Circumcision (prepuce) is a common disease in male clinics. The common denominator between phimosis and prepuce is that the foreskin covers the head of the penis; the difference is that phimosis is able to flip behind the coronal groove, exposing the entire head of the penis, while prepuce cannot be turned up to expose the head of the penis.
What kind of foreskin needs surgery is a question that bothers many men. By definition, surgery is necessary whenever the foreskin covers more than the back third of the head of the penis in daily life; it is necessary in cases of frequent inflammation, redness and itching; and it is necessary in cases where it cannot be turned up to the back of the coronal groove.
In these cases, the surgery has the following benefits: it is less likely to inflame itself, the partner is less likely to become inflamed, most people are able to have sex for longer; the minor also helps the development of the penis.
At what age is circumcision appropriate?
It is appropriate for adults at any time, and the earlier the better. This is because it may not be inflamed at the moment, but it will become inflamed later on as sex occurs, or with the low immune function of aging. What is the best age for minors to have surgery? If a minor has frequent inflammation, it is better to do it earlier than later. If there is no inflammation or discomfort, the best age is around 12 years old. This age allows you to overcome the fear of mild pain from local anesthesia, avoid the risks of general anesthesia, and the penis has not yet developed, avoiding post-operative pain caused by an erection.
The most commonly used surgical procedures are: traditional surgery, “holy ring” anastomosis, and excisional anastomosis. Traditional surgery is gradually being replaced by other surgical methods because of the relatively long operation time, insufficient time for local anesthesia, and the need to be next to each other at the end of the operation; the edges of the incision are “mouse gnawing”. The “holy ring” anastomosis is a relatively safe procedure that takes a short time to perform, and because the foreskin is fully extended during the procedure, the length of the remaining foreskin can be easily controlled and the postoperative edges are smooth and aesthetically pleasing. The disadvantages are pain, edema and dehiscence.
There are several periods of pain: pain for half an hour to an hour after the anesthesia wears off; pain during nocturnal erections in adults, of variable intensity, sometimes interfering with sleep; and transient pain when the anastomosis is removed, especially noticeable in minors. Edema occurs in almost everyone, but the degree varies from person to person and can be recovered after removal of the anastomosis. Dehiscence is also common, but can be healed with a relatively longer healing time than with traditional surgery. However, the circumcision is performed in a semi-open position and requires an experienced surgeon to perform the procedure.