Do I Need Circumcision? Concerns About Foreskin and Sensitivity - Urology

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When considering whether or not to undergo circumcision, it's important to evaluate your individual circumstances, including your anatomy, hygiene practices, and any potential medical concerns. Here are some key points to consider based on your questions:
1. Foreskin Retraction: You mentioned that your foreskin can retract fully when not erect and partially when erect. This indicates that you do not have phimosis (a condition where the foreskin cannot be retracted). If you can comfortably retract your foreskin and maintain good hygiene, circumcision may not be necessary from a medical standpoint. However, if you experience discomfort, pain, or recurrent infections, it may be worth discussing with a healthcare provider.

2. Sensitivity After Circumcision: It is common for men to worry about increased sensitivity of the glans (the head of the penis) after circumcision. Initially, the glans may be more sensitive because it is exposed to friction and stimulation that it was not previously accustomed to. Over time, many men report that the sensitivity decreases as the skin becomes keratinized (thickened) and less sensitive. However, individual experiences can vary. Some men do report changes in sexual function, including altered sensitivity and ejaculation patterns, but these are not universally experienced.

3. Hygiene Practices: You mentioned using body wash to clean the glans. While it is generally safe to clean the area, it is advisable to use mild, unscented soap to avoid irritation. The skin of the glans is sensitive, and harsh soaps or fragrances can lead to irritation or allergic reactions. If you have been doing this for eight years without issues, it seems you are managing well, but consider switching to a gentler product if you experience any discomfort.

4. Circumcision Technique: During circumcision, it is possible to discuss your preferences with your surgeon. Some men opt for a "partial circumcision" where some foreskin is left intact, allowing for some coverage of the glans when not erect. This can help maintain some sensitivity while still providing the benefits of circumcision. It is crucial to communicate your desires clearly with your healthcare provider to ensure they understand your goals for the procedure.

In conclusion, the decision to undergo circumcision should be based on a combination of personal preference, medical necessity, and potential benefits versus risks. If you are experiencing discomfort, recurrent infections, or other issues related to your foreskin, it may be beneficial to consult with a urologist. They can provide a thorough evaluation and help you weigh the pros and cons of circumcision in your specific case. Additionally, if you have concerns about sensitivity or hygiene practices, discussing these with your doctor can provide further clarity and reassurance.