The pigmentation of the epidermal tissue of the penile shaft is often different from that of the mucosal tissue of the glans and inner foreskin. In the intact penis, only the epidermal tissue of the penile shaft and outer foreskin are visible. The pigmentation of this tissue is usually consistent. Only when the foreskin is retracted, and the glans is exposed, does any pigmentation difference become noticeable
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In a circumcised penis, any difference in pigmentation (between the epidermal tissue and that of the mucosal tissue of the glans and remaining inner foreskin) is readily and permanently visible. Stark contrasts in skin tone can be a source of embarrassment and self-esteem issues for some circumcised males.
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