Should You Consider Circumcision? the Pros and Cons - Urology

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Is circumcision necessary?


Doctor, my foreskin is very long and covers the entire glans.
I have no issues urinating, but during an erection, the glans does not come out.
I can have intercourse without pain, but I don't feel much sensation.
Do I need a circumcision? I've heard many people say that after being circumcised, they become less firm and their sexual ability declines.
Is that true? I'm very hesitant about whether to go through with the procedure.

Xiao 0, 20~29 year old female. Ask Date: 2014/01/24

Dr. Xu Weikai reply Urology


Hello, unless there are special circumstances, circumcision is not necessary.
Any surgery carries the risk of complications.
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 care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Ministry of Health and Welfare, who cares about you.

Reply Date: 2014/01/24

More Info


When considering circumcision, especially in the context of a long foreskin that covers the glans (the head of the penis), it's important to weigh both the potential benefits and drawbacks of the procedure.

Pros of Circumcision:
1. Improved Hygiene: One of the primary benefits of circumcision is improved hygiene. With the foreskin removed, it becomes easier to clean the glans, which can help reduce the risk of infections and conditions such as balanitis (inflammation of the glans).

2. Reduced Risk of Certain Infections: Studies have shown that circumcision can lower the risk of urinary tract infections (UTIs) in infants and reduce the risk of sexually transmitted infections (STIs), including HIV, in sexually active males.

3. Potential Decrease in Penile Conditions: Circumcision can eliminate the risk of phimosis (a condition where the foreskin cannot be retracted) and paraphimosis (where the retracted foreskin cannot return to its original position), both of which can cause pain and complications.

4. Cultural or Religious Reasons: For many, circumcision is a cultural or religious practice that holds significant meaning.


Cons of Circumcision:
1. Surgical Risks: As with any surgical procedure, circumcision carries risks such as bleeding, infection, and adverse reactions to anesthesia.
2. Loss of Sensation: Some men report a decrease in sensitivity after circumcision. The glans, which is normally protected by the foreskin, may become less sensitive over time due to exposure. However, this varies from person to person.

3. Impact on Sexual Function: While some believe that circumcision can lead to decreased sexual pleasure or erectile function, research on this topic is mixed. Many men report no significant change in sexual function post-circumcision, while others may experience changes in sensitivity.

4. Psychological Impact: The decision to undergo circumcision can have psychological implications, especially if it is not aligned with personal beliefs or if it is done later in life.


Your Situation:
In your case, you mentioned that while your foreskin is long and covers the glans, you do not experience pain during intercourse, although you feel a lack of sensation. This is an important factor to consider. If you are not experiencing any medical issues related to your foreskin, such as recurrent infections or pain, you might not need to rush into a decision about circumcision.

However, if the lack of sensation is significantly affecting your sexual experience, it may be worth discussing with a healthcare provider. They can provide a thorough examination and help determine if circumcision might improve your situation or if there are alternative solutions, such as topical treatments or other methods to enhance sensitivity.


Conclusion:
Ultimately, the decision to undergo circumcision should be made after careful consideration of the pros and cons, as well as a discussion with a qualified healthcare professional. They can help you understand the potential outcomes based on your specific circumstances and guide you in making an informed choice that aligns with your health needs and personal preferences. If you have concerns about sexual function or sensation, addressing these with a urologist or sexual health specialist can provide further clarity and options.

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