The foreskin is the skin that wraps around the penis and the outside of the glans. The foreskin begins to grow when the mother is 3 to 5 months pregnant and the foreskin on the dorsal side of the penis grows faster before the ventral foreskin slowly catches up and envelops the entire glans. At this time, the inner epidermis of the foreskin and the skin of the glans are stuck together, and this phenomenon often remains so after birth, when the foreskin cannot be flipped over and faded down, a phenomenon called physiological phimosis (physiological phimosis). Only a small number of children have the glans freely exposed like adults, so it is normal for children to have prepuce. According to statistics, 90 percent of newborns have prepuce, 50 percent at age one and 10 percent at age four. Therefore, by the age of four, about 90% of boys can have their foreskin partially flipped and faded down, even to the coronal groove below the glans. In other words, physiological prepuce usually goes away on its own with age, and most boys with prepuce have no uncomfortable symptoms.
Circumcision generally means that the foreskin encases the entire penis and glans, and the glans cannot be exposed naturally, but the foreskin can usually be flipped over and removed to reveal the glans when washing.
Circumcision is different from circumcision. The foreskin is too tight in front of the foreskin, so the foreskin cannot be flipped over and removed to reveal the glans. Urine tends to accumulate in the foreskin cavity during urination, causing the foreskin to expand like a balloon (also known as the “balloon phenomenon”).
What kind of anesthesia is used for surgery?
Children under the age of 5 are generally difficult to communicate with and are not easily soothed and fixed, so general anesthesia may be used.
Children over the age of 5 are usually treated with compound lidocaine gel applied to the foreskin of the penis, which avoids the pain of the child during the injection of anesthesia and improves the comfort of the procedure. If external anesthesia is not effective in individual children, a small amount of local anesthetic can be injected with a small 1 ml needle.
What are the current common surgical methods?
1.Circumcision ring ligation.
2.Circumcision anastomosis ligation.
3.Circumcision by laser.
4.Traditional circumcision.