Circumcision: Addressing Concerns and Myths - Urology

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Regarding circumcision?


Hello, doctor.
Recently, my parents have been insisting that I get a circumcision, as they believe it is more hygienic and shows respect for my partner.
I understand their concerns.
My foreskin is indeed a bit long, but I can retract it completely to expose the glans, even when not erect, and I clean myself daily.
I'm not afraid of the procedure itself; rather, I've come across negative rumors online suggesting that circumcision can result in a shorter penis, improper handling of the frenulum leading to poor sexual experiences later on, and other similar issues.
I would like to ask the doctor:
1.
Will an experienced circumcision surgeon properly address the frenulum area? Is there a risk that the circumcision will affect the frenulum?
2.
After the circumcision and suturing, will there be a noticeable color difference at the base of the penis? (One part being the inner skin color pulled back from the foreskin and the other being the original outer skin color at the base.)
3.
Is there a risk that an experienced surgeon might accidentally remove too much tissue, leading to discomfort or pain during erections in the future?
4.
Are there sensitive nerve endings in the foreskin? I'm concerned that if I get circumcised, I might lose sensation during sexual activity.
I hope the doctor can help clarify these concerns.
I'm not afraid of the procedure itself; I'm just anxious about the potential side effects and whether I should go through with it.

fan nao, 20~29 year old female. Ask Date: 2014/10/07

Dr. Xu Weikai reply Urology


Concerns: Hello! 1.
The frenulum of the foreskin is generally excised.
2.
It may result in two different colors.
3.
It will not cause any issues.
4.
Post-surgery, there will be no impairment of sexual function.
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 attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/10/07

More Info


Circumcision is a surgical procedure that involves the removal of the foreskin from the penis. It is often performed for various reasons, including hygiene, cultural practices, and medical indications. However, it is understandable that you have concerns regarding the procedure, especially given the myths and negative experiences shared online. Let’s address your questions and concerns systematically.

1. Handling of the Frenulum: An experienced surgeon will indeed pay attention to the frenulum, which is the sensitive band of tissue on the underside of the penis. During a circumcision, the frenulum is typically preserved unless there are specific medical reasons to remove it. A skilled surgeon will ensure that the frenulum is handled properly to maintain its integrity, which is important for sexual function and sensation. If you have concerns about this, it is advisable to discuss them directly with your surgeon before the procedure.

2. Color Changes Post-Surgery: After circumcision, it is common for the area at the base of the penis to appear different in color compared to the shaft. This is due to the exposure of the inner mucosal layer of the foreskin, which is typically a different color than the outer skin. This phenomenon is often referred to as "dual pigmentation." While this is normal, it generally does not affect the function or aesthetic of the penis significantly.

3. Risk of Excessive Removal: The risk of a surgeon removing too much skin during circumcision, leading to discomfort or pain during erections, is relatively low when the procedure is performed by a qualified and experienced urologist or surgeon. Surgeons are trained to assess the appropriate amount of foreskin to remove based on individual anatomy. However, as with any surgical procedure, there is always a risk of complications. It is crucial to choose a reputable surgeon and to communicate any concerns you have about the procedure.

4. Sensitivity of the Foreskin: The foreskin does contain sensitive nerve endings, and its removal can lead to changes in sensation. However, many men report that they do not experience a significant loss of sensitivity after circumcision. In fact, some studies suggest that circumcision may enhance sexual pleasure for some individuals due to the exposure of the glans (head of the penis) to stimulation. It is important to note that individual experiences can vary widely, and some men may feel differently about their sensitivity post-surgery.

In conclusion, while circumcision can have benefits, it is essential to weigh these against your personal concerns and preferences. If hygiene and respect for your partner are significant factors for you, circumcision may be a reasonable choice. However, it is also important to consider your comfort and the potential risks involved. I recommend having an open and honest discussion with a qualified urologist who can provide personalized advice based on your specific situation. They can help clarify any misconceptions and guide you through the decision-making process. Ultimately, the decision should be made based on informed consent, taking into account both medical advice and your personal values.

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