What is a foreskin?
It refers to a condition in which the glans (the tip of the penis) is covered by the foreskin even when the penis is erect.
The foreskin protects the tip of the penis and controls sensation. When the foreskin partially exposes the glans, it is called “pseudo foreskin”; when it completely covers the glans, it is called “true foreskin.
There are various degrees of foreskin and it generally does not cause health problems. However, individuals may be concerned about the foreskin from personal feelings, cosmetic, cleanliness, and other perspectives.
The treatment involves excising a portion of the excess foreskin and carefully suturing it. The removal of the excess foreskin improves the appearance and confidence of the patient, and can be expected to significantly improve hygiene. It also reduces the chance of contracting STDs, penile cancer, and is advantageous from a caregiver’s perspective. The surgery takes about one hour under local anesthesia, and the removed foreskin is sutured under the callus to make the scar less noticeable. The result depends considerably on the skill of the doctor.
| false foreskin | It is a condition in which the glans is covered by the foreskin under normal conditions, but the glans can be exposed by removing the foreskin by hand. Pseudo Hypophysis is generally not an abnormal condition and does not usually cause health problems because the glans can be exposed. However, if the genitals are not kept clean, the risk of inflammation and infection increases. Repeated inflammation thickens the foreskin, leading to a true foreskin, which increases the risk of developing penile cancer. [Type] ・Excess foreskin type The foreskin covers the glans too much and the glans is difficult to expose under normal conditions. ・Strangulated type The foreskin tightens around the glans, trapping part or all of the glans within the foreskin. If this condition persists, blood flow is restricted and circulatory disturbance may occur. [adverse effects] ・Cleanliness problems Since the glans remains covered by the foreskin, it is difficult to maintain cleanliness, and sebum and bacteria under the foreskin can easily accumulate. This can lead to inflammation and infection. Continued inflammation can lead to a thickening of the foreskin, which can lead to a transition to a true foreskin, and an increased risk of penile cancer. ・Sexual problems Insufficient exposure of the glans results in decreased sexual stimulation and sensation. This can cause discomfort and erectile dysfunction during intercourse. Pseudohyphae is also associated with premature and delayed ejaculation. |
| erectile foreskin | It is a condition in which the glans cannot be exposed with the use of the hand, whether during normal or erect sexual activity. Since the true foreskin cannot be peeled and washed, hygiene around the glans can easily deteriorate, and friction during sexual activity can cause severe pain. If the inflammatory condition persists, there is an increased risk of adhesions and failure to peel the foreskin, leading to the development of a fitted foreskin. [Type] ・Adhesion type The foreskin and glans adhere to each other, making it difficult for the foreskin to form a normal shape around the glans. ・Strangulated type This is a condition in which the foreskin and glans are very tightly bound. Circulatory disturbance occurs when the foreskin continues to constrict the glans. The foreskin is very narrow, making it difficult to fully expose the glans, making it difficult to keep clean and increasing the risk of infection. [Adverse effects] ・Foreskin inflammation of the glans Balanitis of the glans is a condition in which inflammation occurs between the glans and foreskin. The main causes are infection, lack of cleanliness, and sexually transmitted diseases. Symptoms include redness, swelling, itching, and pain. Prevention involves proper hygiene and contraception, while treatment involves appropriate measures based on a physician’s diagnosis and instructions. Repeated bursitis thickens the foreskin and increases the risk of developing penile cancer. ・Delayed Ejaculation/ED Delayed ejaculation is a condition in which a man takes a long time to ejaculate during sexual activity, which can be painful and difficult. ED (erectile dysfunction) is a condition in which a man is unable to obtain or maintain an adequate erection. This is a condition that interferes with sexual satisfaction. Both can be caused by psychological factors, physical illness, stress, etc. We also have ED medications available. ・Sexually transmitted diseases HPV (human papillomavirus), one of the viruses that is particularly susceptible to transmission through sexual activity, is believed to be carried at an increased rate when the foreskin remains intact. It is spread through sexual contact and can be easily transmitted to partners. When women are infected, they are at increased risk for genital cancers, particularly cervical and vulvar cancers. Cervical cancer is one of the most common cancers in women, and HPV infection is thought to be one of its primary causes. Non-genital cancers, such as pharyngeal cancer, have also been noted as a possible increased risk. Use of contraceptives, safe sexual behavior, and testing are important for prevention. ・Urinary tract infection This is a condition in which bacteria enter the urethra, causing inflammation. The cause is mainly E. coli, and failure to maintain cleanliness of the pubic area and sexual intercourse are risk factors. Keeping the area clean is important for prevention, and using condoms is also a good preventive measure. |
| intra-abdominal foreskin | The opening of the foreskin is so narrow that it cannot be turned up, and when the foreskin is pulled forcibly and the glans tries to come out, the base of the glans is constricted by the narrow opening of the foreskin. The glans becomes severely swollen and is unable to return to its original state of being covered by the foreskin. If the foreskin covers the glans for a long period of time, inflammation occurs between the foreskin and the glans, causing pain and adhesion, and if the inflammation and congestion continue for a long period of time, necrosis of the glans occurs, requiring early surgery. [Specific Symptoms] ・The foreskin covers the glans and the glans is not exposed at all. ・Adhesion of the foreskin to the glans: The foreskin is pulled onto the glans, making it difficult for the foreskin to return. ・Inflammation: Inflammation can occur when the foreskin is pulled tightly against the glans. This can cause swelling, redness, and pain. ・Discomfort: Continued adhesion of the foreskin to the glans can cause discomfort, pain, and itching. |
Here are the advantages and disadvantages of foreskin treatment.
○ Merits
1. improvement of premature ejaculation and sexual life: When the foreskin covers the glans, the glans becomes overprotected and easily overreacts to sexual stimulation, which is one of the causes of premature ejaculation. By exposing the glans through foreskin surgery, the glans becomes accustomed to stimulation and premature ejaculation is improved. As a result, you will be able to enjoy your sexual life more.
2. improved hygiene: The foreskin does not keep the glans clean enough, and bacteria, sweat, and sebum can easily accumulate, resulting in odor and debris. Exposing the glans through foreskin surgery makes it easier to keep the glans clean and prevents these problems.
3. prevention of sexually transmitted diseases: A moist environment within the foreskin promotes the growth of bacteria and viruses and can increase the risk of sexually transmitted diseases. Foreskin removal reduces the likelihood of contracting a sexually transmitted infection by exposing the glans and keeping it clean. This protects you and your partner from sexually transmitted infections.
4. convenience for caregivers: With the foreskin covering the glans, it may be difficult to wash the penis by oneself in old age. By exposing the glans through foreskin surgery, it becomes easier to wash it. This makes it easier for caregivers to maintain the cleanliness of the penis in the event that the patient requires nursing care in the future.
It is essential to seek advice from a health care professional or sex education specialist for information on treating the foreskin and preventing infections. To protect the health of self and partner, it is important not to ignore issues related to the foreskin and sexually transmitted infections, but to address them proactively.
○Disadvantages
1. Difficulty in maintaining cleanliness
Since the foreskin covers the glans, it is difficult to keep it clean, and bacteria and sebum (pubic plaque) tend to accumulate. This can lead to inflammation and infection.
2. Sexual problems
Insufficient exposure of the glans may result in decreased sexual sensation. This can cause discomfort and erectile dysfunction during sexual activity. It is also one of the causes of premature or delayed ejaculation.
3.Social pressure
Social pressure and prejudice against the foreskin can be a psychological burden.
[cost]
| Thread Lift | Foreskin treatment by thread lift to the skin + Penis thickening by collagen of thread lift | 49,800 yen (including tax) |
| Plochin Lift Trident | Three times the effect of the above | 129,800 yen (including tax) |
| Basic | The most noticeable postoperative scar and coloration. | 298,000 yen (including tax) |
| Advance | Advanced: A procedure designed to make the scar as inconspicuous as possible. | 398,000 yen (including tax) |
| PROα | For premature ejaculation; skin is placed over the back muscle to suppress sensitivity | 598,000 yen (including tax) |
| PROβ | For delayed ejaculation; for a clean appearance without changing sensitivity as much as possible | 598,000 yen (including tax) |
[Frequently Asked Questions]
- Will there be pain during the surgery?
- Prior to surgery, a local anesthetic is administered at the base of the penis. After this procedure, you will feel almost no pain. You can finish the surgery without feeling any pain. However, in rare cases, there are patients who have difficulty with the anesthesia, in which case the amount of anesthesia can be adjusted to reduce the pain even if it is difficult to administer. If you experience pain during the surgery, please feel free to tell us. We will prescribe medication to relieve pain after the surgery, so please be assured that we will continue to support you after the surgery. We also offer anesthesia beyond local anesthesia (laughing anesthesia and intravenous anesthesia), so if you feel particularly sensitive to pain, please feel free to consult with us.
- How long is the downtime after the surgery?
- Downtime varies depending on the procedure.
For hyaluronic acid injections and foreskin lengthening, there is a 2-week period of suspension of use. In the cut foreskin surgery, the excess foreskin is removed and stitched with absorbable threads (threads that naturally dissolve with water in the body or in the shower). It takes about one month on average, depending on the individual, for the threads to dissolve and the affected area to settle. During this time, there are some restrictions, such as a one-month ban on sexual activity and masturbation and a one-week ban on bathing, to avoid the risk of infection from the wound. Our nurses will explain this to you before the surgery, and we will provide you with a pdf of the clinical pass on LINE or on paper. If you follow this passage, there will be no problem. For any other inquiries, please feel free to contact us on line or by phone (e.g. photo diagnosis by a doctor).
- Do I need to have stitches removed?
- We use absorbable stitches that do not need to be removed. Surgery and treatment can be completed in a single visit. The time it takes for the absorbable threads to dissolve varies from person to person, and they will dissolve and fall out in 4 to 5 weeks. In rare cases, some of the sutures may remain, but they will always dissolve. However, if the sutures do not dissolve cleanly or sting, we will remove the sutures free of charge after about one month has passed.
- How old must I be to undergo the procedure?
- Minors can undergo the treatment, but a parental consent form is required. The treatment is also popular and available for seniors. As a reference, we have had people in their teens to 80s. If you like, please feel free to contact us on line or by phone.
- I am worried about my progress at home after the surgery.
- information on how to spend your time after the surgery, so please do not worry. We will also send you a convenient clinical path (a reference chart of how to spend the first few days after surgery, etc.) and information on how to wrap the bandage, etc. on LINE individually, so you can refer to them for a better understanding.
