Nocturnal Emissions and Circumcision Options: A Urology Guide - Urology

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Could you please provide more details or specify your question?


Hello Dr.
Hsu, I sincerely appreciate your response.
I would like to ask about my frequent nocturnal emissions; I experience them about three times a night, and the volume is considerable.
This occurs around 3 to 5 days a week.
Is this normal? Can nocturnal emissions be self-controlled? Although I am asleep, I am aware when I am about to ejaculate and would like to prevent it from soiling my pants and sheets.

Additionally, what is the difference between laser circumcision and traditional circumcision? Will the postoperative scars be different as well? I have undergone circumcision before, but I was unaware of the type of procedure performed, and I have a significant scar on my penis that is quite bothersome.
Is there a scar cream approved by the health department, such as 080, that can be applied to the scars on the penis? What other methods are available for scar removal? Thank you, Dr.
Hsu.

Xiao Hei, 20~29 year old female. Ask Date: 2008/04/05

Dr. Xu Weikai reply Urology


Hello, regarding nocturnal emissions, the frequency does not affect your health, so there is no need to worry too much.
As for circumcision, if performed using a laser, the cost is relatively high, but the benefits include minimal blood loss during the procedure and smaller scars.
However, the size of the scar can sometimes be related to individual physiology.

As for scar removal products, I am not familiar with the specific ingredients in 080, but most of these medications contain steroid components that can thin the tissue, making the appearance somewhat better.
However, one must consider the potential side effects of excessive use.

That said, scars on the penis are not typically visible to others, and if it were me, I wouldn't be concerned about it.
If there are any further questions or if you would like to discuss this topic more, feel free to ask.

Sincerely,
Director of Urology,
Taitung Hospital, Department of Health, Executive Yuan,
Dr.
Hsu Wei-Kai

Reply Date: 2008/04/05

More Info


Nocturnal emissions, commonly referred to as "wet dreams," are a normal physiological occurrence, particularly during adolescence and early adulthood. They happen when a male experiences ejaculation during sleep, often accompanied by erotic dreams. The frequency of nocturnal emissions can vary widely among individuals, and while some may experience them frequently, others may have them rarely or not at all.
In your case, experiencing nocturnal emissions three times in one night and having them occur three to five times a week is on the higher end of the spectrum. However, this frequency can still be considered normal, especially if you are in your teenage years or early twenties. As you age, the frequency of these emissions typically decreases.
Regarding self-control over nocturnal emissions, it is important to understand that they occur during sleep and are generally involuntary. While you may be able to practice techniques to manage arousal during waking hours, controlling nocturnal emissions is more challenging. Some individuals find that reducing sexual stimuli, such as explicit content or engaging in sexual thoughts before sleep, can help decrease the frequency of nocturnal emissions. However, it is essential to recognize that these emissions are a natural part of sexual development and are not harmful.

Now, regarding circumcision options, there are primarily two methods: laser circumcision and traditional circumcision (often referred to as "surgical circumcision").
1. Laser Circumcision: This method uses a laser to remove the foreskin. The advantages of laser circumcision include reduced bleeding, less pain, and a potentially quicker recovery time. The precision of the laser can also lead to a more aesthetically pleasing result with less scarring. However, it may not be available in all medical facilities and can sometimes be more expensive.

2. Traditional Circumcision: This involves the surgical removal of the foreskin using a scalpel. While this method is widely practiced and has a long history of use, it may involve more bleeding and a longer recovery time compared to laser circumcision. The scarring may also be more pronounced, depending on the surgical technique and the skill of the surgeon.

In terms of scarring, both methods can result in scars, but the appearance and extent of scarring can vary based on individual healing responses and the technique used. If you have concerns about the size or appearance of your scar from a previous circumcision, it is advisable to consult with a urologist or dermatologist who can assess your situation and recommend appropriate treatments.

Regarding scar management, there are various options available. Over-the-counter silicone gel sheets or silicone-based creams are often recommended for scar treatment. These products can help flatten and soften scars over time. However, it is crucial to ensure that any product you use is safe for the sensitive skin of the genital area. Always consult with a healthcare professional before applying any topical treatments to ensure they are appropriate for your specific situation.

In summary, nocturnal emissions are a normal part of male physiology, and while they can be frequent, they typically decrease with age. Self-control over these emissions is limited, but managing sexual stimuli may help. When considering circumcision options, both laser and traditional methods have their pros and cons, particularly regarding scarring. For scar management, consult with a healthcare provider for the best treatment options tailored to your needs.

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