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Why Circumcision is Performed

Neurologist
  • Published:
    01 August 2022
  • Updated:
    14 November 2024
Circumcision

Male foreskin circumcision is the surgical removal of the skin fold on the glans of the penis. This procedure is possible for all ages.

Circumcision Procedure: Indications

In this article, we will walk through the medical aspects of circumcision and determine primary indications for surgery. Following diseases, such as phimosis, paraphimosis, cicatricial phimosis, prevention of erotica balanitis complications, penile glans and foreskin papilloma, and premature ejaculation command circumcision procedure. 

  • Phimosis is a physiological narrowing of the external foreskin opening, which prevents the glans from being fully opened. This prevents proper cleansing of the glans of the penis, which can cause inflammation. The disease can sometimes disappear on its own by the age of three, so the early age phimosis is non-treated surgically.
  • Paraphimosis is a narrow circle of a long foreskin, which squeezes the glans of the penis, which can cause its necrosis.
  • Cicatricial phimosis happens when the external opening of the foreskin becomes thickened or narrowed due to the formation of a scar, leading to bladder, kidney, and sexual problems. The cause can be a result of chronic inflammation (balanoposthitis) or trauma. 
  • Xerotica balanitis is a dryness accompanied by whitish patches on the surface of the glans. The skin starts to peel with possible burning and itching sensations.

If conservative treatment of premature ejaculation is ineffective, this could be a recommendation for circumcision.

Pros of Circumcision

  • After the procedure, a decrease in the sensitivity of the glans can be noticed, resulting in longer intercourse.
  • Decreases the risk of genitourinary diseases and penile cancer.
  • Decreases the chances of contracting STDs.

Cons of Circumcision

  • The risk of trauma to the penis.
  • Due to proximity to the anus, there is a certain risk of pathogenic bacteria getting into the wound.
  • Excessive removal of the foreskin may cause extreme skin tension and deformation of the penis.
Sources

Circumcision (https://www.ncbi.nlm.nih.gov/books/NBK535436/), 2024 Jan-. Accessed 19 Sep. 2024.

Medical aspects of male circumcision (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2128632/), BMJ. 2007 Dec 8; 335(7631): 1206–1209. Accessed 19 Sep. 2024.

Prepuce: Phimosis, Paraphimosis, and Circumcision (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719994/), ScientificWorldJournal. 2011; 11: 289–301. Accessed 19 Sep. 2024.

Effects of Adult Male Circumcision on Premature Ejaculation: Results from a Prospective Study in China (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324807/), Biomed Res Int. 2015; 2015: 417846. Accessed 19 Sep. 2024.


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