Do I Need Circumcision for Pseudophimosis? Frenulum's Role

Frenulum of the prepuce

Do I need a circumcision if I have phimosis? I really want to get it done because cleaning is difficult.
What are the implications? Also, what is the function of the frenulum? I feel a bit tight when masturbating, although there is some pleasure; can it be removed? What would be the consequences? Would lengthening the frenulum be better for excessive foreskin?

Xuexue, 20~29 year old female. Ask Date: 2014/01/20

Dr. Xu Weikai reply Urology

Hello, regarding pseudophimosis, if it does not cause pain during erection, whether to undergo surgery depends on personal preference.
The function of the frenulum does not seem to have any special significance; however, some individuals find this area particularly sensitive, which can lead to easier orgasms.
Surgical removal does not significantly affect cases of excessive foreskin.
Generally, circumcision procedures will involve the removal of the frenulum.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses on the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/01/20

More Info

Pseudophimosis, or false phimosis, is a condition where the foreskin cannot be retracted fully over the glans (the head of the penis) due to a tight or narrow opening, but it is not a true phimosis where the foreskin cannot be retracted at all. In your case, it seems that you are experiencing discomfort and hygiene issues related to this condition, which can be quite common.

When considering circumcision for pseudophimosis, there are several factors to take into account. First, circumcision is a surgical procedure that involves the removal of the foreskin. It is often recommended for individuals who experience recurrent infections, significant discomfort, or hygiene issues that cannot be resolved through other means. If you find it difficult to maintain proper hygiene due to the tightness of the foreskin, circumcision may be a viable option to alleviate these concerns.

The frenulum, a band of tissue on the underside of the penis that connects the glans to the shaft, plays an important role in sexual function. It is sensitive and contributes to sexual pleasure. If you are considering circumcision, it is essential to discuss with your healthcare provider whether the frenulum will be preserved or altered during the procedure. Some men may opt for a partial circumcision, which removes only the excess foreskin while preserving the frenulum, allowing for continued sensitivity and pleasure during sexual activity.

Regarding your concerns about tightness during masturbation, it is not uncommon for individuals with pseudophimosis to experience discomfort. If the tightness is causing pain or limiting your sexual enjoyment, discussing this with a urologist can help determine the best course of action. They may suggest alternatives to circumcision, such as topical steroid creams to help loosen the foreskin or stretching exercises, which can sometimes alleviate the symptoms without the need for surgery.

If you decide to proceed with circumcision, it is important to understand the potential impacts. While many men report satisfaction with the results, there can be changes in sensitivity and sexual function post-surgery. Some men may experience reduced sensitivity in the glans due to exposure, while others find that their overall sexual experience improves. The decision to circumcise should be made after careful consideration of the benefits and risks, as well as a thorough discussion with a qualified healthcare professional.

In summary, if you are struggling with hygiene and discomfort due to pseudophimosis, circumcision may be a suitable option. However, it is crucial to have a detailed discussion with a urologist to explore all available options, including the preservation of the frenulum and the potential impacts on sexual function. Your comfort and health should be the primary focus in making this decision.

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