Why Do Men Choose Adult Circumcision?

Adult circumcision is often misunderstood. When patients call in, they usually ask about logistics: price, recovery, insurance. But beneath those questions is something deeper:

Why are you considering this?

What outcome are you hoping to achieve?

That’s the first thing I ask any patient coming in for circumcision consultation:

“What’s motivating you?”

Because at Miami Men’s, our approach isn’t transactional. It’s intentional.

Let’s break down the most common and reasonable motivations I hear from men every day.

1. Aesthetic Preference

This is perhaps the simplest and most common reason:

A man prefers the look of a circumcised penis.

Whether it’s based on cultural norms, personal comfort, or a specific visual ideal, many men come to us seeking a sleek, clean-cut cosmetic outcome.

And with the right technique we can deliver something that looks purposeful and elevated.

2. Hygiene and Lifestyle in Humid Climates

Living in South Florida or any hot, humid climate poses unique challenges to uncircumcised men:

• Persistent moisture under the foreskin
• Fishy or musky scent despite good hygiene
• Fungal infections (balanitis or balanoposthitis)
• The need to shower before sexual activity

Many of these men are otherwise immaculate with great grooming, tailored clothing, confidence in every other aspect of their appearance. Despite their best efforts and intentions many men cannot keep up with the hygiene requirements of being uncircumcised in a humid environment.

Circumcision can offer these men a dry, neutral-smelling, low-maintenance anatomy one that supports sexual spontaneity and eliminates anxiety around intimacy.

3. Recurrent Infections

Some men seek circumcision after repeated infections, including:

• Fungal balanitis
• Balanoposthitis
• Chronic irritation or redness after sex or heat exposure

While conservative management (e.g., antifungals, hygiene routines) can help, many patients tire of the cycle.They want a definitive solution, and for them, circumcision becomes a practical, proactive choice.

4. Hypersensitivity and Misdiagnosed “Phimosis”

This is one of the more nuanced and deeply misunderstood cases we see.

Many men are told they have phimosis, but on exam, their foreskin is wide open. The real issue is hypersensitivity of the glans due to a lifetime of underexposure.

These are men who were never taught to:

• Retract the foreskin during urination
• Retract the foreskin in the shower
• Touch or stimulate the glans regularly

As a result, their glans never desensitized to touch. These men often struggle with intimacy, arousal, and even basic hygiene because every contact is uncomfortable. Circumcision, in these cases, forces a period of desensitization. These patients often have a longer, more challenging recovery however they can also be some of the happiest patients long-term.

Tailored Comfort for Sensitive Patients

These hypersensitive patients require specialized care, and we’ve designed our protocol accordingly:

During Surgery:

• Topical anesthesia on the glans before any manipulation
• Nitrous oxide for relaxation and comfort
• Precise nerve blocks for pain-free surgery

After Surgery:

• Use of non-stimulating underwear fabrics
• Application of Vaseline or Bacitracin to reduce garment friction
• Optional topical anesthetics for glans desensitization during healing

We walk these patients through every step to ensure they’re comfortable, supported, and progressing toward their goals.