Is Circumcision Necessary for a Tight Foreskin? the Issues

Q: Is Circumcision Necessary for a Tight Foreskin? the Issues

Xiao Zhong： Hello, based on your description, it seems likely that you have a condition called phimosis, which may require surgical intervention. <br>As for penile curvature, as long as you can successfully penetrate the vagina during intercourse without pain, it should not have

Narrow preputial opening?

Doctor, does a tight foreskin always require circumcision? When not erect, it can retract fully, but the glans gets pushed down, as if the skin underneath is not long enough and is adhering to the glans.
When erect, it cannot retract fully, and the glans only comes out about one-third.
Continuing to retract causes pain, and during intercourse with my girlfriend, I can't feel much and it hurts.
Does a downward curvature of the penis affect sexual intercourse?

Xiao Zhong, 20~29 year old female. Ask Date: 2009/09/28

Dr. Xu Weikai reply Urology

Xiao Zhong: Hello, based on your description, it seems likely that you have a condition called phimosis, which may require surgical intervention.
As for penile curvature, as long as you can successfully penetrate the vagina during intercourse without pain, it should not have any significant impact.
Response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health.

Reply Date: 2009/09/28

More Info

Circumcision is a surgical procedure that involves the removal of the foreskin from the penis. The necessity of circumcision for a tight foreskin, medically known as phimosis, can depend on several factors, including the severity of the condition, the presence of symptoms, and personal or cultural preferences.

In your case, it appears that you can retract the foreskin when the penis is not erect, but you experience discomfort and pain during erection. This suggests that you may have a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis) when erect. This can lead to discomfort during sexual activity, as you have noted, and may also cause issues such as pain during erections or difficulty with hygiene.

Phimosis can be classified into two types: physiological and pathological. Physiological phimosis is common in infants and young boys, as the foreskin is often not fully retractable until puberty. In many cases, this resolves on its own as the child grows. Pathological phimosis, on the other hand, occurs when the foreskin becomes tight due to scarring, infection, or inflammation, and it does not retract easily even after puberty.

If the tight foreskin is causing pain, discomfort during sexual activity, or hygiene issues, circumcision may be recommended. However, it is not the only option. There are non-surgical treatments available, such as topical corticosteroids, which can help to loosen the foreskin and make retraction easier. Stretching exercises may also be advised to gradually increase the foreskin's elasticity.

It's essential to discuss your symptoms and concerns with a healthcare provider, preferably a urologist. They can perform a physical examination and provide personalized advice based on the severity of your condition and your overall health. They may also explore other options, such as preputioplasty, which is a less invasive procedure that can widen the opening of the foreskin without complete removal.

Regarding the impact of a tight foreskin on sexual activity, it can indeed affect pleasure and comfort during intercourse. If the foreskin is too tight, it may lead to pain or discomfort for both partners. Additionally, if the penis curves downward during an erection, this could also affect sexual performance and satisfaction.
In summary, circumcision is not always necessary for a tight foreskin. The decision should be based on the severity of symptoms, the impact on your quality of life, and your personal preferences. Consulting with a healthcare professional will provide you with the best guidance tailored to your situation. They can help you weigh the benefits and risks of circumcision versus other treatment options, ensuring that you make an informed decision that aligns with your health needs and lifestyle.

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