When should I consider circumcision as a treatment option for patients with phimosis or paraphimosis?

Circumcision may be considered as a treatment option for patients presenting with phimosis in specific circumstances, particularly when associated with underlying conditions or complications ¹. For male genital lichen sclerosus, circumcision may be necessary for uncomplicated disease if symptoms do not respond to potent topical corticosteroids under specialist monitoring ¹. Furthermore, complications of lichen sclerosus, such as phimosis, meatal stenosis, or urethral stricture, may require surgical circumcision, meatotomy, or urethroplasty ¹. In cases of confirmed Zoon's balanitis, circumcision may also resolve lesions ¹.

The provided context does not offer specific guidance on when to consider circumcision as a treatment option for paraphimosis.