Do You Need a Circumcision? Foreskin Issues and Care

Is circumcision necessary?

The foreskin usually covers the glans and can be fully retracted for cleaning, but during an erection, it can only retract to the frenulum, getting stuck in a small ring and unable to retract completely.
Pulling it back further causes injury to the frenulum.
Should I consider circumcision for this issue? Is my problem related to the frenulum being stuck? It's quite difficult to clean smegma with just water, so is it best to clean and dry the area after urination? When I was younger, I often experienced a burning sensation after urinating, but drinking more water helped.
Urinalysis showed no issues; could this be due to inadequate cleaning?

QQ, 30~39 year old female. Ask Date: 2015/03/08

Dr. Xu Weikai reply Urology

Hello, if the foreskin is too tight, a circumcision procedure can be performed.
If it is too long, a circumcision surgery may be indicated.
For hygiene, you can rinse the smegma with clean water and gently wipe it with your fingers or a towel.
As for urine residue, it is best to clean it with water each time.
When you drink less water, the urine becomes more concentrated, and some individuals may be more sensitive and feel a burning sensation during urination.
I hope this information is helpful.
If you have further questions, feel free to ask for more discussion and research.
Please remember that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/03/08

More Info

When it comes to the question of whether circumcision is necessary, particularly in the context of issues related to the foreskin, it is essential to understand the anatomy and function of the foreskin, as well as the potential complications that can arise from conditions such as phimosis or frenulum breve.

From your description, it seems that you are experiencing a condition where the foreskin can retract over the glans (the head of the penis) when flaccid, but during an erection, it becomes stuck at the frenulum, causing discomfort and potential injury. This condition is often referred to as phimosis, which is when the foreskin cannot be fully retracted over the glans. In some cases, this can lead to pain, difficulty with hygiene, and even recurrent infections if not managed properly.

In terms of hygiene, it is crucial to clean the area effectively to prevent the buildup of smegma, which is a combination of dead skin cells, oils, and other bodily fluids that can accumulate under the foreskin. If you find it difficult to clean the area thoroughly due to the tightness of the foreskin, this could indeed contribute to discomfort and possibly lead to infections. It is advisable to clean the area gently with warm water after urination and to ensure that it is dried properly to maintain hygiene.

Regarding the burning sensation you experienced as a child, it could have been related to several factors, including inadequate cleaning, irritation from urine, or even a mild infection. If urinalysis did not reveal any significant issues, it might suggest that the burning sensation was not due to a serious underlying condition but rather related to hygiene practices or sensitivity.

As for the question of whether circumcision is necessary, it is essential to consider a few factors:
1. Severity of Symptoms: If the tightness of the foreskin is causing significant pain, discomfort, or recurrent infections, circumcision may be a viable option. This procedure can alleviate the symptoms by removing the foreskin entirely, thus preventing any future issues related to phimosis.

2. Hygiene Challenges: If you find it consistently difficult to maintain proper hygiene due to the tightness of the foreskin, circumcision could simplify this process and reduce the risk of infections.

3. Consultation with a Specialist: It is highly recommended to consult with a urologist or a healthcare provider specializing in male genital health. They can perform a thorough examination and provide personalized advice based on your specific condition. They may also discuss alternative treatments, such as topical steroid creams or stretching exercises, which can sometimes help alleviate phimosis without the need for surgery.

4. Personal Preference and Cultural Considerations: Some individuals may choose circumcision for cultural, religious, or personal reasons. It is essential to weigh these factors alongside medical considerations.

In conclusion, while circumcision can be an effective solution for issues related to the foreskin, it is not always necessary. A thorough evaluation by a healthcare professional will help determine the best course of action based on your symptoms, hygiene practices, and overall health. If you are experiencing significant discomfort or complications, seeking medical advice is the best step forward.

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

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