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There is actually no fixed standard for an overlong foreskin in children?

202505 polyhealth_小兒外科 1200x628
2025.11.27

Many parents feel heartbroken when they hear that their child needs a circumcision. But is circumcision really necessary? And what exactly does “circumcision” mean? 

Where is the foreskin? 

The foreskin is the layer of skin that covers the glans of a male newborn's penis, serving a protective role.

 

Does a baby need circumcision?
Not all babies require it; doctors typically recommend it only for those with specific needs to avoid unnecessary surgery.

Why do children in North America often get it, and what are the benefits?
It's common there due to cultural practices and perceived health advantages, such as drying the glans to lower STI risks later in life. Parents should weigh the necessity themselves.

When is circumcision needed?

  • Urethral Infection (Urinary Inflammation)
    Due to bacterial infection between the foreskin and glans penis, after circumcision, the glans becomes drier, reducing bacterial growth and decreasing the chance of urethral inflammation by about one-tenth.
  • Recurrent balanitis
    6% of boys experience this condition. If inflammation recurs frequently, circumcision may be considered to reduce inflammation chance by half.

  • Balanitis xerotica obliterans (dry obstructive balanitis)
    This causes narrowing of the foreskin opening, leading to difficulty urinating. In this case, circumcision is the best option.

  • Foreskin ballooning during urination
    This causes blockage when urinating. If severe, surgery may be considered.

 

Pediatric surgical issues can impact a child's life long-term, so parents should promptly consult a doctor for checks if concerns arise.

 

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