What conditions require circumcision?
The indications for circumcision mainly include: prepuce, narrow circumcision opening, circumcision injury or scar formation, simple hypospadias, recurrent circumcision, recurrent gynecological inflammation of the spouse and circumcision cyst.
What preparations should be made before circumcision?
Basic general knowledge preparation: Before surgery, you can refer to some scientific articles to understand your circumcision condition clearly, and if you have any questions, you need to visit a male urologist to determine whether you need surgery. If the outpatient doctor gives a recommendation for surgery, and if you have given sufficient consideration, you can undergo surgery.
Pre-operative preparation: Before surgery, you should try to keep the foreskin and penis head locally clean, and often turn up the foreskin for cleaning. In addition to cleaning, an antibacterial spray should be used locally for those with severe local inflammation. In addition, routine blood and coagulation tests should be performed before the operation to exclude factors that may affect the operation.
What are the circumcision methods? Are there any differences?
There are conventional circumcision, laser excision, circumcision ring ligation, anastomosis and phalloplasty.
The recently used circumcision ring and foreskin anastomosis are fast and have flush cutting edges, but the disadvantage is that they are less effective on the tether and are not suitable for specific types of foreskin, while phalloplasty can effectively deal with various complex types of foreskin problems.
Different methods of circumcision have their advantages and disadvantages, but regardless of the method, the ultimate goal is to moderately shorten the foreskin and fully expose the head of the penis, and as long as the operator is skilled, satisfactory results can be obtained with any of these methods. Therefore, there is not much difference between several methods in terms of the final purpose of the surgery.
Are there any problems after circumcision?
Any surgery may have some inevitable phenomena, and circumcision is no exception, and the following problems may occur after surgery.
(1) Post-operative wound bleeding: a small amount of blood may appear on the wrapping gauze after circumcision, which is a common phenomenon and can generally stop on its own as long as the bleeding is not persistent.
(2) foreskin edema: edema is the most common phenomenon after circumcision, especially at the tie is most likely to appear. Most edema will slowly subside within 1 month, a few edema may be extended to about 3 months, very few people may even have edema that cannot completely subside, forming stubborn edema.
(3) Surgical scar formation: scars will be formed in any surgery, and the size of scars is related to the individual’s physical condition and the healing process of surgical wounds.
(4) Post-operative self-perception discomfort: After surgery, the foreskin becomes shorter and the head of the penis is exposed. This change in appearance may lead to visual discomfort in some people, such as feeling that the penis becomes shorter, the incision is not proportional or the local color changes. In addition, some people may experience local discomfort due to postoperative penile head exposure, edema, or clothing friction. These phenomena may not be related to the surgery itself, but are simply a slow process of adaptation.
Will circumcision improve or affect sexual function?
The biggest purpose of circumcision is to prevent infection and improve the local cleanliness of the foreskin cavity, which basically has no effect on sexual life.
(1) The incision of circumcision is limited to the skin and will not affect the deep cavernous nerves and blood vessels, so circumcision itself will not cause erectile dysfunction.
(2) In the early stage after circumcision, the sensation of stimulation by the exposed penis head may change, so some people think it may have an improvement effect on premature ejaculation, but actual clinical observation shows that as the penis head slowly adapts to the change of stimulation, the ejaculation time does not change much after the operation.
What do I need to pay attention to after circumcision?
Due to the reason of post-operative wound dressing, it is recommended to avoid sexual stimulation for 1 week after surgery and avoid eating stimulating food to reduce local swelling and pain and discomfort of urination.
All bandages are usually removed 5-7 days after surgery. After the bandages are removed, there may be a small amount of blood oozing from the wound or poor healing, which should be kept locally clean and topical antibacterial disinfectant spray should be used for 1 week.
At present, the sutures of circumcision are mostly absorbable threads, so the incision does not need to be removed.
Due to the occurrence of penile head exposure and foreskin edema, excessive walking and strenuous exercise should be avoided for 1 month after surgery.
In consideration of the edema and healing of the incision, it is recommended to avoid sexual intercourse for 6 weeks after surgery.
What are the problems after circumcision that require prompt medical attention?
It is rare that you need to seek medical attention after circumcision, but there are usually two cases.
(1) Persistent post-operative bleeding from the incision, usually occurring on the same day as the surgery.
(2) Ischemic blackening of the penile head, persistent pain and necrosis, which can occur within 3 days after surgery.