Consulting Urology: Painful Foreskin Issues and Circumcision Considerations

I have some questions I would like to consult about?

I would like to ask, if the glans does not emerge during an erection and pulling back the foreskin causes pain, does this mean I need a circumcision? I haven't had sexual intercourse in a long time, and I am afraid to clean it because pulling back causes pain.
Is this not good?

LEON, 20~29 year old female. Ask Date: 2015/06/29

Dr. Li Xinyi reply Urology

The foreskin needs to be retracted for cleaning.
Over time, this will alleviate any discomfort.
It is not possible to determine whether a circumcision is necessary based solely on your description; a consultation and examination by a physician are required.

Reply Date: 2015/06/29

More Info

When it comes to issues related to the foreskin and potential circumcision, it's important to understand the underlying conditions that may be causing your symptoms. Based on your description, it sounds like you may be experiencing a condition known as phimosis, which is when the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, pain during erections, and difficulty maintaining proper hygiene.

Understanding Phimosis and Its Implications
Phimosis can be classified into two types: physiological and pathological. Physiological phimosis is common in young boys and usually resolves on its own as they grow older. Pathological phimosis, on the other hand, occurs when the foreskin is too tight due to scarring, inflammation, or infection, and it can lead to complications such as pain, recurrent infections, and hygiene issues.

In your case, the pain you experience when attempting to retract the foreskin suggests that it may be pathological. The fact that you have not been able to maintain proper hygiene due to the discomfort is concerning, as it can lead to further complications, including infections or inflammation (balanitis).

Circumcision Considerations
Circumcision is a surgical procedure that involves the removal of the foreskin. It is often recommended for individuals with persistent phimosis that does not respond to conservative treatments, such as topical corticosteroids or stretching exercises. Here are some considerations regarding circumcision:
1. Pain Management: If the foreskin is causing significant pain and discomfort, circumcision may provide relief and improve your quality of life.

2. Hygiene Improvement: Removing the foreskin can make it easier to maintain proper hygiene, reducing the risk of infections.

3. Consultation with a Urologist: It is crucial to consult with a urologist who can evaluate your specific situation. They may perform a physical examination and discuss your symptoms in detail to determine the best course of action.

4. Non-Surgical Options: In some cases, non-surgical options may be available, such as topical treatments or stretching exercises, which can help alleviate the symptoms of phimosis. However, these methods may not be effective for everyone.

5. Potential Risks: Like any surgical procedure, circumcision carries risks, including bleeding, infection, and complications related to anesthesia. A thorough discussion with your healthcare provider can help you weigh the benefits and risks.

Conclusion
Given your symptoms of pain and difficulty with hygiene, it is advisable to seek a consultation with a urologist as soon as possible. They can provide a comprehensive evaluation and discuss the most appropriate treatment options for your condition. If circumcision is recommended, they will explain the procedure, recovery, and any potential risks involved.

In the meantime, try to maintain as much hygiene as possible without causing pain. Avoid forcing the foreskin back if it causes discomfort, and consider using a gentle cleanser to keep the area clean. Your health and comfort are paramount, so addressing this issue promptly will help prevent further complications.

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