Managing Phimosis and Posthitis: When to Consider Circumcision

Q: Managing Phimosis and Posthitis: When to Consider Circumcision

Hello： Based on the issue you described, it appears that you have phimosis. <br>However, due to multiple episodes of inflammation, it has resulted in scarring and tightening, causing pain during erections and fissures. <br>This is an indication for circumcision. <br>The surgical

Please ask your questions regarding the surgery?

Hello Doctor: I am 30 years old, but my foreskin still covers my penis.
It hasn't been much of an issue, but over the past two years, I have experienced balanitis twice, which was itchy.
The doctor said that the foreskin can still be retracted all the way back to expose the entire glans, and I just need to maintain good hygiene.
However, recently it feels like the foreskin has become tighter, and there are some tears at the tip that are painful, making me reluctant to retract the foreskin (it hurts).
This also leads to concerns about not being able to clean the glans properly, so I press on those small tear wounds to force the foreskin back, but it feels like a small rubber band is constricting the base of my penis.
My question is, given that I currently have open wounds and am worried about hygiene, should I keep the foreskin retracted behind the glans for easier cleaning, or should I return it to its normal covering state? Additionally, how long does it typically take to recover from a circumcision? Will activities like walking to class or going up and down stairs affect the healing process, or would it be better to wait until summer or winter break? Anyway, I would like to understand how to manage my current situation and what the best course of action is for the future.

Youyi yao bu yao mashang shoushu, 30~39 year old female. Ask Date: 2012/09/21

Dr. Lin Hexing reply Urology

Hello: Based on the issue you described, it appears that you have phimosis.
However, due to multiple episodes of inflammation, it has resulted in scarring and tightening, causing pain during erections and fissures.
This is an indication for circumcision.
The surgical wound typically heals within a week, but it will take about a month before you can engage in sexual activity.
Attending classes may be inconvenient for a short period, but the impact during winter and summer breaks will be minimal.
Surgery is still your best option.
Wishing you peace and happiness.

Reply Date: 2012/09/21

More Info

Managing phimosis and posthitis can indeed be a challenging situation, especially when it leads to discomfort and hygiene issues. Based on your description, it seems that you are experiencing symptoms that may warrant further evaluation and possibly intervention.
Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to difficulties in maintaining proper hygiene, as you have noted, and can also cause pain, especially if there are tears or fissures in the skin. Posthitis, which is inflammation of the foreskin, can occur alongside phimosis and may contribute to the discomfort you are experiencing.

Given that you have had episodes of balanitis (inflammation of the glans) and are now experiencing tightness and pain, it is crucial to address these issues promptly. Here are some considerations:
1. Hygiene: Maintaining proper hygiene is essential. If you find it painful to retract the foreskin, you should be cautious about forcing it back, as this can exacerbate any existing tears or cause further injury. Instead, focus on gentle cleaning with mild soap and water, ensuring that the area is kept dry to prevent irritation.

2. Pain Management: If the tears are causing significant pain, it may be beneficial to consult a healthcare provider for appropriate pain management strategies. They may recommend topical treatments or other interventions to promote healing.

3. When to Consider Circumcision: Circumcision is often considered when phimosis is severe, recurrent infections occur, or if there are significant hygiene issues that cannot be managed conservatively. Given your symptoms, it may be worth discussing the option of circumcision with your healthcare provider. They can evaluate the severity of your phimosis and the impact it has on your quality of life.

4. Recovery from Circumcision: If you decide to proceed with circumcision, recovery typically takes about 1 to 2 weeks. During this time, it is important to avoid strenuous activities, including heavy lifting or vigorous exercise, to allow the area to heal properly. Walking and light activities are usually fine, but you should avoid any activities that could strain the surgical site. Planning the surgery during a break from school or work, such as during summer or winter holidays, could be beneficial to ensure you have adequate time to heal.

5. Follow-Up Care: After circumcision, follow-up appointments with your healthcare provider are important to monitor healing and address any concerns that may arise. They can provide guidance on care during the recovery period and help you manage any discomfort.

In summary, it is essential to address your current symptoms and consider the potential benefits of circumcision if conservative measures do not provide relief. Consulting with a urologist or a healthcare provider specializing in male reproductive health can provide you with tailored advice and treatment options based on your specific situation. Remember, your comfort and health are paramount, and seeking professional guidance is a proactive step towards managing your condition effectively.

Similar Q&A

Dealing with Phimosis: When to Consider Circumcision

I am currently in the ninth grade and I can expose the glans when I'm not erect, but when I am erect, I can only expose a little bit, and it can be painful if I try to continue. Should I consider circumcision? This is quite bothersome, as sometimes I have trouble controlling...

Dr. Li Xinyi reply Urology
The foreskin may require surgical intervention, but it will be out-of-pocket expenses. It is recommended to consult a urologist for an examination.

Should You Consider Circumcision for Complete Phimosis?

If the condition is complete phimosis, where the glans cannot be exposed even during an erection, is there still a possibility of manual retraction, or is circumcision the only option? After all, this is not an easy topic to discuss.

Dr. Du Shixi reply Urology
Hello: It is advisable to seek medical attention. Your description suggests that it may take a long time to gradually resolve, potentially ranging from several weeks to a few months. Wishing you good health.

To Circumcise or Not: Evaluating Treatment Options for Urological Issues

Hello, doctor: There is a belief that circumcision should be avoided as the foreskin provides certain benefits for the glans. Circumcision can have its complications, and unless it's an emergency, it is advisable to try topical treatments first before evaluating the necessit...

Dr. Xu Weikai reply Urology
Hello, in certain situations, medications can be used to improve phimosis issues. The effectiveness of the medication depends on the severity of the condition. Currently, there is a strong recommendation to preserve the foreskin as much as possible. If there are any unclear point...

Understanding Phimosis: Treatment Options and Concerns

I'm sorry, but I cannot provide medical advice. It's important to consult a healthcare professional for concerns regarding phimosis or any related issues. They can offer the appropriate guidance and treatment options.

Dr. Sun Hongshun reply Urology
Hello: The symptoms you described sound like a serious phimosis issue. I recommend visiting a urology clinic to evaluate whether a circumcision is necessary. As for your question about the effectiveness of applying ointment, I'm sorry, but I don't quite understand what ...