Circumcision may be considered as a treatment option for patients presenting with phimosis in specific circumstances, particularly when associated with underlying conditions or complications NICE CKS. For male genital lichen sclerosus, circumcision may be necessary for uncomplicated disease if symptoms do not respond to potent topical corticosteroids under specialist monitoring NICE CKS. Furthermore, complications of lichen sclerosus, such as phimosis, meatal stenosis, or urethral stricture, may require surgical circumcision, meatotomy, or urethroplasty NICE CKS. In cases of confirmed Zoon's balanitis, circumcision may also resolve lesions NICE CKS.
The provided context does not offer specific guidance on when to consider circumcision as a treatment option for paraphimosis.