Patient's question:
Last autumn, I had a circumcision surgery at the hospital. However, to this day, the skin color from the middle of the penis to the base is normal, while the color at the front is lighter. During masturbation, I only feel a burning pain. I'm worried it might be due to excessive removal of the foreskin. Will this condition affect sexual life after marriage?Doctor's answer:
As long as the surgery goes smoothly, there will definitely be no issues. If it's not removed, it will be affected. More details.If circumcision is necessary, when is the best time to undergo the surgery? Generally, circumcision should be performed around the time of puberty and does not require general anesthesia. However, if a young boy has phimosis or excessive prepuce combined with repeated inflammation or urinary tract infections, surgical treatment to remove the prepuce should be performed at an early stage. For newborn male infants, whether to undergo circumcision is controversial and should be carefully considered, and hasty decisions should be avoided.
2. What precautions should be taken before and after circumcision? During the circumcision surgery, the doctor will administer appropriate anesthesia based on the patient's condition. To avoid nausea caused by anesthetic medication, the patient should fast for four to six hours before the surgery. After the surgery, once the anesthetic wears off, there may be mild pain and swelling at the wound. Medication should be taken regularly, and symptoms usually subside within three days. The wound typically heals within seven to ten days. Before the wound fully heals, follow the doctor's instructions and return for regular check-ups. Additionally, the wound area should be kept clean and dry. When urinating, be careful not to wet the gauze. If the gauze gets soaked with urine, remove it first and then return to the clinic for a dressing change.
After the surgery, in addition to children who undergo general anesthesia for safety reasons and require a short hospital stay for observation, most patients can resume their daily activities without hospitalization. Teenage and adult patients may experience swelling, pain, and bleeding at the wound due to penile erection after surgery. If the bleeding is mild, local cold compresses and pressure can stop it. However, if the bleeding is severe, seek immediate medical attention.
Patients can only resume sexual activity one month after the surgery.
3. If phimosis is present, surgery is definitely necessary. If there is excessive prepuce but it is very loose, and the glans can be fully exposed by hand during erection, surgery may not be necessary. Generally, this does not affect the growth of the penis.
After a boy enters puberty, the glans will produce secretions. If these are not cleaned promptly, they will naturally dry and form smegma. This can easily cause inflammation. In fact, there are very rare cases where boys, due to prolonged neglect in cleaning the penis and prepuce, develop conditions such as balanitis, preputial adhesion, and other unnecessary discomforts, which may even cause problems in future married life. The irritation caused by smegma is also one of the risk factors for penile cancer.
Therefore, boys with excessive prepuce should develop the habit of cleaning the external genital area daily with clean warm water. The method is simple: retract the prepuce and wash it with warm water, then dry it with a warm, damp towel.