Phimosis: Do You Need Circumcision? - Urology

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Questions about the foreskin?


I would like to ask the doctor, in a completely flaccid state, only one-third of my glans is exposed.
Is this a sign of phimosis? Do I need to undergo circumcision? After masturbation, I notice that the urethral opening expands; is this normal?

Zhang Ce, 20~29 year old female. Ask Date: 2015/11/13

Dr. Xu Weikai reply Urology


Zhang Ce: Hello, please cherish our online medical resources.
When asking the same question, please specify only one physician or nutritionist.
Based on your description, the length of the foreskin seems to be normal.
If you have concerns, it is still advisable to seek a diagnosis at a medical facility.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, you should still seek medical care at a healthcare institution.
The Ministry of Health and Welfare, Taitung Hospital, cares about you.

Reply Date: 2015/11/13

More Info


Phimosis is a condition where the foreskin of the penis cannot be easily retracted over the glans (the head of the penis). It can be a normal condition in infants and young children, but if it persists into adolescence or adulthood, it may require medical attention. Based on your description, it sounds like you may be experiencing a form of phimosis if only a third of the glans is visible when the penis is not erect.
In terms of whether you need circumcision, it depends on several factors. If you are experiencing discomfort, pain, or recurrent infections due to the inability to retract the foreskin, circumcision may be recommended. However, if there are no symptoms and you are not experiencing any issues with hygiene or sexual function, circumcision may not be necessary.
It's also important to note that some men with phimosis can manage the condition with conservative treatments. These may include gentle stretching exercises of the foreskin, topical steroid creams to help loosen the skin, or other non-surgical interventions. Consulting with a urologist or a healthcare provider who specializes in male reproductive health can provide you with personalized advice based on your specific situation.

Regarding your observation that the urethral opening expands after masturbation, this is generally normal. The urethra is a flexible tube, and during sexual arousal or stimulation, it can appear to open wider. This is a physiological response and is not typically a cause for concern unless you experience pain, bleeding, or other unusual symptoms.

In summary, whether or not you need circumcision for phimosis depends on your symptoms and personal circumstances. If you are unsure or have concerns, it is advisable to seek a consultation with a healthcare professional who can provide a thorough examination and discuss the best options for your situation. Remember, maintaining good hygiene and monitoring any changes in your condition is essential for your overall health.

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