Foreskin Issues and Developmental Concerns in Young Adults - Urology

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Prepuce and Developmental Issues


At 20 years old, the foreskin covers the glans when not erect, but it can be retracted freely when erect, although it feels a bit tight at the coronal sulcus.
While masturbation provides some pleasure, you are considering a circumcision for easier hygiene.
Is there a procedure for partial circumcision? I read that it's normal for the glans to be partially exposed when flaccid, but would complete circumcision be better? Is there still room for development at 20? How should I approach a doctor for an examination, as I feel like I haven't developed or changed? Is it urgent to see a doctor?

Niming, 20~29 year old female. Ask Date: 2015/07/04

Dr. Xu Weikai reply Urology


Anonymous: It's difficult to make a judgment without examining the actual condition of the foreskin.
The decision on whether surgery is necessary can only be made after that assessment.
You can discuss the surgical methods and the extent of the resection with your physician.
If there are any unclear points, feel free to ask again, and we can further discuss and research the matter.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/04

More Info


Understanding foreskin issues and developmental concerns in young adults is an important topic that can affect both physical health and psychological well-being. At 20 years old, you are at a stage where your body is still maturing, and it's natural to have questions about your anatomy and any potential concerns regarding your foreskin.

From your description, it sounds like you have a condition known as phimosis, where the foreskin is tight and may not retract fully over the glans (the head of the penis) when erect. This is not uncommon, especially in younger males, and can lead to difficulties with hygiene, discomfort during sexual activity, or other complications.

Foreskin and Hygiene
Maintaining proper hygiene is crucial, especially if the foreskin does not retract easily. It's essential to clean underneath the foreskin regularly to prevent the buildup of smegma, which can lead to infections or other health issues. If you find it challenging to retract the foreskin, you might want to consider discussing this with a healthcare professional who can provide guidance on safe cleaning practices.


Surgical Options
Regarding your question about circumcision, there are indeed various surgical options available. A complete circumcision removes the entire foreskin, while a partial circumcision (also known as a preputioplasty) can be performed to alleviate tightness without removing the entire foreskin. The choice between these options often depends on individual circumstances, including the degree of tightness, personal preference, and any medical recommendations from your doctor.


Developmental Concerns
At 20 years old, most males have completed their physical development, but there can still be variations in individual growth patterns. If you feel that your development is not progressing as it should, it’s important to consult with a healthcare provider. They can assess your overall health and development, and if necessary, refer you to a specialist, such as a urologist, who can provide more targeted advice regarding your foreskin and any other concerns.


Preparing for a Doctor's Visit
When preparing to see a doctor, it’s helpful to be open and honest about your concerns. You can start by explaining your symptoms, how they affect your daily life, and any specific questions you have about treatment options. It might also be beneficial to write down your thoughts beforehand so you can communicate them clearly during your appointment.


Conclusion
In summary, while it’s normal to have concerns about foreskin issues and development at your age, it’s essential to seek professional medical advice. A healthcare provider can offer personalized recommendations based on your specific situation. Remember that you are not alone in this, and many young men experience similar questions and concerns. Taking the step to consult a doctor is a proactive approach to ensuring your health and well-being.

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