How should the treatment for phimosis be carried out to be effective?

Patient's question:

I am 26 years old and have symptoms of phimosis or paraphimosis (I don't know how to distinguish between them). After erection, only a small part of the glans is exposed, and it is also difficult to pull it up with my hands. When I am in bed with my girlfriend, I don't feel any pleasure. I can't figure out whether it's phimosis or paraphimosis.

Doctor's answer:

Circumcision surgery can be performed not only by traditional blade cutting but also by laser excision. However, the actual effects are quite similar, with the laser method possibly causing less bleeding. The most common surgical approach is circumcision, which is considered a minor procedure in clinical practice and can be performed with local anesthesia. The surgery typically takes only 15 to 30 minutes, and there is no need for hospitalization—patients can leave immediately after treatment. However, at least oral antibiotics should be taken to prevent infection. Postoperatively, there may be mild pain and swelling at the wound site. Pain relievers and anti-erection medication should be taken regularly, and the wound usually heals within 7 to 10 days.

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