The dangers of circumcision and circumcision are not to mention the large number of articles available online. However, once the decision to do circumcision is not to the hospital to do the foreskin on the effect of satisfaction, but not every patient will encounter. So how long is appropriate to cut the foreskin, I have been doing this surgery for many years, from the traditional surgery 10 years ago, to the later method of adult circumcision ring, from the foreskin laser, electric knife, sleeve and many other surgical methods, and then to the one-time cutting suture method that appeared in the last two years, a variety of surgical methods have been done, cumulative hundreds of cases, I want to combine their experience to talk about, searched on Baidu, the article on this topic is blank .
According to most textbooks and surgical descriptions of the principles, circumcision should be a standard circumcision in which the inner plate is removed 0.5cm from the coronal sulcus and 1cm from the ligament. The length of the normal adult foreskin is wrapped around the glans one-third or two-thirds is appropriate. So, is the circumcision all cut to this standard? I think most patients do, but a few do not. Circumcision should determine the extent of excision according to the specific circumstances of each individual.
1. Patients with a fat body type and a lot of subcutaneous fat at the pubic mound should not be excised excessively. Because after excision too much penis erection will appear foreskin can be extended skin table less, erection pain, pulling feeling, affect sex life, serious will have penis downward curvature. My recommendation for this kind of patients is to prepare the skin, press the penile foreskin down to the pubic bone, look at the excess length of the foreskin, according to the standard of cuff excision, the inner plate and outer plate are drawn before surgery to cut the line, the skin at the glans, how long the outer plate stays, the inner plate also stays how long, generally I have done this kind of patients the inner plate stays about 1.5-3cm, the length after erection just exposes the coronal groove at the same time no pulling sensation.
2.Circumcision is not recommended for patients with occult penis.
3, patients with hypospadias should not be circumcised.
4.Patients who have had trauma at the tether, such as scar healing of the tether laceration during sexual intercourse, should not have too much excision at the tether, usually leaving about 1.5cm, and at the same time should do tether molding according to the patient’s condition.
5, diabetic patients, patients with repeated circumcision glansitis, foreskin thickening inflammatory foreskin to cut more, remove the inflammatory parts to facilitate wound healing. Such patients may have the coronal sulcus exposed after excision, and the foreskin tension will disappear after a period of time.
The foreskin is a very plastic skin with good ductility, and in the long term, most circumcised patients will not feel too significant a difference between a short and long foreskin removal.