Circumcision of those things
1.What is the foreskin?
The foreskin is the layer of skin located at the front of the penis that wraps around the head of the penis, the glans. The foreskin itself has a protective effect on the body, especially for boys before puberty, the foreskin can wrap around the glans and protect it from accidental injury during sports.
2.What is circumcision?
Pediatric foreskin wraps the entire penis head, with the growth of age, the foreskin gradually retreats to the penis after the coronal groove, if the penis head is still completely wrapped, known as prepuce. When the foreskin mouth is narrow and cannot be turned behind the head of the penis, it is called prepuce.
3.What kinds of circumcision are there?
Circumcision is divided into two types, namely true circumcision and pseudo-circumcision. True circumcision means that the glans cannot be fully exposed after erection; pseudo-circumcision means that the glans cannot be fully exposed normally, but can be fully exposed after erection.
4.What are the possible hazards of circumcision?
The possible hazards of circumcision include: premature ejaculation; non-ejaculation; affecting glans development; leading to penile inflammation; if the narrowing of the urethra affects urination, it will also damage kidney function; affecting the health of sexual partners; in addition, there may be redness, pain and even induce penile cancer.
5.What examination is needed for circumcision?
In a weak state, the head of the penis is completely wrapped by the foreskin and still cannot be exposed when erect, but the foreskin can be turned over to reveal the head of the penis through manipulation. It is worth noting that circumcision needs to be differentiated from occult penis.
6.What are the treatments for circumcision?
The treatment of circumcision mainly includes observation and waiting therapy and surgical therapy. Not all circumcised patients need surgery, depending on the extent to which the glans is exposed when the foreskin is turned up, whether it will affect sexual life and whether the area is prone to inflammation.
7.When is the best time to have surgery for circumcision?
For the timing of circumcision, there is still controversy, some experts believe that preschool children who have prepuce, foreskin mouth fiber narrow ring or recurrent episodes of foreskin glansitis should undergo surgery, and patients with embedded prepuce can undergo circumcision at a later date after the edema has subsided by reset. For patients with excessively long foreskin and overly sensitive glans resulting in premature ejaculation, circumcision can also be considered.
8.In which cases is circumcision suitable?
In China, the indications for circumcision advocated by some scholars are: excessively long foreskin with small foreskin opening; accumulation of foreskin scale in the foreskin sac or coronal groove, or often accompanied by inflammatory infection; congenital prepuce with recurrent infection; acquired prepuce, mostly secondary to foreskin inflammation of the penis head, scar contracture of the foreskin opening, often accompanied by urethral opening or even total urethral stricture, or even induced penile cancer; embedded prepuce, after reset edema The circumcision should be carried out electively after the edema has subsided and the inflammation has been controlled; benign tumor of foreskin.
9.In which cases circumcision cannot be performed?
In case of occult penis, general circumcision cannot be performed; in case of complication of inflammation of foreskin and penile head, surgery will be performed after the inflammation subsides.
10.Why can’t circumcision be performed for circumcision with inflammation of the foreskin and head of penis?
For patients with prepuce penile head inflammation, if the inflammation has not subsided, the surgery will increase the chance of infection, which may have some impact on the recovery.
11.What preparations do I need to make before circumcision?
Wash the vulva and foreskin. Remove pubic hair in adults. Children who may need basic anesthesia should fast for 6 hours before surgery.
12.What kind of anesthesia and position is needed for circumcision?
For adults, local anesthesia at the root of the penis is usually sufficient; for pediatric patients who are difficult to cooperate, basic anesthesia can be chosen. Patients are placed in a lying position.
13.Is circumcision a major surgery?
No. Circumcision is the most common and simplest minor surgery in urology and male medicine.
14.Do I need to remove the stitches after circumcision?
The sutures used in circumcision do not need to be removed nowadays, and will fall off automatically in about 1 to 2 weeks. However, considering the differences in surgical methods and materials, you must consult your surgeon about whether you need to remove the sutures.
15.Will circumcision leave a scar?
Yes. Circumcision will leave a scar, which may be obvious at the beginning, but it will gradually fade over time.
16.Can circumcision extend sex time?
As the long foreskin covers the glans and coronal sulcus for a long time, it receives less stimulation and is particularly sensitive, making it easy to form premature ejaculation. When circumcision is performed, the patient’s glans is just exposed and may appear to be more sensitive during sex and have a shorter sex life. With the glans and coronal sulcus exposed for a long time, stimulated by the friction of clothes, erection, fading and erection occur repeatedly, thus making it less sensitive and gradually prolonging the sexual life and playing the effect of treating premature ejaculation. However, due to the complex causes of premature ejaculation, this effect varies from person to person, and not every circumcision patient can have their sex life time extended.
17.What are the common complications after circumcision?
Although circumcision is a small operation, there are still certain risks. Common complications include: wound pain, bleeding, foreskin ties edema, incision infection, etc.
18.What are the common methods of circumcision?
Traditional circumcision method; ring circumcision method; disposable circumcision device surgery; laser circumcision.
19.What is the traditional circumcision method?
Traditional circumcision, also known as classical circumcision, is the earliest surgical method used clinically. It takes a long time to operate, bleeds more, requires several drug changes after surgery, and is prone to the formation of tethered edema and uneven cutting edges, so it is less used at present.
20.What is ring circumcision?
Circumcision method refers to circumcision with the help of circumciser, the advantage of which is neat cutting edge and faster recovery, but there is distal necrotic foreskin after the operation, the pain before and after the necrotic foreskin falls off may cause some trouble to patients, and the pain time is sometimes even greater than that of traditional circumcision.
21.What is disposable circumcision?
Disposable circumcision refers to circumcision performed with the help of disposable circumcision device, which is a kind of minimally invasive surgery with the advantages of short operation time, less bleeding, short pain time and fast recovery, but its cost is relatively high.
22.What is laser circumcision?
Laser circumcision, that is, the use of laser action on the foreskin, the excessively long foreskin tissue cutting, carbonization and a series of treatment and repair process surgery, with less bleeding, shallow trauma, no need to remove stitches, short surgery time and other advantages, because the laser has thermal damage, there may be a greater post-operative reaction, healing is late and so on.
23.What are the precautions after circumcision?
(1) Whether the wound bleeds and the amount of bleeding.
(2) Avoiding sexual stimulation.
(3) Prevention of infection.
(4) not to move too much.
(5) Wear loose underwear to reduce the friction on the penis head.
(6) Avoid alcohol and spicy food.
(7) Avoid wetting the gauze dressing when urinating.
(8) Observe the degree of edema and the color change of the glans.
(9) Keep communication with the surgeon in time.
24.How to judge the severity of bleeding after circumcision?
Post-circumcision bleeding is most common within 24 hours after surgery. If the bleeding is not large, for example, the bleeding only stains part of the gauze, no special treatment can be given and the bleeding can often stop on its own. If the incision bleeds more than once, blood keeps dripping out from the gauze, or the patient is not sure about the condition of the wound, promptly consult a doctor.
25.What should I do if the wound bleeds after circumcision?
Small hematoma can be absorbed by itself after local cold compress, bed rest and oral antibacterial medicine to prevent infection; if large hematoma or hematoma increases progressively, sutures should be removed immediately to remove the hematoma and then hemostatic suture.
26.How long can I have sex after circumcision?
Clinically, it is generally recommended to avoid sexual stimulation, sexual fantasy and holding urine for one week after circumcision to avoid repeated erection of the penis which may affect wound healing or rebleeding; sexual intercourse is prohibited for 30 days after circumcision to prevent incision cracking or bleeding. However, there are individual differences in wound healing, so it is necessary to maintain timely communication with the doctor after surgery.
27.How to prevent infection after circumcision?
The penis is rich in blood supply and has a strong ability to resist infection, so oral antibiotics can be taken for one week after common circumcision. In addition, change the wound gauze every day or every other day according to the doctor’s requirements. For patients with circumcision, if the skin peeling surface of the glans is larger during the operation, more blood leakage and longer recovery time is expected, intravenous infusion of antibiotics can also be applied appropriately. The specific plan is determined by the surgeon according to the patient’s condition.
28.What if the wound becomes infected after circumcision?
Preoperative inflammation of foreskin and penile head is not completely controlled, intraoperative aseptic operation or rough surgical operation is not paid attention to, and postoperative urine contamination of the incision can lead to infection. In the early stage of infection, anti-infection medication should be strengthened, and when there is secretion, part of the sutures should be removed and drainage should be opened in time.
29.Is it normal to have edema after circumcision?
After circumcision, mild edema will generally appear in the wound, which is a normal post-operative reaction and can recover on its own without special treatment. However, if blisters appear or edema is severe, or even the glans is bruised and bloodied, you should contact your surgeon in time to check your condition. In children, edema is usually more pronounced after surgery and may affect urination, so it is especially important to keep the gauze dry. Some patients still have edema at the head of the penis or the foreskin at the incision more than 10 days after surgery, which is mainly due to the poor return of the edema fluid caused by cutting off the subcutaneous lymphatic vessels during surgery.
30.How to deal with the edema of the foreskin tie?
The occurrence of edema can be aggravated by excessive skin retention at the circumcision ligament, over-tightening of the bandage, standing or walking for too long on the day after surgery, and even edema of the head of the penis can occur. If the edema is obvious, immediately loosen the bandage and move the head of the penis to the ventral side and hold it up.
31.What should I do if my penis gets an erection after circumcision?
Erection of the penis after circumcision will cause pain for a short time. You can take some oral erection inhibiting drugs to prevent it, such as hexestrol. Be careful to take them as prescribed by your doctor.