Should You Consider Circumcision for Mild Genital Irritation? - Urology

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Is circumcision necessary in this situation?


Hello, I had a massage and engaged in partial sexual activity (manual stimulation, thigh squeezing, no oral sex, vaginal intercourse) in April.
In early June, I underwent an HPV brush test PCR, and the result was negative, with no infections.
I would like to ask, it has been 11 weeks now, and I only have pearly penile papules and some sebaceous prominence (which I believe are normal), but in the past few days, I have noticed slight itching in my genital area (not frequently, about once a day), and upon inspection, the glans appears a bit red, resembling eczema.
Can eczema occur in the groin, scrotum, inner and outer foreskin, and glans? Given the negative HPV brush test PCR result from early June, can I rule out any infections, or how much longer should I observe? In my current situation, would you recommend circumcision?

Robert, 30~39 year old female. Ask Date: 2010/07/06

Dr. Xu Weikai reply Urology


Robert: Hello, I am pleased to assist you.
Surgery is not suitable during an infection.
As long as you go to the hospital and confirm that there is no inflammation, you can proceed with the surgery.
This is a message from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director Hsu Wei-Kai.
If you have any concerns regarding this response, feel free to continue the discussion.

Reply Date: 2010/07/06

More Info


When considering circumcision for mild genital irritation, it's essential to understand the underlying causes of your symptoms and the potential benefits and risks associated with the procedure. Based on your description, it seems you are experiencing mild itching and redness in the genital area, which could be indicative of several conditions, including dermatitis, irritation, or an allergic reaction.

Eczema, or dermatitis, can indeed occur in the genital region, including the groin, scrotum, and the inner and outer parts of the foreskin. This condition can manifest as redness, itching, and sometimes flaking or scaling of the skin. Factors that may contribute to this irritation include friction, moisture, hygiene products, or even sexually transmitted infections (STIs), although your recent negative HPV PCR test suggests that an infection is less likely.

Given that you have already undergone testing for HPV and received negative results, it is reasonable to consider that your symptoms may not be due to an infectious cause. However, if the irritation persists or worsens, further evaluation may be warranted. It is also important to note that while HPV is a significant concern, other STIs should also be considered, especially if there are changes in your sexual activity or new partners.

In terms of circumcision, this procedure can be beneficial for individuals who experience recurrent infections or significant irritation related to the foreskin. Circumcision removes the foreskin, which can help reduce the risk of infections and irritation. However, it is typically considered a last resort after other treatment options have been explored. If your symptoms are mild and manageable, it may be advisable to try conservative treatments first, such as topical corticosteroids or antifungal creams, depending on the diagnosis.

Before making any decisions regarding circumcision, it is crucial to consult with a healthcare provider who can perform a thorough examination and provide personalized recommendations based on your specific situation. They may suggest observing your symptoms for a while longer, especially if they are mild and not significantly impacting your quality of life. If you notice any worsening of symptoms, such as increased redness, swelling, discharge, or pain, it would be prudent to seek medical attention sooner.

In summary, while circumcision can be a solution for certain persistent genital issues, it is essential to first explore other treatment options and have a thorough evaluation by a healthcare professional. Monitoring your symptoms and maintaining good hygiene practices can also help manage mild irritation. If you have concerns or if the symptoms persist, do not hesitate to reach out to your doctor for further advice and management options.

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