Brief Answer:
suspecting phemosis, more information needed

Detailed Answer:
Dear,
Why are you concerned about having erectile dysfunction? are you not able to maintain adequate erection for sufficient duration?
your main concern is of “circular intended area around penis", as i can understand.

Well, i may need some more information, for which my questions to you are
Are you able to retract the foreskin completely? are you able to slide the foreskin over shaft easily?
Do you feel that the opening of foreskin is constricted, and that on its retraction it tends to constrict the penile shaft?
have you ever noticed swelling of foreskin proximal to or distal to the circular indention?

Answer to these can help me to have a clearer picture of the condition. A photo of it can provide best information if possible.

I am suspecting a condition of phemosis or paraphimosis.

I request you to follow up with the information.

Regards,
Dr Pankaj

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Brief Answer:
a scar tissue

Detailed Answer:
Alright Sir, i understand that your concern is not of erectile dysfunction and it gets clear now that there is no constriction of foreskin. It was important to rule the most common condition before considering the rarer ones, especially in penile conditions where the signs and symptoms commonly overlap. Pardon me if my questions offended you in any way.
Coming to the problem, as you mention a slight circular indention without any signs of impairment or discomfort, is mostly suggestive of small scar area on the penis.
Scars in the penile tissue are extremely common to occur. There is no specific aetiology known for it, besides trauma or subtle injuries to penis are known to cause it. Most of these do tend to resolve on its own, extremely few continue to persist without progression.
The scar tissue generally results in mild deformation of the organ, which could be as a small plaque, indention, or a mild to severe curvature on penis. The condition is evident only on erection, otherwise in a flacid state it is hardly noticeable. It is known to be associated with mild pain, however pain can be absent.
Most importantly, it can normally be present in individuals and cause no impairment in sexual functioning. However in few severe cases, the scar tissue is extensive and the resulting deformity can be amounting to the levels where it causes impairment in sexual functions. It is then when a clinical intervention is indicated.
Again, the most important parameter that decides the severity is the presence of functional impairment.
The absence of any difficulties in sexual performance, as in your case, is a good prognostic indicator, and therefore there is less need to worry.

This is the best opinion that i can offer based of the available information i have, and considering the limitations of not being able to examine the condition clinically. Although, it is always suggestible to consult a general surgeon in person as nothing can substitute a proper clinical local examination.

There appears no immediate need for intervention at present. After diagnosis, asessment and confirmation of the condition, further plan can be suggested. The treatment may include such as Vitamin E supplements, anti oxidants, etc.

Hope you find my suggestion helpful.
Thank you.

Regards,
Dr Pankaj

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