Phimosis: Can Circumcision Be Performed Safely?

Q: Phimosis: Can Circumcision Be Performed Safely?

Anonymous： Hello, if you are unable to retract the foreskin for cleaning, a general physician will typically retract it under anesthesia for cleaning and disinfection. <br>Therefore, this should not affect the surgery. <br>However, if you are unable to retract it for cleaning on

Phimosis

Thank you, doctor, for taking the time to answer my questions this afternoon.
I still have one concern.
According to what you mentioned earlier, proper cleaning should be done before undergoing a circumcision.
However, I have phimosis, and I am afraid that if I forcibly retract the foreskin, it could lead to paraphimosis.
Since I learned about the existence of smegma, I am still hesitant to clean it myself.
I was previously unaware of this condition and did not clean it, so I am unsure if circumcision can still be performed under these circumstances.
Could you please clarify this for me?

Nìmíng, 10~19 year old female. Ask Date: 2015/02/02

Dr. Xu Weikai reply Urology

Anonymous: Hello, if you are unable to retract the foreskin for cleaning, a general physician will typically retract it under anesthesia for cleaning and disinfection.
Therefore, this should not affect the surgery.
However, if you are unable to retract it for cleaning on your own, there is a higher risk of infection after the surgery.
If you have concerns, you can visit a urologist for relevant examinations.
If there are any unclear points, feel free to ask again so 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.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/02/02

More Info

Phimosis is a condition where the foreskin of the penis cannot be easily retracted over the glans (the head of the penis). This condition can be physiological in infants and young children, but if it persists into adolescence or adulthood, it may require medical intervention. One common treatment for phimosis is circumcision, which involves the surgical removal of the foreskin.

When considering circumcision, especially in cases of phimosis, it is essential to ensure that the procedure can be performed safely. Here are some key points to consider regarding the safety and appropriateness of circumcision in the context of phimosis:
1. Assessment of Phimosis: Before proceeding with circumcision, a thorough evaluation by a healthcare provider is necessary. This includes assessing the degree of phimosis, any associated symptoms (such as pain, difficulty urinating, or recurrent infections), and the presence of any complications like paraphimosis (where the retracted foreskin cannot be returned to its normal position).

2. Hygiene Considerations: It is crucial to maintain proper hygiene to prevent infections, especially if there is a buildup of smegma (a combination of dead skin cells, oils, and other secretions) under the foreskin. While it is understandable to be cautious about forcibly retracting the foreskin due to the risk of pain or injury, gentle cleaning with warm water can often be done without causing harm. If there is significant phimosis, it may be best to consult a healthcare provider for guidance on safe cleaning techniques.

3. Circumcision Procedure: Circumcision can generally be performed safely even in the presence of smegma or phimosis. Surgeons are trained to handle these situations, and they will take necessary precautions to minimize the risk of complications. The presence of smegma does not typically contraindicate the procedure, but it is advisable to inform the surgeon about any concerns regarding hygiene or discomfort.

4. Postoperative Care: After circumcision, proper care is essential to promote healing and prevent infection. This includes keeping the surgical site clean and following any specific instructions provided by the healthcare provider. Patients should be aware of signs of infection, such as increased redness, swelling, or discharge, and seek medical attention if these occur.

5. Consultation with a Specialist: If you have concerns about phimosis, hygiene, or the circumcision procedure, it is best to discuss these with a urologist or a healthcare provider specializing in male reproductive health. They can provide personalized advice, address your fears about the procedure, and help you understand the risks and benefits involved.

In conclusion, circumcision can be performed safely in cases of phimosis, even if there is a concern about smegma buildup. The key is to have a thorough evaluation and discussion with a healthcare provider who can guide you through the process and ensure that the procedure is done safely and effectively. If you are hesitant about self-cleaning due to the risk of complications, it is advisable to seek professional help to address your concerns and ensure that you are taking the right steps toward managing your condition.

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