Should I Consider Circumcision for My Foreskin Concerns? - Urology

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Hello Doctor: My foreskin completely covers the glans when I'm not erect, but during an erection, sometimes it exposes a little bit of the glans, and other times it still completely covers it.
Should I consider getting a circumcision? Also, I have another question: my penis bends to the right when erect.
Does this need to be corrected?

Tiāncái, 20~29 year old female. Ask Date: 2012/01/08

Dr. Jiang Yini reply Urology


It is recommended to schedule an appointment with a urologist, as the physician's clinical judgment is essential.
Thank you!

Reply Date: 2012/01/08

More Info


When considering circumcision for concerns related to the foreskin, it is essential to evaluate several factors, including personal comfort, hygiene, and any potential medical issues. Based on your description, it appears that your foreskin completely covers the glans (head of the penis) when flaccid and only partially retracts during an erection. This condition is known as phimosis, which can be physiological (normal in children) or pathological (causing issues in adults).


Circumcision Considerations
1. Phimosis: If your foreskin does not retract easily or causes discomfort, circumcision may be a viable option. Phimosis can lead to hygiene issues, as it may be difficult to clean underneath the foreskin, potentially leading to infections or inflammation (balanitis). If you experience pain, recurrent infections, or difficulty with sexual activity due to the tight foreskin, circumcision could provide relief.

2. Hygiene: Maintaining proper hygiene is crucial. If you find it challenging to clean the area effectively, circumcision can simplify this process. Proper hygiene can help prevent infections and other complications.

3. Sexual Function: Some men report improved sexual function and satisfaction after circumcision, while others may not notice a significant difference. If your foreskin is causing discomfort during sexual activity, this is another reason to consider the procedure.

4. Cultural and Personal Preferences: Cultural, religious, or personal beliefs may also influence your decision. Some individuals choose circumcision for cultural or religious reasons, while others may prefer to retain their foreskin for personal or aesthetic reasons.


Addressing the Bend in the Penis
Regarding the curvature of your penis during an erection, a slight bend is generally considered normal. However, if the curvature is significant or causes pain during sexual activity, it may be indicative of a condition known as Peyronie's disease. This condition involves the development of fibrous scar tissue inside the penis, leading to curvature and sometimes pain.

1. Assessment: If the curvature is mild and does not cause discomfort or interfere with sexual function, it may not require treatment. However, if it is causing pain or difficulty during intercourse, it would be advisable to consult a urologist for a thorough evaluation.

2. Treatment Options: If treatment is necessary, options may include medications, penile traction therapy, or surgical intervention, depending on the severity and underlying cause of the curvature.


Conclusion
In summary, the decision to undergo circumcision should be based on a comprehensive evaluation of your symptoms, hygiene concerns, and personal preferences. If you are experiencing discomfort, hygiene issues, or significant curvature that affects your quality of life, it would be wise to consult a healthcare professional, preferably a urologist. They can provide a thorough assessment and discuss the potential benefits and risks of circumcision and other treatment options for your concerns. Remember, open communication with your healthcare provider is key to making an informed decision that aligns with your health needs and lifestyle.

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