“Is Surgery Really Necessary?” We’ll Answer Your Question Honestly, as Experts.
“I might have phimosis, but do I really need surgery?” “My friends said they had surgery, but do I need to get it too?” “I hear about the benefits of surgery, but what are the real downsides and risks?”
When you’re concerned about the condition of your penis and foreskin surgery becomes a real option, many people probably face these kinds of questions and uncertainties. Especially in cases of pseudo-phimosis, where you don’t experience significant pain or difficulty urinating in daily life, it’s very natural to deeply question, “Is it really necessary to go through with surgery?”
In this article, a specialized clinic that deals with the concerns of many men every day will thoroughly explain the pros and cons of considering surgery, addressing your questions and anxieties.
Furthermore, we at Iroha Beauty Clinic in Shinsaibashi, Osaka, will specifically discuss how we can support you in finding the best path forward for your concerns (including cases where phimosis is combined with other issues like size or length). This includes not only phimosis treatment but also glans augmentation, penile lengthening surgery, and even our unique approach, “Root Peeling,” as advanced options.
We hope this article serves as a reliable guide for you to make the best decision for yourself.
1. From a Medical Perspective: When Is Surgery Recommended?
Let’s explain the situations in which phimosis surgery is recommended or considered necessary from a medical standpoint. If your condition falls into these categories, the health and functional benefits of undergoing surgery generally outweigh the disadvantages and risks.
True Phimosis (Shinsei Hokei)
True phimosis is a condition where the opening at the tip of the foreskin (preputial orifice) is narrow, preventing the glans from being exposed at all, whether flaccid or erect. This condition not only presents a cosmetic issue but also tends to cause hygiene problems. Dirt and smegma easily accumulate between the glans and foreskin, leading to unpleasant odors or frequent recurrences of inflammation called balanoposthitis due to bacterial growth. Pain and itching from inflammation can diminish your quality of daily life.
Paraphimosis and High-Risk Conditions
Paraphimosis is an urgent condition where the narrow foreskin is forcibly retracted but then gets stuck and constricts the penis. This causes severe pain and swelling, and if left untreated, there’s a risk of tissue necrosis due to impaired blood flow. For individuals who have experienced symptoms of paraphimosis, or even those with pseudo-phimosis but a very narrow foreskin opening that could easily lead to paraphimosis, surgery is strongly recommended to prevent recurrence.
Recurring Balanoposthitis
Even with pseudo-phimosis, you might experience frequent recurrences of balanoposthitis due to factors like easy accumulation of dirt between the glans and foreskin. Even if temporarily cured with antibiotics, the fundamental cause (the foreskin covering the glans) remains unresolved, making recurrence likely. Repeated inflammation can also cause the skin to harden or further narrow the foreskin opening. In such cases, surgery is an effective option for improving hygiene and preventing recurrent inflammation.
If you feel your condition falls into any of these categories or is similar, we recommend consulting a specialist to discuss the necessity of surgery in detail.
2. Surgery as a Choice: Considering the Pros and Cons for Pseudo-Phimosis
What about pseudo-phimosis, where surgery is not necessarily medically required? Pseudo-phimosis refers to a condition where the glans is often covered by the foreskin when flaccid, but can be exposed without issue during erection or with manual retraction, and there are no problems like pain or inflammation.
In this case, the decision to undergo surgery is entirely up to you. It becomes a matter of “values” – how you perceive your own condition and what you want to do about it – rather than medical “necessity.” Let’s examine the “benefits” of undergoing surgery and the “disadvantages” and “risks” to consider in detail here.
【Potential Benefits: What You Might Gain from Surgery】
Significant Improvement in Hygiene and Resulting Peace of Mind
With the glans constantly exposed, there’s no place for smegma to accumulate, making cleaning much easier. Simplified daily care and easier maintenance of cleanliness reduce worries about odor, leading to mental peace of mind. This directly contributes to daily comfort and an improved QOL (Quality of Life).
Appearance Change and Resolution of Complexes
Many individuals desire to resolve the “covered” state, achieving a cleaner, more mature appearance. If you’ve felt self-conscious about the appearance of your phimosis for years, eliminating this source of worry can bring significant mental liberation and potentially boost your self-esteem. You might feel more confident in hot springs, in public, or in front of a partner.
Potential Impact on Sexual Life
Some individuals feel that resolving hygiene and appearance complexes lowers psychological barriers to sexual activity, allowing them to enjoy it more positively and actively. Regarding the commonly mentioned “premature ejaculation improvement effect,” while it’s not impossible for glans sensitivity to change as it gets used to stimulation, medical evidence is scarce and individual differences are very large, so this should not be the primary objective.
【Disadvantages and Risks to Consider: What You Should Know Before Surgery】
The Reality of Being a Surgical Procedure and Associated Risks
Foreskin surgery is a relatively minimally invasive procedure, but it is still a surgical procedure involving a scalpel. Therefore, common surgical risks such as bleeding, infection, post-operative pain and swelling, and allergic reactions to anesthesia are not zero. Additionally, there is a downtime after surgery, during which activities like bathing, exercise, and sexual intercourse will be restricted for a certain period.
Cost (Often Elective Treatment)
Especially for the treatment of pseudo-phimosis or when prioritizing cosmetic results, the procedure is usually considered elective (not covered by health insurance). This means the entire cost of the treatment is self-funded and is not inexpensive. It’s crucial for you to determine if the value justifies the cost.
Possibility of Sensation Changes
As the foreskin is removed, the glans is constantly exposed to external stimulation, which can lead to changes in sensation. You might feel overly sensitive until you get used to it, or conversely, feel a diminished sensation, which could very rarely have an unexpected impact on your sexual life. However, it’s generally normal for sensation to gradually adapt over time.
Irreversible Nature
Once the foreskin is removed, it cannot be restored. That’s why the decision to undergo surgery requires carefully weighing these benefits and disadvantages.
Instead of focusing solely on cost, you need to consider comprehensively whether the clinic is trustworthy, whether the procedure’s content will leave you with no regrets in the future, and whether it can resolve the root cause of your complex.
3. Not Just Phimosis? Addressing Your Concerns Holistically
We’ve delved deep into concerns about phimosis, but perhaps you’re experiencing other concerns simultaneously. For example, “I’m concerned about phimosis, but I’d also like the glans to be a bit larger…” or “I wonder if anything can be done about the visible length when flaccid…”
At Iroha Beauty Clinic, we aim to comprehensively address men’s delicate concerns. In addition to phimosis treatment, we also specialize in procedures like glans augmentation (aiming for natural volume increase with hyaluronic acid injections, etc.) and penile lengthening surgery (improving buried penis to increase visible length).
Our Unique Approach: About “Root Peeling”
Especially regarding penile lengthening surgery, in addition to traditional methods like deep traction and ligament incision that aim to increase length when flaccid, we also offer our clinic’s unique approach called Root Peeling, which is expected to increase both flaccid and erect length. For those seeking more fundamental improvement, we offer the unique Root Peeling approach as an option.
This is a specialized technique based on our clinic’s unique philosophy of working on the “fascia” that is believed to limit penile length and thickness. Through this approach, we believe we can maximize the inherent potential of your penis, not only in terms of visible length when flaccid but also in its erect length and overall thickness.
(※However, the manifestation and degree of effects vary greatly from person to person, and we cannot guarantee that the same results will be obtained for everyone. Also, it may not be applicable depending on past phimosis surgery history. We will explain the details tailored to your condition during the consultation.)
If you have multiple concerns, please share all of them with us during counseling. We will understand the complete picture of your concerns and work with you to find the best solution, including the possibility of combining foreskin surgery with other treatments.
4. What’s Your “Necessity” and “Answer”? Find It Through Dialogue with an Expert.
The ultimate answer to the question, “Is phimosis surgery really necessary?” can only be found within yourself. Except in cases of high medical necessity, it’s a decision you make based on your own values, weighing the benefits against the disadvantages.
In making that important decision, nothing is more reliable than an honest and thorough dialogue with a trusted expert.
At Iroha Beauty Clinic Shinsaibashi, our counseling begins by listening to your voice. We’ll listen to all your concerns, your expectations for surgery, and your anxieties. After hearing everything, our doctor will accurately examine the condition of your penis. Then, from an expert’s standpoint, we will objectively and “honestly” provide information such as, “In your case, this is what we consider medically,” “If you have surgery, you can expect these benefits, but there are also these risks,” and “The cost will be approximately this much.”
We will fully support you so that you can understand all the information and make a decision that genuinely satisfies you, based on your own values. Please rest assured that we will take the time to carefully attend to those who visit us from afar, such as Kobe, Wakayama Prefecture, and Kyoto Prefecture.
5. Ongoing, Reassuring Support After Surgery: Our Responsibility
If you decide to undergo surgery, our responsibility extends beyond simply completing the surgery successfully. We believe it’s about diligently monitoring your recovery process and continuing to support you until you genuinely feel, “I’m glad I had the treatment.”
Of course, the surgical outcome is important, but our goal is also for your recovery to be smooth and for you to truly feel, “I’m glad I had it done.” We believe that treatment is only complete after thorough aftercare. We will fully support you with any questions about post-operative care or anxieties during recovery, no matter what they are, until the very end. You can confidently rely on us for scar progression, daily life precautions, and even in the unlikely event of complications.
Make an Informed Step Towards the Future: We Respect Your Choice.
Foreskin surgery, for those who need it, can bring significant benefits in terms of hygiene, function, and mental well-being. However, it’s not essential for everyone.
Considering the benefits and disadvantages, risks and costs, and your own values comprehensively, and discussing thoroughly with a trusted expert – the decision you make through this process will be the best “answer” for you.
At Iroha Beauty Clinic Shinsaibashi, we promise honest information and warm support for this journey. As a clinic that offers a wide range of options, including not only phimosis treatment but also glans augmentation and penile lengthening surgery (including Root Peeling), and can comprehensively address your concerns, we look forward to your consultation.
If you are in Osaka City, Kobe City, or other areas in the Kansai region, including Wakayama Prefecture and Kyoto Prefecture, and you are interested in hearing an expert’s opinion on the necessity of phimosis surgery or other penile concerns, please consider visiting us for a consultation.
We hope to accompany you in addressing your concerns, making an informed decision, and stepping forward into a more confident future.
▼ For more details, please visit the official website of Iroha Beauty Clinic.
