Phimosis: Do You Need Surgery for Tight Foreskin?

I'm not sure if I have phimosis?

Hello doctor, I am currently a virgin.
When I am not erect, I can normally retract the foreskin behind the glans, but when I am erect, I feel a bit of tightness.
Should I consider surgery for this?

Dan Dan de Ai Shang, 20~29 year old female. Ask Date: 2016/03/11

Dr. Xu Wencang reply Urology

If you are experiencing discomfort, you may consider a circumcision.
You can visit an outpatient clinic for a physician's evaluation.

Reply Date: 2016/03/11

More Info

Phimosis is a condition characterized by the inability to retract the foreskin over the glans (the head of the penis). It can be classified into two types: physiological phimosis, which is common in infants and usually resolves on its own as the child grows, and pathological phimosis, which occurs when the foreskin cannot be retracted due to scarring, inflammation, or other issues.

In your case, since you mentioned that you can retract the foreskin when not erect but experience discomfort during an erection, it suggests that you may have a mild form of phimosis. This is not uncommon, and many men experience some degree of tightness in the foreskin during an erection. Here are some considerations regarding your situation:
1. Symptoms and Discomfort: If the tightness you feel during an erection is mild and does not cause significant pain or discomfort, it may not require surgical intervention. However, if you experience pain, difficulty urinating, or recurrent infections, it would be advisable to seek medical advice.

2. Non-Surgical Options: Before considering surgery, there are non-surgical options that you might explore. These include gentle stretching exercises of the foreskin, which can help increase its elasticity over time. Topical corticosteroids may also be prescribed by a healthcare provider to reduce inflammation and facilitate stretching.

3. Surgical Options: If non-surgical methods do not alleviate the symptoms or if you have recurrent issues, surgical options may be considered. The most common surgical procedure for phimosis is circumcision, which involves the removal of the foreskin. Another option is preputioplasty, which is a less invasive procedure that involves widening the opening of the foreskin without complete removal. The choice between these options depends on your specific circumstances and preferences.

4. Consultation with a Specialist: It is essential to consult with a urologist or a healthcare provider who specializes in male reproductive health. They can perform a thorough examination, discuss your symptoms in detail, and recommend the most appropriate course of action based on your individual case.

5. Potential Risks of Surgery: If surgery is deemed necessary, it is important to understand the potential risks involved, such as bleeding, infection, and changes in sensitivity. Discuss these risks with your healthcare provider to make an informed decision.

6. Psychological Considerations: Being a virgin and experiencing concerns about your genital health can lead to anxiety. It’s important to address these feelings and seek support if needed. Open communication with a healthcare provider can help alleviate concerns and provide reassurance.

In summary, while your current symptoms may not necessitate immediate surgical intervention, it is crucial to monitor your situation closely. If discomfort persists or worsens, or if you have any concerns about your sexual health, do not hesitate to seek professional medical advice. A urologist can provide tailored recommendations based on a comprehensive evaluation of your condition.

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