Phimosis: Key Questions About Circumcision and Recovery - Urology

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Hello, I have phimosis, and my glans is completely covered even when erect.
I am considering getting a circumcision, but I have a few concerns...
1) Do I need parental consent only if I am under 20 years old? 2) Is circumcision covered by health insurance for phimosis? 3) Which hospital is known for performing circumcisions well? This is a significant matter for me, and I don't want to end up dissatisfied with the results.
I live in Taoyuan County.
4) After the procedure, will it look like the image on that website? I personally like that appearance.
Is that considered a significant amount of skin removed? 5) Will the frenulum be removed as well? I’ve noticed that many adult film actors do not have a frenulum, and it seems more aesthetically pleasing.
6) Is the frenulum important? Does it affect the angle of erection or the pleasure during intercourse? 7) After circumcision, will the angle of erection decrease? Currently, with my phimosis, my erection angle is quite high, around the 10 o'clock position, but I feel this is due to the foreskin not being removed, which gives a pulling sensation, resulting in a larger angle...
8) Does phimosis hinder the development of the penis? In other words, if I did not have phimosis, would my penis be larger now? 9) What is foreskin restoration surgery? Does it increase girth? 10) Is the image I provided from that webpage showing a penis that has been thickened? It seems that the area near the glans is thicker, and the penis in the image likely does not have a frenulum, right? If there were a frenulum, it wouldn't be possible to retract the foreskin that far back, would it?

Marco, 10~19 year old female. Ask Date: 2009/09/04

Dr. Xu Weikai reply Urology


Marco: Hello, regarding your questions: 1) Is parental accompaniment required only until the age of 20? This is stipulated by law.
However, it is still advisable to inform your parents.
2) Is there health insurance coverage for phimosis? It depends on the situation; most of the time, it is not covered.
3) I don't know which hospital performs the procedure better, as this is a significant matter.
I wouldn't want to end up dissatisfied with the results.
I cannot provide information on this; the website does not allow us to recommend doctors.
4) Will the result look like the picture on that website after the procedure? Personally, I like that appearance.
Is that considered a lot removed? I'm sorry, I can't access that website, so I cannot see the image.
I suggest if you like it, print it out and bring it to your consultation for the doctor’s reference.
5) Will the frenulum be removed as well? I see many adult film actors without a frenulum, which looks better.
Generally, it is removed unless specifically requested otherwise.
6) Is the frenulum important? Does it affect the angle of erection? The pleasure during intercourse? This is subjective.
Some people believe the frenulum is more sensitive and provides stronger stimulation; others think that stimulating the frenulum can easily lead to premature ejaculation.
7) After circumcision, will the angle of erection decrease? Based on my current phimosis condition, my erection angle is quite large, about 10 o'clock, but I feel this is due to the foreskin not being removed, giving a pulling sensation, which is why the angle is so large...
It should not have an impact.
The circumcision procedure only involves the removal of the outer skin and does not affect the angle of penile erection.
8) Does phimosis hinder penile development? In other words, if I did not have phimosis, would my penis be larger now? It does not affect penile development at all.
The size of the penis is related to genetics, diet, health status, etc.
9) What is a foreskin restoration procedure? Will it increase thickness? I am not familiar with this term; I have not seen it in medical literature.
It could be that I am not well-informed, or it may be a marketing term used by some doctors.
10) Is the image I provided from that webpage showing a post-thickening result? It seems that the area near the glans appears thicker.
I cannot see the image.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Taitung Hospital, Department of Urology, Ministry of Health and Welfare, cares about you.
Director Xu Weikai.
Response.

Reply Date: 2009/09/04

More Info


Phimosis, or the inability to retract the foreskin over the glans penis, is a condition that can lead to discomfort, hygiene issues, and potential complications if left untreated. Considering your questions about circumcision and recovery, let’s address each of your concerns in detail.

1. Age and Parental Consent: In most places, individuals who are 18 years or older can make their own medical decisions, including undergoing circumcision, without needing parental consent. However, it’s always best to check the specific regulations in your area or consult with your healthcare provider.

2. Insurance Coverage for Phimosis: In many countries, including Taiwan, circumcision for medical reasons, such as phimosis, may be covered by health insurance. It's advisable to contact your insurance provider or consult with your healthcare provider to confirm coverage details.

3. Choosing a Hospital or Surgeon: Selecting a qualified surgeon or hospital is crucial for any surgical procedure. You may want to seek recommendations from your primary care physician, consult online reviews, or ask for referrals from friends or family. In Taoyuan County, you can consider reputable hospitals known for urology or general surgery departments.

4. Post-Circumcision Appearance: The appearance of the penis after circumcision can vary based on the technique used and the amount of foreskin removed. The image you referenced may represent a typical outcome, but individual results can differ. Discuss your aesthetic concerns with your surgeon to ensure your expectations align with the possible outcomes.

5. Frenulum (the band of tissue on the underside of the penis): The frenulum is often preserved during circumcision, but some surgeons may remove it depending on the surgical technique and your preferences. If you have specific concerns about the frenulum, it’s important to discuss these with your surgeon.

6. Importance of the Frenulum: The frenulum plays a role in sexual pleasure and sensitivity. While some individuals may prefer circumcision without it for aesthetic reasons, many find that retaining the frenulum does not negatively impact sexual function. Discussing your concerns with a healthcare professional can provide clarity on this matter.

7. Erection Angle Post-Circumcision: The angle of erection can be influenced by various factors, including the presence of the foreskin. After circumcision, some individuals report changes in erection angle, but this varies widely. If you are concerned about how circumcision might affect your sexual function, discussing this with your surgeon can provide insights tailored to your situation.

8. Impact of Phimosis on Penis Development: Phimosis itself does not typically hinder penile growth or development. However, if phimosis leads to chronic inflammation or infection, it could potentially affect overall penile health. If you have concerns about your development, consulting with a urologist can provide personalized advice.

9. Preputial Plasty (Foreskin Restoration): This procedure is different from circumcision and involves techniques to restore the foreskin. It does not typically increase the girth of the penis but may enhance sensitivity for some individuals. If you are considering this, it’s essential to discuss it with a qualified surgeon.

10. Image Reference: The image you provided may depict a circumcised penis, but without knowing the specific context of the image, it’s hard to determine if it has undergone any additional procedures like frenulum removal or foreskin restoration. If you have specific aesthetic goals, communicate these with your surgeon.

In conclusion, if you are considering circumcision due to phimosis, it is essential to have an open dialogue with your healthcare provider. They can address your concerns, provide information about the procedure, and help you make an informed decision that aligns with your health needs and personal preferences. Remember, every individual's anatomy and preferences are unique, and a tailored approach is crucial for satisfactory outcomes.

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