Long-Term Inflammation of the Glans: Should I Consider Circumcision?

Q: Long-Term Inflammation of the Glans: Should I Consider Circumcision?

Hello： Based on your symptoms, if you have phimosis combined with recurrent inflammation, circumcision may be considered. <br>However, it is essential to consult a urologist for an examination before making a decision. <br>Wishing you good health.

The glans has been inflamed for many years?

I have a condition of phimosis, and during elementary school, I experienced inflammation at the glans and the urethral opening, along with what appeared to be blisters or bumps.
I consulted a doctor and received topical treatment, but the condition recurred immediately after healing.
Since it doesn't cause pain or itching, I have left it untreated until now (I am currently 17 years old).
I haven't seen a doctor in the meantime, but I do wipe with tissue after urinating at home, while at school I just shake off the excess.
I also make sure to retract the foreskin and clean it while showering, but the condition remains unchanged.
Sometimes, excessive washing seems to worsen it, but then it improves again.
I am concerned that if I continue like this, it might lead to problems.
Should I consider undergoing circumcision?

Niming, 10~19 year old female. Ask Date: 2013/07/18

Dr. Lin Hexing reply Urology

Hello: Based on your symptoms, if you have phimosis combined with recurrent inflammation, circumcision may be considered.
However, it is essential to consult a urologist for an examination before making a decision.
Wishing you good health.

Reply Date: 2013/07/18

More Info

Long-term inflammation of the glans, particularly in the context of phimosis (the inability to retract the foreskin), can lead to several complications if left untreated. Given your history of recurrent inflammation and the presence of bumps or blisters, it is essential to consider the implications of your condition and the potential benefits of circumcision.

Firstly, chronic inflammation of the glans, known as balanitis, can result from various factors, including poor hygiene, infections (bacterial or fungal), or irritants. In your case, it seems that despite attempts at hygiene, the inflammation persists. This could indicate that the underlying issue—possibly related to the tightness of the foreskin—is not being adequately addressed.
While you mentioned that the condition does not cause pain or itching, the presence of recurrent inflammation can lead to more severe complications over time. Chronic irritation can result in scarring, which may further narrow the opening of the foreskin (a condition known as phimosis), making it difficult to retract and increasing the risk of infections. Additionally, persistent inflammation can lead to the development of more serious conditions, including penile cancer, although this is rare.

Circumcision, the surgical removal of the foreskin, is often recommended in cases of recurrent balanitis or phimosis. The procedure can provide several benefits:
1. Improved Hygiene: Removing the foreskin allows for easier cleaning of the glans, reducing the risk of infections and inflammation.

2. Reduced Risk of Infections: Circumcision can lower the risk of urinary tract infections and sexually transmitted infections.

3. Elimination of Recurrent Symptoms: Many individuals who undergo circumcision report a significant reduction in recurrent inflammation and associated symptoms.

4. Psychological Benefits: For some, circumcision can alleviate anxiety related to the condition, especially if it has caused embarrassment or concern.

However, the decision to undergo circumcision should be made in consultation with a healthcare provider. It is crucial to discuss your symptoms, medical history, and any concerns you may have. A doctor may perform a physical examination and could recommend other treatments or interventions before considering surgery.
In your case, since you have been managing the condition for several years without significant improvement, it may be beneficial to seek a consultation with a urologist. They can provide a thorough evaluation and discuss the potential risks and benefits of circumcision in your specific situation.

In summary, while your current symptoms may not be causing immediate discomfort, the long-term implications of untreated inflammation could lead to more significant health issues. Circumcision is a viable option that can help prevent future complications and improve your overall quality of life. It is essential to have an open and honest discussion with your healthcare provider to determine the best course of action for your health.

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