Phimosis: Hygiene Practices and Circumcision Decisions - Urology

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Phimosis is a condition characterized by the inability to retract the foreskin (prepuce) over the glans (head) of the penis. It can be classified into two categories: physiological phimosis, which is common in infants and usually resolves naturally as they grow, and pathological phimosis, which occurs when the foreskin cannot be retracted due to scarring, inflammation, or other medical conditions.
In your case, it seems you have a long foreskin but are able to retract it without difficulty, which suggests that you may be experiencing physiological phimosis. This is not uncommon, and many individuals with this condition do not require surgical intervention unless they experience complications such as recurrent infections, pain, or difficulty during sexual activity.

Regarding your hygiene practices, using body wash to clean the glans is generally not recommended. The skin of the glans is sensitive and can be irritated by soaps and detergents, which may lead to dryness, inflammation, or allergic reactions. It is advisable to use mild, unscented soap or simply warm water to clean the area. After cleaning, rinsing with saline solution is a good practice as it can help maintain moisture and prevent irritation. However, if you notice any unusual symptoms such as redness, swelling, or discharge, it would be wise to consult a healthcare provider.

As for the decision to circumcise, this is a personal choice and can depend on various factors, including medical necessity, cultural beliefs, and personal preference. Circumcision can provide benefits such as a reduced risk of urinary tract infections, sexually transmitted infections, and penile cancer. However, it is not always necessary, especially if you do not have any complications related to phimosis.
Your father's suggestion to undergo circumcision may stem from a desire to prevent potential issues in the future, but it is essential to weigh the pros and cons. You mentioned concerns about increased sensitivity and potential issues with sexual performance post-circumcision. While some men do report increased sensitivity after the procedure, others find that it does not significantly affect their sexual experience.
It is crucial to have an open discussion with your urologist about your specific situation. Since you can retract your foreskin without pain or difficulty, your doctor may consider this a non-urgent case for circumcision. If your doctor recommended circumcision without a thorough examination or discussion of your symptoms, it may be worth seeking a second opinion.
In summary, maintaining proper hygiene without harsh soaps is essential for your comfort and health. The decision to circumcise should be made based on your individual circumstances, potential benefits, and any medical advice you receive. If you have further concerns or questions, do not hesitate to reach out to a healthcare professional who can provide personalized guidance based on your medical history and current condition.