Should You Consider Circumcision? Your Options and Care - Urology

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Circumcision surgery


My situation is that both when erect and not erect, the foreskin completely covers the glans, but I can easily retract the foreskin with my hand without any pain.
Recently, I went to see a doctor for an examination, and the physician said that this condition can be treated with or without circumcision.
I also searched online for information and found that as long as regular cleaning is done, circumcision may not be necessary unless there is an occurrence of inflammation, while some sources suggest that circumcision is required.
Given this situation, if you were the physician, would you choose to undergo surgery or not? The answer I received from the doctor was somewhat vague, which left me uncertain about whether I need the procedure, so I came here to ask.
Thank you.

Wen Ge, 20~29 year old female. Ask Date: 2011/09/23

Dr. Xu Weikai reply Urology


Hello, you probably do not need to undergo surgery.

Reply Date: 2011/09/23

More Info


When considering whether to undergo circumcision, it's essential to weigh the benefits and risks based on your specific situation. From your description, it seems that you have a condition known as phimosis, where the foreskin covers the glans (head) of the penis both when flaccid and erect. However, you mentioned that you can retract the foreskin easily without pain, which is a positive sign.


Understanding Circumcision
Circumcision is a surgical procedure that involves the removal of the foreskin. It can be performed for various reasons, including:
1. Medical Necessity: Conditions like recurrent balanitis (inflammation of the glans), phimosis that causes pain or difficulty with urination, or other infections may necessitate circumcision.

2. Hygiene: Some argue that circumcision can make it easier to maintain hygiene, as it eliminates the need to clean under the foreskin.

3. Cultural or Religious Reasons: For many, circumcision is a cultural or religious practice.


Your Situation
In your case, since you can retract the foreskin without pain and there are no signs of inflammation or infection, the decision to circumcise is more about personal preference than medical necessity. Here are some considerations:
1. Hygiene: If you maintain good hygiene by regularly cleaning under the foreskin, the need for circumcision may be less pressing. Regular cleaning can prevent infections and other complications.


2. Risk of Inflammation: If you have a history of recurrent infections or inflammation, circumcision might be a more favorable option to prevent future issues.

3. Sexual Function: Some men report that circumcision can affect sexual pleasure, either positively or negatively. This is subjective and varies from person to person.

4. Future Considerations: If you anticipate potential issues with the foreskin in the future, such as difficulty retracting it or recurrent infections, it might be worth considering circumcision now rather than later.


Recommendations
1. Consultation with a Specialist: Since your initial consultation left you with ambiguous feelings, it may be beneficial to seek a second opinion from a urologist. They can provide more clarity based on your specific anatomy and health history.

2. Monitoring: If you choose not to undergo circumcision, ensure you monitor for any changes. If you experience pain, difficulty retracting the foreskin, or signs of infection, revisit the idea of circumcision.

3. Personal Preference: Ultimately, the decision should align with your comfort level and lifestyle. If you feel strongly about circumcision for personal or aesthetic reasons, that is a valid consideration.


Conclusion
In summary, circumcision is a personal choice that should be made after careful consideration of the medical, hygienic, and personal factors involved. Since your current condition does not seem to warrant immediate surgical intervention, you have the option to maintain your current state while ensuring proper hygiene. However, if you have concerns or experience any changes, consulting a healthcare professional for further evaluation is advisable.

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Dr. Xu Weikai reply Urology
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