Circumcision is the removal of the excess foreskin on top of the penis so that the head of the penis is exposed. It is an effective treatment for circumcision and phimosis and to prevent their complications, the purpose of the surgery is to completely expose the head of the penis through the surgery so that it will not cause infection by leaving a dead space.
Indications
1.Children with prepuce who are prevented from urinating or have recurrent infections due to narrowing of the foreskin sac.
2.Adults with prepuce or those who suffer from recurrent infections due to circumcision.
Circumcision in childhood is normal. Infants with prepuce or children with prepuce should not be circumcised if there are no complications. This is because most circumcisions in children under the age of 3 disappear on their own as they grow older; another part of children will reveal the head of the penis as long as they repeatedly retract the foreskin upward and expand the opening of the foreskin sac, and surgical removal is not necessary.
Pre-operative preparation
1. The night before and the day of surgery, clean the local area. Clean the genitals: from 3 days before the surgery, soak and wash the genitals with warm water or 1:5000 potassium permanganate solution every day. When cleaning, the foreskin should be turned over to expose the coronal sulcus 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 about the post-operative 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.
Post-operative treatment
1.Take sedatives or estrogenic drugs (under the doctor’s guidance) at bedtime within 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. When urinating after surgery, you should try to avoid wetting the dressing, and if the dressing is contaminated by urine, it should be changed in time. If you are a married man, you should pay attention to the fact that the couple must live apart for a period of time after the surgery and try to avoid sexual impulses.
3, within 1 week after circumcision, should pay attention to eat more nutritious food, help the incision growth, but to avoid eating seafood, so as not to easily heal the wound. In addition, it is also necessary to remind circumcision patients that they should not eat spicy and other stimulating diets during normal times.
4, it is best to rest 1-2 days after circumcision surgery, and try to walk as little as possible to prevent bleeding from post-operative exercise.
5, 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.
How long to have sex
After circumcision, in general, a week or so can be removed, about 20 days to recover, the best 2 months after the coitus. However, the recovery time cannot be generalized, but should be seen according to your own recovery situation.
Circumcision hazards
1, caused by foreskin inflammation: foreskin own secretions have bactericidal components, but, due to the wet and warm environment of the foreskin cavity, bacteria can be more likely to breed here. If the growth of bacteria exceeds the self-cleaning function of the foreskin, then inflammation of the foreskin may occur. The actual fact that there are many secretion glands in the inner plate of the foreskin, the secretion can play a lubricating role, the accumulation of secretion, can not be properly cleared by cleaning, will also be conducive to the reproduction of bacteria, resulting in foreskin inflammation.
2, affect the development of the penis: cause sexual disharmony: affect the growth and development of the penis, in adolescence because the head of the penis is firmly wrapped by the foreskin, do not get the outside world should be stimulated, the development of the head of the penis is greatly constrained, resulting in the development of mature sex organs, the circumference of the crown of the penis is obviously small, affecting sexual pleasure. Adults will be due to the foreskin is too long or prepuce, affecting normal sex life. Especially for men whose foreskin caliber is too small, the foreskin cannot be recovered by turning it up, and the foreskin is firmly stuck in the coronal groove, becoming an embedded prepuce, which is not very painful. In serious cases, the glans will occur due to poor blood flow and edema, and even glans necrosis can occur.
3, leading to penile inflammation: there are abundant sebaceous glands in the foreskin, which can secrete a large amount of sebum. If you’re not a member of the team, you’ll be able to get the best out of the team. The foreskin scale is suitable for bacterial growth, so it can cause inflammation of the penis head and foreskin. The germs can also cause urinary tract infections through the urethra. The inflammation that occurs at the urethral opening can cause the urethral opening to narrow after healing, causing difficulty in urination.
4.Even cause cancer: long foreskin and prepuce may induce penile cancer. Circumcision is a carcinogenic substance. 85%-95% of penile cancer patients are circumcised or circumcised.
5. Premature ejaculation: Premature ejaculation can easily be caused by long foreskin, which can lead to very sensitive glans and easy ejaculation during sex.
When is the best time to do circumcision?
The choice of when to have circumcision depends on the condition. In the event of foreskin impaction, immediate manual and surgical repositioning is required. Patients with circumcision must be operated on and as soon as possible. Circumcision in children is best done before school age. Adult circumcision is recommended to be cut off before marriage.
What are the benefits of preventive circumcision?
1.Prevent your wife from getting cervical cancer. There is a kind of bacteria in the circumcision that interacts with cholesterol to produce a carcinogenic substance that can cause cancer in the cervix of 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, to 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. The virus and bacteria carrying secretions from these tiny wounds ooze out, or women’s vaginal viruses, bacteria invade, resulting in infectious diseases;
3, to prevent the head of the penis circumcision produced;
4.Prevent foreskin impaction;
5.Preventing penile cancer: recent research 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.
Circumcision family care
1. You should rest in bed for 3 to 4 days after surgery and avoid standing and sitting for a long time. Some young people are too embarrassed to take leave after surgery and still insist on working. Due to poor local blood circulation, the head of penis directly swells into purple eggplant shape, which affects wound healing.
2, wear loose underwear, generally after surgery doctors in the wound dressing, perineum placed a gauze curtain, the purpose is to reduce the friction of the penis head.
3, 3 to 4 days after surgery, the head of the penis mild edema is normal, this is the anesthetic and surgery caused by the body’s reaction, note that the swelling is pink.
4.Do not wet the dressing when urinating, if it has been soaked with urine, it should be changed early. You can bring your own 75% alcohol or 1:1000 Neosporin cotton balls or isotonic saline cotton balls to scrub around the urethra after urination to keep the wound dressing clean, or soak the head of the penis with 1:5000 potassium permanganate solution in warm water daily.
5. Within 3 to 4 days after surgery, take sedatives such as Valium 2.5 mg at bedtime to prevent penile erection, which may cause pain or bleeding. Young people need to pay more attention, because the long-term package phi penis head, nerve endings are very sensitive, once exposed, it is easy to erect, so should avoid reading pornographic books, television, etc., lovers should temporarily avoid, do not hug, kissing, etc., to avoid sexual stimulation.
6. You should go to the hospital to change the medication and remove the skin sutures according to the doctor’s requirements. The surgical scar will gradually absorb and become smaller.