Do I Need Circumcision? Sensitivity and Surgical Options

Q: Do I Need Circumcision? Sensitivity and Surgical Options

Medical Technologist： Hello, you likely have phimosis. <br>You can try to retract the foreskin gradually to help with expansion, which may prevent the need for surgery. <br>When it comes to circumcision, the length can be discussed with the surgeon; there is no standard length, a

Whether or not circumcision is necessary?

Hello Doctor: In the past, I thought I had phimosis because my foreskin did not retract naturally with age.
Over the past few months, I have gradually been able to push it back, but I feel that the opening is too small (the frenulum seems a bit short as well).
When I push slowly before an erection, I can manage to retract it almost completely after several attempts.
However, during an erection, I can only retract about two-thirds of it (sometimes, if I push for a long time, I can retract it almost fully).
The sensitivity and pain are quite overwhelming.
Do I need to undergo surgery? Additionally, after circumcision, will the glans be completely exposed, or can I have only the front part removed to enlarge the opening while still having some foreskin to protect the glans? Currently, touching the glans is extremely painful due to its sensitivity, which has led to psychological barriers preventing me from touching or pushing it.
Are there any medications that can help alleviate this sensitivity? Lastly, if I need to undergo this surgery, will it be out-of-pocket, and what is the approximate cost? (I noticed there is a significant price variation online.) Thank you.

Yijianshi, 20~29 year old female. Ask Date: 2015/11/04

Dr. Xu Weikai reply Urology

Medical Technologist: Hello, you likely have phimosis.
You can try to retract the foreskin gradually to help with expansion, which may prevent the need for surgery.
When it comes to circumcision, the length can be discussed with the surgeon; there is no standard length, as it depends on the patient's needs.
If retraction causes pain, you can apply some lotion or petroleum jelly for lubrication.
Some individuals prefer to cover half of the glans, while others like it fully exposed.
The cost of the surgery varies by hospital, so it's best to contact them directly.
National Health Insurance has specific regulations regarding circumcision, providing limited coverage, and some cases may not be covered at all.
If you have further questions, feel free to ask, and we can discuss and research together.
Online responses should only be used as a reference; it is essential to seek medical care at a healthcare facility if necessary.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/04

More Info

When considering circumcision, it's essential to understand both the medical and personal implications of the procedure. Based on your description, it seems you are experiencing some discomfort due to sensitivity and possibly a tight frenulum, which can make the foreskin difficult to retract fully, especially during an erection.

Understanding Circumcision
Circumcision is a surgical procedure that involves the removal of the foreskin, which is the fold of skin covering the glans (head) of the penis. This procedure can be performed for various reasons, including medical, cultural, or personal preferences. In your case, it appears that you may be experiencing discomfort due to sensitivity and a tight frenulum, which could indicate a condition known as phimosis if the foreskin cannot be retracted fully.

Medical Considerations
1. Sensitivity and Pain: The sensitivity you are experiencing is not uncommon, especially if the glans has been covered for a long time. Circumcision can help reduce this sensitivity by exposing the glans, which may become less sensitive over time. However, it is important to discuss this with a healthcare provider to ensure that circumcision is the right option for you.

2. Frenulum Issues: If the frenulum is too short (a condition known as frenulum breve), it can cause pain during erections and may limit the ability to retract the foreskin. In some cases, a frenuloplasty (a procedure to lengthen the frenulum) may be recommended instead of circumcision.

3. Surgical Options: If you decide to proceed with circumcision, there are different techniques available. Some procedures involve complete removal of the foreskin, while others may only involve a partial circumcision, which can leave some skin to cover the glans. This option may help maintain some level of protection while still alleviating the issues you are facing.

Post-Surgical Considerations
After circumcision, the glans will be exposed, which may initially feel sensitive. However, many men report that sensitivity decreases over time as the glans becomes accustomed to being exposed. It is also important to note that circumcision is generally a safe procedure, but like any surgery, it carries risks such as infection, bleeding, and complications from anesthesia.

Pain Management
For the sensitivity you are currently experiencing, there are topical anesthetics available that can help numb the area temporarily. Over-the-counter creams or gels containing lidocaine may provide some relief, but it is crucial to consult with a healthcare provider before using any medication to ensure it is safe and appropriate for your situation.

Cost Considerations
Regarding the cost of circumcision, it can vary widely depending on the healthcare provider, geographic location, and whether the procedure is performed in a hospital or an outpatient setting. In the United States, the cost can range from $200 to $3,000. It is advisable to check with your insurance provider to see if the procedure is covered, especially if it is deemed medically necessary.

Conclusion
Ultimately, the decision to undergo circumcision should be made after careful consideration and consultation with a qualified healthcare provider. They can assess your specific situation, discuss the potential benefits and risks, and help you determine the best course of action. If you have concerns about sensitivity or pain, addressing these issues with a healthcare professional can provide you with options for relief and guidance on whether surgery is necessary.

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