Even after penile circumcision there are a lot of unrequired skin. Kindly help.

Hello doctor,

I am 37-years-old male with a height of 5.8 inches and a weight of 260 pounds. I was circumcised at birth. But now, my penis has all the characters of an uncircumcised penis. It produces smegma, odor, and sometimes yeast infections. I am embarrassed about it, and hence I have not asked this to a physician during an in-person appointment. I want to share some photos of my genitals so the doctor can see what I am referring to. I have questions about hygiene and care and whether it is possible to improve the appearance through any known medical procedure.

Kindly help.

Hello doctor,

Thanks for the response.

I have attached a few photos of my penis and foreskin. Let me know if you need a different angle or something.

Thanks again.

Hello doctor,

Thanks for the reply.

My foreskin looks like shaft skin. I am worried that a second circumcision will result in the shortening of my penis. If I push on the pubic fat pad, my penis looks circumcised. Do you think I could get a pubic lift? I think that will leave the glans uncovered, which will help with the smell and smegma. Sorry for these questions about my penis, but I have no one to ask. I have attached a few photos to see what I mean by the shaft skin on my penis. And please let me know if a pubic lift will help.

Thanks.

Hello doctor,

Thanks for the reply.

I was wondering if the liposuction of the fat pad and a pubic lift would solve the problem. I am not sure if circumcision will help because it looks like shaft skin that is folding over. I think it is shaft skin because the skin is much thicker than typical foreskin, which means that the foreskin retracts, but it does not stay retracted unless I hold it. Also, I am considering foreskin restoration, which is a natural process of regenerating the foreskin. I feel that my penis is in between a circumcised and uncircumcised penis. If I circumcise again, I am afraid of shortening the penis. Do you have any thoughts or concerns about that? Have you ever seen a penis like mine? In your medical opinion, does my penis look uncircumcised or circumcised with a lot of extra skin? I have attached a few more photos. I am somewhat embarrassed to show my penis to a physician in person. This service helps tremendously. Any insight you can provide is helpful and appreciated.

Thanks.

Thank you doctor,

Good to connect with you. I found it helpful. I just wanted to follow up with some additional questions and thoughts. I believe in the message said by you. You said that it is normal to experience some itching and irritation occasionally because of the foreskin. I wanted to make sure whether it remained normal. I went camping over a weekend and could not get a proper shower. As a result, my glans and inner foreskin became more reddish or pink than usual, and my frenulum became firm (like a seed) and tender. Is that also a normal reaction with uncircumcised men? Whenever I get an itch or a minor irritation, Clotrimazole 2% vaginal cream seems to work. Do you have any other pharmaceutical recommendations for both minor and significant irritation (as described above)? I have attached photos of my frenulum and inner foreskin so you can see the areas that become red and irritated. I also used a marker to mark the foreskin so that you could see. If you look at the pictures and see the markings, would you still recommend circumcision? If so, do you still recommend an entire or minor (touch-up) circumcision procedure? I am going to make appointments for in-person consultations. A urologist would perform the circumcision, correct? or a general surgeon? Thanks so much for your time. I appreciate it.