Common Concerns About Penis Health: When to Seek Medical Advice - Urology

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When it comes to concerns about penis health, it’s important to address each issue with care and understanding. Here’s a breakdown of your questions and some guidance on when to seek medical advice.

1. Size and Shape of the Penis: It's completely normal for the penis to vary in size when flaccid and erect. A flaccid size of 5-7 cm and an erect size of around 13 cm falls within the average range. The shape can also vary; some individuals may have a penis that appears flatter or has a different contour. As long as there are no associated symptoms such as pain, discomfort, or significant changes in size or shape over time, this is generally considered normal.

2. Foreskin Concerns: The presence of foreskin that covers the glans (head) of the penis is typical. However, if you experience pain when attempting to retract the foreskin, this could indicate a condition known as phimosis, where the foreskin cannot be easily retracted. If the foreskin is causing discomfort or pain, or if it is difficult to manage hygiene, it may be worth discussing with a healthcare provider. They can assess whether a circumcision or other treatment is necessary.

3. Curvature of the Erect Penis: A curvature of more than 30 degrees can be concerning, especially if it causes pain or interferes with sexual activity. This condition, known as Peyronie's disease, can develop due to scar tissue forming inside the penis. If you have not yet engaged in sexual activity, it may be difficult to determine if the curvature will cause issues. However, if you are experiencing discomfort or are concerned about potential sexual function, it is advisable to consult a urologist. They can provide a thorough evaluation and discuss potential treatment options, which may include surgery if the curvature is significant and problematic.


When to Seek Medical Advice
- Pain or Discomfort: If you experience pain during erection, retraction of the foreskin, or during sexual activity, it is essential to seek medical advice.

- Changes in Size or Shape: Any sudden changes in the size or shape of the penis, or if you notice lumps or unusual growths, should be evaluated by a healthcare professional.

- Psychological Impact: If concerns about size, shape, or function are affecting your mental health or self-esteem, talking to a healthcare provider can be beneficial.


Recommendations for Medical Consultation
For surgical options or further evaluation, you may want to consider reputable hospitals or clinics in your area. In Taiwan, hospitals in Taipei, Taoyuan, and Linkou are known for their urology departments. It is advisable to consult with a urologist who specializes in male reproductive health. They can provide insights into the costs associated with procedures, including whether they are covered by health insurance.

Costs and Hospitalization
The costs for procedures can vary widely based on the specific treatment required and whether you have health insurance. Generally, surgeries like circumcision or corrective surgery for curvature may require hospitalization, but this can depend on the complexity of the case. It’s best to discuss these details directly with the hospital or clinic you choose.

In conclusion, while many variations in penis health are normal, any concerns regarding pain, function, or significant changes should prompt a visit to a healthcare provider. They can provide personalized advice and treatment options tailored to your specific needs.