Circumcision is an operation to remove excess foreskin for patients with long foreskin and circumcision. The main purpose is to prevent the production of foreskin scale, as well as the occurrence of glansitis of the foreskin, and also to improve and help the quality of sexual life. The advantages of circumcision, which is a minimally invasive and painless method, are that it is less painful, quicker to recover and does not affect work and study.
I. Circumcision procedure
1.Appointment and laboratory tests: It is necessary to make an appointment 2-4 weeks in advance, and most hospitals require infection disease screening and routine blood and urine tests before surgery.
2.Cleaning and disinfection: Patients should stay in a flat position, wash the area with soapy water and saline, and then disinfect the surgical operation site with 1:1000 Neosporin solution.
3.Separation of adhesions: for those who have narrow foreskin opening and adhesions between foreskin and penile head, it is necessary to apply hemostatic forceps and groove probe to separate the adhesions and clean the foreskin sac and penile head with sterile saline.
4.Design of surgical incision: Clamp the foreskin ligature with hemostatic forceps to lift the foreskin, and cut all the marks with the knife tip on the outer plate of foreskin at 0.5cm from the distal end of the coronal sulcus margin to prepare for the circumcision.
5.Dorsal incision of foreskin: use scissors to cut the inner and outer plates of foreskin along the probe groove, the inner plate of foreskin should also be cut to about 0.5cm from the edge of the coronal sulcus, be careful not to damage the ligament when cutting.
6.Circumcision of the foreskin: after the head of the penis and the coronal sulcus are revealed, pull hard on the right side of the two vascular forceps and use scissors to cut off the overgrown foreskin from the dorsal longitudinal incision of the foreskin, 0.5-0.8 cm from the coronal sulcus, up to the ventral longitudinal incision.
7.Ligation to stop bleeding: After circumcision, the assistant relaxes the left hand and quickly pushes the foreskin down toward the root of the penis to reveal the trauma, and ligates the bleeding point with a 3-0 fine silk thread.
8.Suture the incision: Align the inner and outer plates of the foreskin, then use fine silk thread to first mattress suture a needle at the tether, then suture a needle at the center of the dorsal side and the center of the left and right sides, knot the four stitches and keep the end of the thread, then add 1-2 stitches between each two lines, and cut the suture short after knotting.
9.Wrap the incision: fold Vaseline gauze into a strip and surround the circumcision, fix it with long sutures, and then wrap it with several layers of gauze.
Second, the precautions after circumcision surgery
1, it is best to rest 1-2 days after surgery, avoid standing and sitting for a long time, and walk as little as possible to prevent bleeding from the activity.
2, try to think less or contact pornography, obscene magazines, Internet pictures and videos, so as not to cause erection.
3, the postoperative wound should be kept clean and dry, avoid wetting the gauze when urinating.
4, the wound has a slight pain and swelling, should take painkillers regularly.
5.Before the wound heals, it should return to the clinic regularly for follow-up review.
6.Wear loose underwear during recuperation, keep local cleanliness and change underwear daily.
7.Give a light, easy-to-digest diet and avoid spicy and stimulating food.
8.Prohibit sexual life for one month after surgery, and regular follow-up is needed during the period.