Circumcision: Concerns About Excess Skin and Healing

Hello, doctor?

Doctor, I want to undergo a circumcision but I don't want to remove too much.
I'm concerned that leaving too much foreskin might lead to other issues, as my previous consultation indicated that excessive foreskin could cause problems.
I would like to ask if the length of foreskin preserved during surgery is related to the risk of wound scarring or adhesions.
Could preserving too much foreskin during the procedure potentially lead to scarring or adhesions?

Da Tou, 10~19 year old female. Ask Date: 2013/05/15

Dr. Xu Weikai reply Urology

Hello, the healing of the circumcision wound is related to postoperative wound care and is not dependent on the length of the foreskin.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan, who cares about you.

Reply Date: 2013/05/15

More Info

Circumcision is a surgical procedure that involves the removal of the foreskin from the penis. It is often performed for various reasons, including medical, cultural, or religious beliefs. Your concerns about the length of the remaining foreskin and its implications for healing are valid and warrant a thorough discussion.

The length of the foreskin that is left after circumcision can indeed influence the healing process and the potential for complications such as skin adhesion or scarring. When a surgeon performs a circumcision, they typically aim to leave a sufficient amount of skin to allow for normal function and aesthetics while minimizing the risk of complications. If too much skin is left, it can lead to issues such as:
1. Skin Adhesion: This occurs when the remaining foreskin adheres to the glans (the head of the penis). This can happen if the foreskin is too long and does not retract properly, leading to irritation and discomfort.

2. Scarring and Tightness: If the foreskin is left too long, it may not heal properly, leading to scarring that can cause tightness or discomfort during erections or other activities.

3. Hygiene Issues: A longer foreskin can make it more challenging to maintain proper hygiene, potentially leading to infections or other complications.

Conversely, if too little skin is left, it can lead to complications such as excessive sensitivity, pain, or even the need for further surgical intervention. Therefore, it is crucial to find a balance that allows for adequate coverage while minimizing the risk of complications.

When discussing your concerns with your surgeon, it is essential to communicate openly about your preferences and any fears you may have regarding the procedure. A skilled surgeon will take your concerns into account and will be able to explain how they plan to approach the surgery, including the rationale behind the amount of skin they intend to leave.

In terms of healing, proper post-operative care is vital. Following your surgeon's instructions regarding wound care, hygiene, and activity restrictions will help ensure a smooth recovery. If you notice any signs of complications, such as excessive swelling, redness, or discharge, it is crucial to contact your healthcare provider promptly.

In summary, the length of the remaining foreskin after circumcision can indeed affect healing and the potential for complications. It is essential to have an open dialogue with your surgeon about your concerns and preferences to ensure the best possible outcome. Remember that every individual's anatomy is different, and a tailored approach is often necessary to achieve the best results.

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