the Procedure and Risks of Phimosis Surgery

Q: the Procedure and Risks of Phimosis Surgery

Little Bear： Hello, the procedure involves incising the narrow area of the foreskin to widen it while preserving all the foreskin tissue. <br>Traditional circumcision involves removing a portion of the foreskin, which can result in more significant trauma. <br>If there are any un

Phimosis

Hello, doctor.
I apologize for the inconvenience.
Regarding the issue of phimosis, you mentioned that "a surgery to widen the narrow area can be performed, and the damage will be relatively minor." Since I don't understand the underlying principles, could you please briefly explain the process? Also, when you say the damage will be less, does that mean the foreskin will still be cut? What kind of damage might occur? Thank you.

Xiao Xiong, 20~29 year old female. Ask Date: 2013/02/26

Dr. Xu Weikai reply Urology

Little Bear: Hello, the procedure involves incising the narrow area of the foreskin to widen it while preserving all the foreskin tissue.
Traditional circumcision involves removing a portion of the foreskin, which can result in more significant trauma.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Information from the internet should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/02/26

More Info

Phimosis surgery, often referred to as circumcision or preputioplasty, is a procedure performed to treat phimosis, a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This condition can lead to discomfort, pain during erections, and increased risk of infections. Understanding the procedure and its associated risks is crucial for anyone considering this surgery.

Procedure Overview
1. Preoperative Assessment: Before the surgery, a thorough evaluation is conducted, including a physical examination and medical history review. The surgeon will discuss the benefits and risks of the procedure, ensuring the patient understands what to expect.

2. Anesthesia: The surgery is typically performed under local anesthesia, which numbs the area, or general anesthesia, depending on the patient's age, anxiety level, and the surgeon's preference. Local anesthesia allows the patient to remain awake but pain-free during the procedure.

3. Surgical Technique:
- Preputioplasty: This is a less invasive option where the tight band of skin is incised, allowing for greater retraction of the foreskin without complete removal. The surgeon makes a small incision in the foreskin to widen it, which can alleviate the tightness while preserving most of the foreskin.

- Circumcision: In cases where phimosis is severe or recurrent infections are present, circumcision may be recommended. This involves the complete removal of the foreskin. The surgeon will make an incision around the base of the foreskin and remove it, then stitch the remaining skin together.

4. Closure: After the procedure, the incisions are closed with sutures, which may dissolve on their own or require removal after a few days.

5. Postoperative Care: Patients are typically advised to keep the area clean and dry, apply prescribed ointments, and avoid strenuous activities for a few weeks. Follow-up appointments may be scheduled to monitor healing.

Risks and Complications
While phimosis surgery is generally safe, there are potential risks and complications associated with the procedure:
1. Bleeding: Some bleeding is expected, but excessive bleeding may require additional intervention.

2. Infection: As with any surgical procedure, there is a risk of infection at the surgical site. Proper hygiene and care can minimize this risk.

3. Scarring: Scarring can occur, which may affect the appearance of the penis. In some cases, this may lead to sensitivity or discomfort.

4. Changes in Sensation: Some patients report changes in sensation after surgery, which can be temporary or, in rare cases, permanent.

5. Meatal Stenosis: This is a narrowing of the urinary opening, which can occur after surgery and may require further treatment.

6. Psychological Impact: The emotional and psychological effects of undergoing surgery, especially in younger patients, should not be overlooked. Counseling may be beneficial for some individuals.

Conclusion
In summary, phimosis surgery can effectively resolve issues related to tight foreskin, but it is essential to understand the procedure and its risks. Discussing concerns with a qualified healthcare provider can help ensure that patients make informed decisions about their treatment options. If you have specific questions about the surgical technique or potential complications, do not hesitate to ask your surgeon for more detailed information tailored to your situation.

Similar Q&A

Understanding the Process of Foreskin Surgery for Phimosis

I would like to inquire about the process of circumcision due to phimosis.

Dr. Du Shixi reply Urology
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. Hello: Local anesthesia, excision of excessive foreskin, hemostasis, suturing and dressing, and regular dressing changes. Avoid getting the wound wet for a few ...

Understanding Phimosis: Costs, Coverage, and Surgical Options

Hello Dr. Tsai, I am 21 years old... Due to the inability of the glans to be exposed during an erection, I believe I have phimosis based on the information I have researched. I would like to ask if the surgery for phimosis is covered by health insurance. If not, how much does the...

Dr. Cai Bingkun reply Urology
Phimosis, also known as tight foreskin, occurs when the foreskin completely covers the glans and cannot be retracted to expose the corona. It can be classified into congenital and acquired phimosis. Congenital phimosis is characterized by a foreskin opening that is too narrow fro...

Understanding Phimosis: Treatment Options and Sexual Health Implications

If the glans of your penis does not become exposed during an erection, it may indicate a condition known as phimosis. It is advisable to consult a healthcare professional for a proper diagnosis and to discuss potential treatment options, including whether a circumcision is necess...

Dr. Chen Zhihong reply Urology
1. If the foreskin can be retracted to expose the glans without effort, then surgery is not necessary. However, if the opening of the foreskin is too tight and the glans cannot be exposed even with manual retraction, a circumcision may be required to remove the foreskin. If surge...

Understanding Risks and Success Rates of Circumcision and Varicocele Surgery

Hello Doctor: I am a patient who previously underwent a septoplasty at a major hospital in Keelung. Unfortunately, the surgery, which is a basic procedure for an ENT specialist, was not successful and nearly resulted in a nasal perforation. I eventually sought help from a highly ...

Dr. Xu Wencang reply Urology
Hello, in response to your questions: 1. Circumcision surgery, like any other surgical procedure, may result in bleeding, wound infection, and poor wound healing. Postoperatively, patients need to attend outpatient follow-ups for dressing changes for one week. Most patients typ...