Tight Foreskin - Surgery Question?

Hi people, will bulletpoint and keep it brief.

-Very tight foreskin since birth
-Can only half retract and never over the head (intentionally)
-It has gone back during intercourse but is extremely hard to get back over and this has caused dizzyness.
-due to this the head (glans) is very sensitive to touch
- the 'ring' around the penis foreskin seems to limit things..
-steroid cream hasn't really helped.

so its down to circumcision or preputioplasty??

would prefer not doing circumcision - but has anyone had the other treatment? was it effective? on paper it seems like this could cure my problems.

The issue greatly affects my self esteem and sexual confidence but I hope to be fine.