Is it necessary to have a circumcision for phimosis?

Patient's question:

Half a year
Detailed medical condition and consultation purpose: Phimosis, unable to retract the glans, small urethral meatus, previously undergone urethral meatus dilation but with poor results. Please ask, is a circumcision absolutely necessary? What age is most appropriate for the surgery? Are there risks and complications associated with the surgery?
Duration and course of the current illness: Noticed phimosis from birth
Current general condition: Generally well

Doctor's answer:

Penile phimosis refers to a condition where the foreskin covers the entire glans in a relaxed state, requiring surgery. This is because phimosis can lead to local moisture, with some shed skin cells and urine trapped inside, causing the production of inflammatory substances. Due to the accumulation of smegma and other debris, it can infiltrate the glans or lead to upward infections from the urethral opening, affecting the prostate, testicles, and spermatic cord, which are important male reproductive organs. It can easily trigger conditions such as balanitis, posthitis, urethritis, and prostatitis. Additionally, it reduces sexual quality. Phimosis not only affects marital relationships but also hinders development. When phimosis occurs, the development of the penis and glans is often restricted, as the growth is constrained. This can make the penis appear smaller externally. Clearly, phimosis poses significant harm to the body, so surgery is necessary.

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