Circumcision is the removal of the excess foreskin on the penis to expose the head of the penis, and is an effective treatment for prepuce, phimosis and preventing its complications.
Although circumcision is only a common minor surgery, nowadays most of the children are only children and the children and their parents are highly concerned about the success of the surgery and are overly worried about the prognosis and the impact on their future lives. Therefore, familiarity and understanding of the procedure and post-operative care are key to the success of the procedure and the recovery of the child.
Pediatric circumcision is suitable for children with recurring local inflammation caused by prepuce or circumcision, as well as poor urination or even difficulty in urination. Circumcision is one of the common diseases in pediatric urology. The prepuce is due to the fiber adhesion between the foreskin and the head of the penis, the foreskin completely wraps around the head of the penis when the child is born, and the mouth of the foreskin is tight.
Some children with small foreskin mouth, when urinating foreskin puffed up like a bag, resulting in difficulty in urination, while often occurring foreskin penile inflammation, local redness and pain. The above conditions must be circumcised, in order to completely cure.
At present, circumcision often has two methods. One is to use a knife or electric knife to cut, and then closed with absorbable thread, wrapped in petroleum jelly gauze. After the surgery, you may see yellow tissue exudate on the glans, that is because the foreskin and glans adhesions, after the separation of tissue exudation and crust, to 7-10 days off. As long as it does not affect urination, do not tear it off.
5-6 days after surgery Vaseline gauze on the external application of oil cream (also commonly used burn moist cream: Mabel), the next day to remove the Vaseline gauze bleeding less, but also to reduce pain. If there is scab, you can use 1:5000 PP powder for external washing or sitz bath. The advantage of this method is the short post-operative time, the disadvantage is that the post-operative edema may be obvious and affect the aesthetics.
The other is also called circumcision method, currently known as the Korean method, which is to loop the excess foreskin with a thread on the circumcision device, cut off part of the excess foreskin, 10-15 days circumcision device naturally fall off. After surgery, the circumcision device is required to be externally coated with complex iodine three to four times a day, and the circumcision device is washed externally with 1:5000 PP powder for 15 minutes twice a day for a week after surgery until the circumcision device falls off, with the aim of promoting the fall off of the circumcision device. The advantage of this method is that it is aesthetically pleasing after surgery and does not require removal of stitches or gauze. The disadvantage is that the recovery time after surgery is relatively long and pain is apparent in adolescent children and adults due to erection.
More and more children are being circumcised because of long foreskin or circumcision. Due to the physiological characteristics of the pediatric foreskin, the subcutaneous tissue is loose, the skin is thin and elastic, the venous return is not smooth after surgery and edema is easy to form, and children are active, painful and crying, etc. are prone to wound bleeding, edema and cracking. Therefore, parents should pay more attention to postoperative care to ensure that the child safely through the postoperative recovery period.
Some children may have difficulty in urinating because of the fear of painful urination and the inhibition of the urination reflex, so parents can use hot compresses, massage of the abdomen and language hints to help the child urinate. At the same time, attention should be paid to keep the incision dressing dry and clean, if the dressing is contaminated by urine should immediately come to the hospital to change; or daily soak the head of the penis with 1:5000 potassium permanganate solution in warm water. Within 3 days after surgery, you should rest in bed and minimize your activities. Some children are active by nature and will not rest quietly even when lying in bed. Excessive activity will lead to edema and even bleeding of the circumcision, which will affect the healing of the wound and deepen the local pain. Mild edema of the head of the penis 3-4 days after surgery is a normal phenomenon, which is a normal reaction to anesthetic drugs and surgery. Pay attention to the reasonable arrangement of diet, avoid practical cold, spicy food, eat more vitamin-rich, vegetable fiber food, increase resistance, facilitate wound healing, keep bowel movements smooth.