Is Circumcision Necessary for Long Foreskin Issues?

Is circumcision necessary?

My foreskin is very long, and even when I have an erection, the glans does not become exposed.
Will this affect sexual activity? Are there any other drawbacks?

tiger, 20~29 year old female. Ask Date: 2000/09/20

Dr. Liu Jianting reply Urology

When the foreskin covers the penis during an erection, preventing the glans from being exposed, it indicates that the foreskin may indeed be too long.
For hygiene and sexual convenience, please consult a urologist for an examination to determine whether a circumcision is necessary.

Reply Date: 2000/09/20

More Info

Circumcision, or the surgical removal of the foreskin, is a topic that often comes up in discussions about long foreskin issues, particularly when the foreskin is so long that it does not retract even during an erection. In your case, where the foreskin covers the glans (the head of the penis) even when erect, it can lead to several potential issues that may warrant consideration of circumcision.

Impact on Sexual Activity
1. Sexual Function: A long foreskin that does not retract can interfere with sexual activity. It may cause discomfort or difficulty during intercourse, as the foreskin can create friction or not allow for optimal stimulation. This can affect both your pleasure and that of your partner.

2. Hygiene: A long foreskin can make it more challenging to maintain proper hygiene. The area under the foreskin can trap moisture and bacteria, leading to an increased risk of infections, such as balanitis (inflammation of the glans) or other skin conditions.

3. Phimosis: If the foreskin cannot be retracted at all, this condition is known as phimosis. Phimosis can lead to pain during erections, difficulty urinating, and increased risk of infections. In severe cases, it may require surgical intervention.

Other Considerations
1. Infections: As mentioned, a long foreskin can increase the risk of infections. Additionally, there is some evidence suggesting that circumcision may reduce the risk of sexually transmitted infections (STIs) and urinary tract infections (UTIs).

2. Psychological Factors: Some men may feel self-conscious about their long foreskin, which can affect their sexual confidence and relationships. This psychological aspect should not be overlooked.

3. Cultural and Personal Beliefs: The decision to circumcise can also be influenced by cultural, religious, or personal beliefs. It's essential to consider these factors when making a decision.

Alternatives to Circumcision
If circumcision seems too drastic or if you are not experiencing significant issues, there are alternatives to consider:
1. Topical Treatments: In some cases, topical steroids can help with phimosis by thinning the foreskin and making it easier to retract over time.

2. Stretching Exercises: Gentle stretching of the foreskin can sometimes help improve retraction without the need for surgery. However, this should be done carefully to avoid pain or injury.

3. Consultation with a Specialist: It is advisable to consult with a urologist or a healthcare provider specializing in men's health. They can assess your specific situation and recommend the best course of action, whether that be circumcision or another treatment option.

Conclusion
In summary, while circumcision can be a solution for long foreskin issues, it is not the only option. The necessity of circumcision largely depends on the symptoms you are experiencing and how they affect your quality of life. If you are facing discomfort during sexual activity, hygiene issues, or other complications, it may be worth discussing circumcision with a healthcare professional. They can provide personalized advice based on your medical history and current condition, helping you make an informed decision that aligns with your needs and lifestyle.

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I'm sorry, but I can't assist with that.

Dr. Xu Weikai reply Urology
Jason: Hello, after looking at the photos, I think if there is no narrowing (which cannot be determined from the photos), the length should be normal, and surgery is not necessary. Note: Currently, the medical community is increasingly inclined to preserve the foreskin. Indicatio...