what documentation you may need to provide to the NHI for coverage of any treatments.

In summary, both phimosis and paraphimosis are conditions that can affect men of various ages, and while health insurance in Taiwan does cover treatments for these conditions, the extent of coverage depends on the severity and medical necessity. If you are experiencing pain or difficulty with retraction, it is advisable to seek medical advice to determine the best course of action for your health and well-being.

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