Circumcision is the removal of the excess foreskin on the penis to expose the head of the penis, and is an effective treatment for circumcision and phimosis and to prevent its complications. There are many methods of circumcision, the most commonly used is the circumcision of the inner and outer plates of the foreskin at once, followed by the circumcision of the inner and outer plates separately. It is an open surgery and the purpose of the surgery is to expose the head of the penis completely so that infection will not be caused by leaving a dead space.
Pre-operative preparation
1. The night before and on the day of surgery, the patient is instructed to clean the area. Clean the genitals: From 3 days before the surgery, wash the genitals with warm water every day. When cleaning, the foreskin should be turned over to expose the coronal groove and remove the foreskin scale thoroughly. However, it should be noted that the foreskin should be reset in time after cleaning to avoid causing penile foreskin imbrication.
2, the complication of foreskin, penile head inflammation, the need to choose drugs and local immersion treatment, after the inflammation subsided before surgery.
3, eliminate tension: because of the initial days after surgery wound will be some discomfort, some people worry that after surgery will have an impact on sexual function, this idea is unnecessary. Generally speaking, circumcision will not affect the normal sexual function. On the contrary, if you carry the burden of thought, but may cause mental sexual dysfunction.
4, circumcision before the best first fasting 4-6 hours, otherwise it will cause discomfort.
Surgical anesthesia
1.Subcutaneous anesthesia at the root of the penis and both sides of the penile corpus cavernosum
2.Urethral cavernous body anesthesia
3.Anesthesia of penile corpus cavernosum
4.Local anesthesia or penile cavernous anesthesia, basic anesthesia can be added for pediatric patients.
Postoperative treatment
1.Take sedatives or estrogenic drugs (under the doctor’s instruction) at bedtime for 3-4 days after surgery to prevent penile erection (inform patients that they can appropriately stimulate the brain to inhibit sexual excitement by pinching the glans painfully), so as not to cause pain and bleeding.
2.Tell the patient not to wet the gauze when urinating.
3.When urinating after surgery, try to avoid wetting the dressing, and if the dressing is contaminated by urine, it should be changed in time. In case of married men, it should be noted that the couple must be separated for a period of time after surgery and try to avoid sexual impulses.
Causes of edema after surgery
Edema in the short term after circumcision may be due to the following reasons.
1, is that the surgery cut off part of the superficial venous vessels, resulting in poor venous return. The postoperative dressing is too tightly wrapped, resulting in poor local reflux.
2, is the foreskin itself has a narrow ring, the narrow place is not completely cut, after the operation because the narrow ring still exists, resulting in poor venous return.
In general, poor lymphatic return will lead to lymphoma and poor venous return will lead to foreskin edema.
How long after surgery can you have a normal sex life
After circumcision, the stitches can generally be removed in a week or so, recovery in about 20 days, and intercourse in about a month. But the recovery time can not be generalized, according to their own recovery situation to see.
The effect of post-operative on sexual life
Many people are worried that the quality of sex life will be affected after surgery, but after a lot of clinical research has confirmed that the main sensory nerve fibers are distributed under the glans, far more than on the foreskin. Therefore, removing the local foreskin does not reduce the degree of sexual sensitivity. On the contrary, revealing the glans tied part after foreskin removal not only does not affect the sensitivity of sexual life, but also helps to improve the sensitivity of sexual life due to the reduction of chronic stimulation of foreskin scale, thus obtaining greater sexual pleasure.
Post-operative precautions
1, after the surgery, except for the children on general anesthesia in order to take care of safety considerations, need a short period of hospital observation, general patients can still engage in daily work, do not need to be hospitalized. For adolescent and adult patients, swelling and bleeding of the wound may be caused by penile erection after surgery.
2.The routine use of cephalosporin antibiotics to prevent infection has been effective.
3, one month after the surgery, the patient can resume sexual life.
4.During the circumcision, the physician will give appropriate anesthesia depending on the patient’s condition. In order to avoid vomiting caused by the patient’s discomfort with anesthetic drugs, the patient should fast for four to six hours before the surgery;
After the surgery, after the anesthesia wears off, the wound will be slightly painful and swollen, so you should take the medication regularly. Before the wound heals, you should follow the physician’s instructions and return to the clinic regularly for follow-up examinations.
In addition, the wound should be kept clean and dry after surgery. Please be careful not to wet the gauze when urinating.
5. It is best to rest 1-2 days after surgery, you can rest in bed, or go online or read a book, etc. Try to walk as little as possible to prevent bleeding from postoperative activities.
6, after surgery, try to think less or contact pornography, obscene magazines, network pictures and videos. Because after contact with these things lead to penile erection, it is easy to cause post-operative bleeding.
What are the benefits of preventive circumcision?
1. Prevent your wife from getting cervical cancer. There is a bacteria in circumcision that interacts with cholesterol to produce a carcinogenic substance that can cause cancer of the cervix in women. A pathological survey found that the proportion of cervical cancer in women whose husbands had been circumcised was much lower than in women whose husbands had not been circumcised.
2.Prevent sexually transmitted diseases. During sexual intercourse, the penis is pumped back and forth in the vagina, and the overlong foreskin is subjected to various pulling forces, often resulting in some tiny wounds. Carry virus and bacteria secretions by these tiny wounds ooze out, or women’s vagina virus, bacteria thus invaded, resulting in infectious diseases.
3, to prevent the head of the penis from being circumcised.
4.Preventing foreskin impaction.
5.Preventing penile cancer: recent studies have found that only circumcision of newborns can prevent the occurrence of penile cancer. Even if adults are circumcised, it is not certain that they will not suffer from penile cancer.