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Tight foreskin

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hello doctor,
my age is 22, i am having a foreskin problem, my fore skin is so tight it doesn't come back even if pulled hard , my friends told i can't do sex like that,
now my doubts are,
1) Can i do sex safely and pleasurably or should i have a circumcision,
is it compulsory
2) What are the pros and cons if i leave it like this and what are the pros and cons if i get circumcised,
3) I heard the sex after circumcision is not pleasurable and even causes pain sometimes, is it true.

so please give me advise what should i do,

Thank You in advance

Category: Urologist

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Category: Sexually Transmitted Diseases(STD)Specialist
 30 Doctors Online

Hello,

Thank your for your consult at DoctorSpring.com.

The condition you are suffering from is known as phimosis. You can have sex even with phimosis and mot of the patents do not experience any problems. however, some may have tear of the foreskin. Tear of foreskin can happen even in those with no phimosis.

However, you should still get the phimosis operated upon. As body excretes it waste material as sweat or urine that same way penis excretes its waste material as smegma. Smegma gets collected under the foreskin and should be cleaned everyday. Prolonged exposure to smegma leads to increased chances of developing cancer of the penis later in life,. This very fact should be good enough reason for you to get operated.

There are two surgical options available to you- dorsal slit and circumcision. In dorsal slit a cut is made at the top and the foreskin becomes like open book and hence the area can be cleaned everyday.

The pros of the two procedures far outweigh the cons and hence they need to be discussed. Either of the two procedures does not affect sexual life. In fact studies have shown that circumcision leads to delayed ejaculation and hence more enjoyable sex.

Take care.

Sincerely

Dr Rajiv Goel
MS (AIIMS), MCh (AIIMS), DNB ( Uro)
Fellow, Urooncology and Robotic urology, Australia
Fellow, Laparoscopic urology, Germany


Patient replied :

Thank you doctor for the advise,

So which procedure is best in these two,
What are the pros and cons of both compared,

Suggest me which procedure to follow,


Dear sir
Both are equally good.
Dorsal slit allows you to go back to work the same day but it leaves an unusual shape on penis and there is 10 percent chance of recurrence.
Circumcision is one time solution but you are off work for 5-7 days.
Take your call
Sincerely


Patient replied :

For circumcusion
Is yhe anesthesia given to the penis, is it painfull,
What are the precautions to be taken after operation,
Thank you.


Dear Sir,

The circumcision can be done under local anesthesia as well as general anesthesia. It is not painful in either of the two. However, you may experience pain post surgery when effect if anesthesia goes away.


Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
DNB - NBE
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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