What is a Circumcision?

Foreskin circumcision refers to the removal of the excess foreskin on the penis to expose the head of the penis. It is an effective treatment for phimosis and foreskin which is too long and prevents complications. It is a small operation for the treatment of foreskin phimosis. About 20 to 30 minutes, hospitalization is generally not needed, and the risk of surgery is small. There are many methods of circumcision, the most commonly used is the circumcision of the inner and outer plates of the foreskin, followed by the circumcision of the inner and outer plates. It is an open surgery. The purpose of the surgery is to completely expose the penis head through surgery, so that it will not cause infection due to leaving dead ends.

Circumcision

Patients who are complicated by foreskin and penile cephalitis are not suitable for surgery for the time being. They must wait until the inflammation subsides before surgery.

1. On the eve of surgery and on the day of surgery, patients were instructed to clean the area. clean

Subcutaneous and lateral sides of the penis root

1. Posture supine position.

2. Cleaning and disinfection Wash the part with soapy water and saline, and sterilize with 1: 1000 Xinjieer disinfectant; the phimosis person will inject the Xinjieer disinfectant into the foreskin sac with a syringe to cut the needle.

Clamp up the dorsal foreskin with a hemostat Peel with a slotted probe

1. In circumcision, the stump of the blood vessel between the inner and outer plates is often retracted proximally and must be found and ligated, otherwise a large hematoma can be formed.

2. Do not cut the foreskin too much, so as not to cause painful penile erection. Generally the foreskin inner plate should be cut to a distance of about 0.5 cm from the coronary sulcus. Do not leave too little lace.

1. Take sedatives or estrogen (under the guidance of a doctor) before bedtime within 3 to 4 days after surgery to prevent penile erections (inform patients that they can properly stimulate the brain's inhibitory excitement through the glans pain) to avoid causing pain And bleeding.

2. Avoid getting wet the dressing when urinating after surgery.

Edema in the short term after foreskin may be due to the following reasons:

1. It was surgically cut off the superficial part of the venous blood vessels, resulting in

Causes of rubber swelling after circumcision:

1. (1) Venous reflux is blocked after circumcision, and pressure bandaging is not performed as soon as possible after operation. Refractory edema develops over time ( 2-3 months ).

(2) No prevention after circumcision

After the foreskin surgery, the suture can be removed in about one week, recovered in about 20 days, and the same room in about a month. However, the recovery time cannot be generalized, and it should be viewed in terms of its own recovery.

Many people worry that it will affect after surgery

Foreskin circumcision should be performed in the following cases:

1. Fibrous narrow ring in the foreskin;

2, recurrent penis head

1. After the operation, except for the children under general anesthesia, in order to take care of safety, they need to be hospitalized for a short period of time. Generally, patients can still perform daily work without hospitalization.

1. Cause foreskin inflammation: Foreskin's own secretions have bactericidal components, but because of the humid and warm environment of the foreskin cavity, bacteria can multiply more easily here. If the growth of bacteria exceeds the self-cleansing function of the foreskin, inflammation of the foreskin may occur. There are many secretory glands on the inner foreskin. The secretions can play a lubricating role. The accumulation of secretions can not be cleaned and removed normally, which will also facilitate the reproduction of bacteria and cause inflammation of the foreskin.

2. Affecting penile development: causing sexual dissonance: affecting the growth and development of the penis. In adolescence, because the penis head is tightly covered by the foreskin, it cannot get the proper stimulation from the outside. The diameter of the crown of the penis head after maturity is significantly smaller, which affects sexual pleasure. Adults may affect their normal sexual life due to the long foreskin or phimosis. Especially for men whose foreskin is too small in size, the foreskin can not be turned upwards. The foreskin is firmly stuck in the coronal sulcus. In severe cases, the glans may edema due to poor blood flow, and may even cause glans necrosis.

3, leading to penile inflammation: the foreskin is rich in sebaceous glands, which can secrete a large amount of sebum. When the phimosis or foreskin is too long, the secretions of the endothelial glands of the foreskin cannot be discharged, and the sediment in the sebum and urine synthesizes a cheese-like peculiar "foreskin". Foreskin scale is suitable for bacterial growth, so it can cause inflammation of the penis head and foreskin. Pathogens can also cause urinary tract infections through the urethra. Inflammation that occurs at the urethral orifice can cause narrowing of the urethral orifice after healing, making it difficult to urinate.

4. It may even cause cancer: the foreskin is too long and the phimosis may induce penile cancer. Foreskin scale is a carcinogen, 85% -95% of patients with penile cancer are phimosis or the foreskin is too long.

5, premature ejaculation: the phenomenon of excessively long foreskin can easily lead to premature ejaculation, because the phenomenon of too long foreskin can cause the glans to be very sensitive, it will be easy to ejaculate during sexual life, such a long time will lead to the occurrence of premature ejaculation, Affect men's sexual life and cause great psychological pressure on men.

When does circumcision work best?

When to choose foreskin circumcision depends on the condition. appear

Foreskin circumcision is a small surgical operation, usually performed in a small operating room in a hospital outpatient department, and can be returned home after surgery without hospitalization. Many men are already aware of the dangers of phimosis or long foreskins and are preparing to go to the hospital for circumcision. However, because they do not understand the situation of this operation and listen to rumors from others, they have raised various concerns, such as whether the surgery is unbearable Whether postoperatively will affect the erectile function of the penis; whether postoperative sexual life is affected, etc. In fact, these concerns are unnecessary.

Foreskin circumcision has a certain standard for the length of the foreskin that is removed. Generally, the foreskin is removed in a circular manner to a distance of 0.5-0.8 cm from the coronary sulcus of the penis. If there are no complications such as infection and bleeding after the operation, and the wound heals well, the suture can be removed within 7 days. It can be seen that foreskin circumcision does not have any danger, and there will be no sequelae. Various doubts are unnecessary.

Although foreskin circumcision is very simple and painless, there may be some adverse consequences if you do not pay attention before and after the operation. So, what issues should we pay attention to before and after circumcision?

Eliminate tension: Because the wound may be a little uncomfortable in the first few days after surgery, some people worry

1) Technical principle

Traditional circumcision is performed under anesthesia, using surgical methods to make longitudinal incisions on both sides of the dorsal center of the foreskin, starting from the incision, stopping at the foreskin band, and respectively removing the extra skin in a circular manner, so that the original is too long and wrapped The foreskin of the penis returns to its normal length.

2) Adaptation and contraindications

Adapt to the crowd:

a. The foreskin is too long and the foreskin is small. Although it can be flipped, it is easy to cause incarcerated phimosis.

b. Foreskin is too long, recurrence of foreskin and penile inflammation, and acute infection has been controlled.

c. Foreskin benign tumors.

Contraindications: Patients who are complicated by foreskin and penile cephalitis are temporarily unsuitable for surgery. They must wait until the inflammation subsides before surgery.

3) Technical methods

Mark the skin at the coronary sulcus before surgery and mark it in a V shape on the ventral side opposite the lacing.

In a supine position, adults need to shave their pubic hair.

Anesthesia: Local anesthesia of the penis is essential. Most children are given local anesthesia under general anesthesia.

Use two small straight forceps to clamp the skin on both sides of the back of the foreskin and lift it gently. Cut the foreskin longitudinally in the middle of the two forceps to the mark on the dorsal side of the penis.

Then use a small straight forceps to clamp the foreskin at the lace and remove the extra skin in a circular shape along the marked line.

Hemostasis by electrocoagulation, can absorb the inner and outer panels of the mattress suture.

Gauze is appropriately pressure-wrapped.

4) Risks and complications

Infection: Inflammation of the foreskin and penis head is not effectively controlled before operation. People with incarcerated phimosis have mistakenly performed foreskin circumcision, not paying attention to aseptic operation or rough surgical operation, and contaminated wounds with urine after operation can cause incision infection. Seek medical treatment immediately after an infection.

Hemorrhage and hematoma: mostly due to incomplete hemostasis during surgery or loosening of ligature. It often occurs in the superficial dorsal veins and foreskin lacing. Bleeding from the superficial penile vein is easy to form a hematoma. Hemorrhage at the foreskin is often caused by blood flowing out of the wound, and hematoma can also form under the skin. Small hematomas can be rested in bed, followed by a local cold 2-3 days as prescribed by the doctor, and antibacterial drugs should be used to prevent infection; large hematomas should immediately seek treatment from a doctor.

Improper foreskin resection: Excessive foreskin resection will affect penile erection after surgery, and severe cases can be corrected by skin graft. The foreskin is removed too little, and the foreskin still covers the penis head after surgery. If the patient is still not satisfied with the reversal or recurrent infection, circumcision should be performed again.

Foreskin lace edema: The skin of the foreskin lace is left too much, the bandage is too tight, and it is caused by standing or walking too long on the day after the operation. Foreskin lace edema occurs, you need to see a doctor for treatment in time.

7) Treatment course and recovery time

Under normal circumstances, the line can be removed in 7-10 days, recovered in about 20 days, and the same room in about a month. But the specific recovery time depends on each person's own circumstances.

5) Precautions

Precautions

a. Wash the area on the eve of the operation and on the day of the operation.

b. Those who are complicated by foreskin and penile cephalitis should be treated in advance, and surgery should be performed after the inflammation subsides.

c. Wash the vulva and foreskin. Foreskins who are too old should flip the foreskin and wash to remove ashes as possible. Those who phimosis need to rinse thoroughly.

d. Shave pubic hair 1 day before or on the day of surgery.

Postoperative precautions

a. Within three months after circumcision, try to avoid walking, cycling, sexual stimulation and fantasy, etc., to avoid wound healing due to repeated penile erections.

b. Keep the perineum clean. Part of the patient's foreskin may feel uncomfortable after surgery. Scratching should be forbidden. After washing the urine, it should be cleaned to prevent local contamination.

c. Do not urinate and avoid repetitive erection of the penis to prevent wound healing.

d. You can take appropriate sedatives before going to bed within 2 to 3 days after surgery. Oral estrogen can be taken orally for a short period of time to prevent penile erections from causing pain and bleeding.