Foreskin Issues: Do You Need Circumcision?

Foreskin issues

Hello, Dr.
Hsu: I have a few questions that I would appreciate your help with.

1.
I have phimosis; is circumcision absolutely necessary? (The doctor mentioned that it would be better to have it done.)
2.
Sometimes the head of my penis appears red.
What could be the reason for this?
3.
Occasionally, the red areas look dry and white (especially when I wake up), and when I retract the foreskin, I notice there are tears.
Why is this happening?
4.
I read online that diabetes can cause issues with tearing of the foreskin.
5.
My fasting blood sugar is 85.
Does this mean I have diabetes? (I have high blood pressure, and without medication, it remains around 125.)
Thank you, doctor, for taking the time to answer my questions.

Niming, 20~29 year old female. Ask Date: 2015/11/27

Dr. Xu Weikai reply Urology

Hello,
1.
The need for surgery is determined by the condition of the foreskin.
Note: Most men do not require surgery.

2.
Inflammation.

3.
Inflammation causing epidermal damage.

4.
Diabetes, if poorly controlled, is more susceptible to infections.

5.
Blood sugar is normal.

If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is important to seek medical care at a healthcare facility.

Ministry of Health and Welfare, Taitung Hospital cares about you.

Reply Date: 2015/11/27

More Info

Hello! Thank you for your questions regarding foreskin issues. Let's address each of your concerns one by one.

1. Do you need circumcision? Circumcision is not always necessary for individuals with a foreskin. The decision to circumcise often depends on various factors, including personal preference, medical necessity, and cultural or religious beliefs. If you are experiencing recurrent issues such as infections, inflammation, or difficulty retracting the foreskin (a condition known as phimosis), your doctor may recommend circumcision as a preventive measure. However, if you are not experiencing significant problems, it may not be necessary.

2. Why is the head of the penis sometimes red? Redness of the glans (the head of the penis) can be caused by several factors, including irritation, inflammation, or infection. Common causes include poor hygiene, allergic reactions to soaps or lotions, or conditions such as balanitis, which is an inflammation of the glans. If the redness persists or is accompanied by pain, discharge, or other symptoms, it is advisable to consult a healthcare provider for a proper diagnosis and treatment.

3. What causes dry, white patches and tearing? The dry, white patches you describe could be a sign of skin irritation or a dermatological condition such as eczema or lichen sclerosus. If you are experiencing tearing when retracting the foreskin, it may indicate that the skin is too tight or that there is insufficient lubrication. This can lead to painful fissures. Maintaining proper hygiene and using a gentle moisturizer may help alleviate these symptoms. However, if the problem persists, a visit to a dermatologist or urologist is recommended.

4. Can diabetes cause foreskin tearing? Yes, diabetes can contribute to skin issues, including dryness and increased susceptibility to infections. High blood sugar levels can lead to changes in skin integrity and may impair healing. If you have diabetes, it is essential to manage your blood sugar levels effectively to minimize complications.

5. Is a fasting blood sugar of 85 mg/dL indicative of diabetes? A fasting blood sugar level of 85 mg/dL is considered normal and does not indicate diabetes. However, your concern about having blood sugar levels around 125 mg/dL after meals is noteworthy. A postprandial (after eating) blood sugar level of 125 mg/dL is on the higher side of normal and could suggest impaired glucose tolerance, especially if this occurs consistently. It is crucial to monitor your blood sugar levels regularly and consult with a healthcare provider for further evaluation, especially given your history of high blood pressure.

In summary, while circumcision can be beneficial for some individuals with foreskin issues, it is not mandatory for everyone. Redness and tearing can result from various factors, and managing any underlying conditions, such as diabetes, is essential for overall health. If you have ongoing concerns or symptoms, I recommend scheduling an appointment with a urologist or healthcare provider who can provide personalized advice and treatment options. Thank you for reaching out, and I wish you the best in your health journey!

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