How to treat prepuce and foreskin?
Young babies have physiological characteristics of prepuce and foreskin, so they are usually diagnosed as prepuce or foreskin again around the age of 3.
There is some controversy as to whether children should be operated for prepuce and circumcision. In some countries (Israeli Jews, USA, etc.) circumcision is routinely done after birth (during the neonatal period) due to religious or ethnic customs. In China this is not possible, if the doctor recommends circumcision for a newborn baby, the baby’s parents and grandparents will definitely be in a hurry with you. Previously, a survey was done that circumcision can reduce the incidence of penile and cervical cancer. And after the surgery can reduce urinary tract infections especially inflammatory infections of the glans of the foreskin. However, circumcision is a surgery with certain risks, so the pros and cons need to be weighed, for 1. fibrous narrow ring at the foreskin opening, and 2. recurrent episodes of foreskin infection of the head of the penis. These two are absolute indications. For babies with prepuce or circumcision after the age of 3, the decision will be based on the specific situation and parental requirements. There is no age limit for surgery in the case of a clearly symptomatic prepuce or circumcision.
How to choose the surgery method?
Traditional surgery (circumcision and hand stitching): The characteristics are rich clinical experience, mature surgical conditions and low cost. The disadvantage is that it takes a little longer and bleeds a little more.
Laser electric circumcision: This is similar to the traditional surgery. Only the manual excision is replaced by laser excision, still need stitches, and because of the laser thermal burns, the post-operative scars may be larger, laser circumcision treatment is a gimmick promoted by many private hospitals.
Circumcision: It involves putting a ring on the excess foreskin, tying it tightly and jamming it in place, then removing the excess foreskin, then waiting for the ring to fall off naturally, and if it does not fall off in 2 weeks, the doctor is advised to remove the ring. The characteristics are that the operation is short, basically no bleeding and no stitches are needed, but the recovery time may be longer and the removal of the ring is painful.
Circumcision with foreskin cutter: the foreskin is snapped, foreskin cutting and suturing is done at one time, the staples of the sutures will be seen to fall off by themselves when the time comes, the operation time is between snapping and traditional surgery, the aftercare is the same as traditional surgery but the cost is higher.
The choice of surgical method can be based on the hospital you visit which surgical method is done more and done skillfully, and then combined with the baby’s own situation, choose the right surgical method.
What should I pay attention to after circumcision, how to take care of it and how to prevent infection?
1, the surgery is not a big surgery, but for the baby, after all, is a small blow, after surgery part of the baby resistance is low, easy to catch a cold, fever, etc., to pay special attention.
2, after surgery try to avoid longer cough, constipation, collision to the penis, these make the foreskin bleeding chances increase, you can buy circumcision special circumcision underwear, to avoid post-operative trauma and clothing friction.
3, the first half month try to avoid strenuous activities, it is recommended to take a picture to the doctor before showering to determine whether you can shower, do not swim in the water before completely healed.
4, diet: drink more boiled water, do not eat spicy and greasy things on fire, try to light, easy to digest.
5, how to prevent infection: go home with potassium permanganate solution or Ucozide diluted solution soak the penis, the doctor will explain in detail.
6, the need for post-operative follow-up, generally 7-10 days, 1 month, 3 months after surgery to go to the hospital to review the recovery and the healing of the surgical incision, any problems in a timely manner to the hospital.