Should you have a circumcision if you have excessive foreskin?

Patient's question:

I am 24 years old. I have phimosis and plan to have a circumcision surgery in the near future. Which hospital is good for this? What kind of tests need to be done before the surgery? Are there any side effects? I urgently need your help. Thank you.

Doctor's answer:

Hello, phimosis includes two types: excessive prepuce and phimosis. If excessive prepuce does not affect sexual life, surgery is not necessary. However, if phimosis causes preputial entrapment, leading to penile edema, circumcision is essential. Regardless of the type of phimosis, hygiene must be maintained. Daily cleaning with warm water and neutral soap is recommended, as neglect can easily lead to conditions like balanitis or balanoposthitis, which in severe cases may result in penile cancer.
During surgery, the front of the prepuce is almost completely closed, leaving only a small circular opening. During urination, the front of the prepuce swells like a blister, and urine is expelled through the opening. This condition is known as phimosis. Although the skin has significant elasticity, phimosis still limits penile development to some extent. Additionally, due to the narrow external orifice of phimosis, smegma cannot be easily removed, making it prone to forming round smegma stones around the glans. Therefore, surgical treatment is best performed before puberty.
For men with excessive prepuce, choosing an effective treatment method is crucial. A good treatment can help men more effectively cure excessive prepuce. Surgical treatment is the most common method for addressing excessive prepuce. This blade-cutting technique is clinically well-established, with mature surgical conditions and low costs. However, the drawback of this method is bleeding, the need for wound stitching, and postoperative scars. Men can choose the most suitable treatment method based on their actual symptoms.
Furthermore, after excessive prepuce surgery, the body may suffer certain degrees of harm. Improper postoperative recovery can also be detrimental to future physical growth. Therefore, men with excessive prepuce should ideally choose a treatment method that suits their actual condition in daily life to achieve the best therapeutic effect.

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