The following are some of the more common questions about foreskin and prepuce.
1. Do children have to undergo surgery? Older people usually say that they will reveal themselves when they grow up.
A: Generally, the glans can be exposed naturally during growth, but by the age of four, you can clinically determine whether it is too long. Especially in the case of prepuce, self-exposure is unlikely. And the current environmental pollution, outside conditions have been very different from the previous, such as water pollution, as children grow older, swimming and other contact with the water more and more opportunities, it is more and more likely to lead to children urinary tract infection, which leads to children’s schooling may be affected, and even serious may lead to reproductive system infection. As for the surgery, the doctor can only provide advice, the decision to operate the power still lies with the parents.
2.Can it be solved by expansion and other means?
A: Theoretically speaking, foreskin and prepuce can be solved by expanding the foreskin mouth to solve the problem of not being able to flip out, but expansion has pain, damage and other side effects, and after expansion, because of stimulation, but may cause secondary adhesions, increasing the difficulty of surgery, so it is not recommended.
3.Is it better to do it as early as possible?
A: It is not so. Generally speaking, combined with the growth and development characteristics of the country, we recommend that surgery be performed after the age of 4, preferably after the age of 6, before going to elementary school, and under the age of 4, unless the circumcision or prepuce is too long, with a history of repeated infections, it is recommended that surgery be performed earlier.
4.What kind of anesthesia is good for children?
A: Generally speaking, we recommend that children under 6 years of age choose inhalation anesthesia for surgery. The reason is that children under 6 years of age have a greater sense of psychological fear and cannot cooperate well with the doctor’s surgery, and struggle and cry violently during the surgery, which may cause poor surgical results or even surgical failure. More importantly, the painful surgical procedure may cause psychological trauma to the child, leading to the shadow of fear of medicine and resentment towards parents; especially if the surgical result is not satisfactory, it may lead to long-term psychological trauma, which will definitely outweigh the loss. Of course, if children over 6 years old are particularly fearful, it is also recommended to choose surgery under inhalation anesthesia.
5.What are the complications after surgery? How to deal with them?
A: The main post-operative complications are: (1) adhesion of the residual inner foreskin plate to the glans; (2) edema of the inner foreskin plate; (3) infection of the incision; (4) poor urination and painful urination after the operation; (5) bleeding; (6) ring nesting; (7) narrowing of the foreskin mouth.
6.What surgical methods are available.
Simple circumcision for patients with no special requirements and no other diseases.
Circumcision is suitable for patients with post-operative aesthetic requirements.
circumcision + partial excision of tactile vesicles for patients who have requirements for post-operative aesthetics and who require partial resolution of premature ejaculation.
Circumcision + dorsal penile nerve excision is suitable for circumcision with premature ejaculation.
Circumcision + penile correction is suitable for circumcision with bent or twisted penis.
Circumcision + penile lengthening is applicable to occult penis and short penis; other surgeries depend on the actual situation.
7.Whether to be hospitalized or not.
Generally, adults do not need to be hospitalized after circumcision, and children are recommended to be hospitalized for 2-3 days.
8.Surgery cost.
Each hospital according to the price bureau regulations, specific differences, depending on the mode of surgery.
9.Post-operative precautions
1）After surgery (if necessary), take antibiotics on time and as prescribed by the doctor, generally no intravenous antibiotics are needed.
2）Keep the dressing clean and dry, avoid urine contamination of the incision, change the dressing on the first day after surgery, change the dressing once after two days, and after that according to the situation, if urine soaks the dressing you need to come to our hospital or change the dressing in the nearby regular hospital in time.
(3) Sutures will fall off automatically about 4 weeks after surgery.)
4）Postoperative rest is not required, you can walk around, but avoid strenuous activities to prevent bleeding after activities. Avoid standing and sitting for a long time to avoid swelling of the penis head and poor wound healing due to poor local blood circulation.
5) Wear loose, breathable, cotton underwear to reduce the friction of the penis.
(6) Avoid sexual impulses and erections for one week after surgery to avoid incisional fracture and bleeding and infection. Sexual intercourse is prohibited for one month after surgery. Forty-five days after penile lengthening surgery, dorsal penile neurectomy and penile correction surgery, sexual intercourse is prohibited.
(7) If more than bleeding, obvious swelling, glans swelling and abnormal color occur after surgery, you need to come to our hospital for follow-up in time.
8）After surgery, nutrition can be strengthened appropriately with fish, meat, eggs, etc.
9）If there is obvious prepuce and glans adhesion before surgery, the foreskin and glans will be separated during surgery, and there will be ooze, erosion and crust on the separated surface after surgery, which is a normal recovery process. This is a normal recovery process. After the operation, there is a possibility that the foreskin and glans will adhere again, and the foreskin needs to be turned up regularly.
(10) After surgery, some patients may have foreskin covering part of the glans when the penis is not erect, which is a normal situation.