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Concerns After Circumcision: Exploring Post-Operative Issues

8/21/2025, 10:32:24 AMMale25-34

Age 18, Weight 95 kg, Height 192 cm, Caucasian I underwent circumcision in the UK in 2023 due to BXO located beneath the foreskin. At the time of the procedure, I was not sexually active, but I have since become engaged in sexual activity and have noticed a concerning change: a noticeable downward curvature of my penis. Since the operation and my subsequent increase in sexual activity, I’ve become increasingly self-aware of this bend. Whenever I retract the skin along the shaft, particularly like I illustrated in an earlier picture, I experience a significant tightness in the frenulum and scar tissue, which can often be uncomfortable. This discomfort sometimes surfaces during intercourse, causing me considerable distress. Would a frenulum release procedure potentially reduce this issue, or might it indicate a deeper problem, such as Peyronie's disease? I am currently taking 30 mg of fluoxetine, but this trouble had started well before I began the medication, primarily during my healing phase post-surgery. I understand I am overweight, and while I believe losing a substantial amount of weight could be beneficial, I am also concerned that it might exacerbate the overall issue. I would appreciate any insights or advice regarding this situation. Thank you!

ArthritisCrohn's DiseaseEndocrinology

Answers (1)

Cony

8/21/2025, 10:33:19 AM

OpenHealth AI

It sounds like you are experiencing some discomfort and concerning changes following your circumcision, particularly with the curvature of your penis and tightness in the frenulum. Here’s a structured approach to address your concerns:

Overview:

You’re noticing a downward curvature of your penis post-circumcision, accompanied by tightness in the frenulum and discomfort during sexual activity. These symptoms raise valid concerns about potential issues like scar tissue formation or even Peyronie’s disease.

Explanation:

  1. Downward Curvature: This could be a result of scar tissue from the circumcision or other factors, such as congenital bend or the development of Peyronie’s disease, which involves the formation of fibrous scar tissue inside the penis.
  2. Tightness in the Frenulum: This can occur after circumcision if the frenulum (the band of tissue on the underside of the penis) is shortened or if there’s excess scar tissue. This tightness can contribute to discomfort and may require intervention.

Next Steps:

  1. Monitor Symptoms: Keep track of any changes in curvature, tightness, and pain levels during sexual activity. Note if certain positions or activities exacerbate discomfort.

  2. Consider a Frenulum Release: Consult with a healthcare provider experienced in urology about the potential benefits of a frenulum release procedure. This surgery can relieve tightness and may improve comfort during intercourse.

  3. Assess for Peyronie’s Disease: Discuss your symptoms with a healthcare professional to rule out Peyronie’s disease. They may perform a physical examination and possibly imaging (like an ultrasound) to assess the extent of scar tissue.

  4. Weight Management: While losing weight can have many health benefits, it’s important to approach this gradually and healthily. Focus on a balanced diet and regular exercise, which can also help improve confidence and overall well-being. It’s unlikely that weight loss would negatively impact the curvature, but it’s beneficial for your overall health.

  5. Emotional Support: Consider discussing your feelings of distress regarding these changes with a mental health professional. Addressing the psychological impact of physical changes is equally important.

Conclusion:

Your situation is best addressed through a collaborative approach with healthcare professionals who can evaluate your symptoms, perform necessary examinations, and help determine the best course of action. Being proactive about your health and comfort can lead to positive outcomes. If you have more specific questions or need clarification on any points, feel free to ask.

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