In life, people like to hope that their sons will grow up to be a great man! For male patients suffering from circumcision, although the benefits of circumcision far outweigh the disadvantages, but should not blindly pursue the “head” day. As the old saying goes, “the wind will destroy the wood”, so you should know that the day you make a name for yourself is the day you “wear out”. Especially for adult men, because the foreskin is too long, the glans is in the long foreskin package for a long time, little contact with external friction stimulation, so unusually sensitive, and delicate, if circumcision, easy to appear after the operation of the foreskin glans feel allergic, and local friction ulceration. The duration of this situation varies from person to person, generally speaking, the majority of people can adapt to 2 weeks after surgery, and very few need to return to normal two months after surgery. Circumcision itself also carries risks of bleeding, incision dehiscence, excessive excision, and scar formation. Therefore, circumcision is not recommended for those who are circumcised after the age of 18 and are able to keep their genitals clean and hygienic on a regular basis.
However, surgery is recommended for those who have any of the following conditions: 1. circumcision, i.e., the foreskin cannot be turned up due to narrow foreskin opening; 2. recurrent episodes of foreskin glansitis, i.e., redness and itching of the foreskin glans more than twice in 3 months and a significant increase in foreskin scale; 3. vaginal itching, increased discharge and odor after each condomless sex; 4. new swelling on the overgrown foreskin; 5. The ejaculation is too fast and it is obvious that the glans foreskin is sensitive and the ejaculation latency needs to be extended. However, for prepubescent children with prepuce, it is recommended to consider surgery after the age of 3 to 6, because most of the affected children grow up to be simple prepuce and it does not affect their development. If you consider reducing the incidence of glans penis cancer and improving personal hygiene, early surgery can be done. Special attention should be paid to children with combined occult penis and circumcision, which cannot be easily removed.
At present, circumcision surgery is divided into two categories according to different surgical methods: manual cutting and stitching (traditional circumcision, decortication circumcision) and device circumcision (simple circumcision, commercial ring circumcision, disposable foreskin cutting and stitching device). The circumcision manual cutting and suturing is suitable for various cases of circumcision surgery. At present, the micro margin (<0,5mm) silk suture scar is extremely small, and there is also no need to remove the suture, which can generally fall off by itself 10 to 14 days after surgery, but it is compared to the appliance circumcision surgery. Manual circumcision has the following disadvantages: 1, the operation takes too long (30-50 minutes); 2, high technical requirements for the surgeon (cutting, hemostasis, suturing); 3, the operation is prone to anesthesia failure resulting in pain; 4, there are multiple thread knots under the skin, the appearance of both sides may be asymmetrical. If the patient is combined with complicated circumstances: such as the foreskin tie is obviously too short need to lengthen the ties plastic surgery or swelling at the same time to remove, then the manual cutting and suturing surgery is preferred. Nowadays, the latest disposable circumcision suture surgery is suitable for the majority of circumcision surgery, in addition to the expensive cost, has the following advantages: 1, the operation time is short 5 to 10 hours; 2, the cut is neat; 3, the chance of pain during the operation is close to zero; 4, there is very little or no bleeding. However, theoretically, there is a high possibility of bleeding and the disadvantages of bruising of the glans, which can be reduced by careful pressure bandaging after surgery. In conclusion, for the current medical situation, it is usually recommended to perform disposable circumcision suture surgery, and for those with special circumstances, manual cutting and suturing surgery must be performed. However, there is a possibility of hematoma, suture splitting, glans abrasion, dyspareunia, bifurcation of the urinary line, and painful erection after surgery. After any kind of circumcision, especially about 1 hour after the anesthetic drug wears off, the pain will be a little bit obvious, but it will not last long. Erection pain and glans abrasion basically occur after surgery, although the degree is mild and can be easily tolerated, and patients need to think it through before considering surgery.