Circumcision is a routine procedure for patients with long foreskin or circumcision. The procedure is mostly done on an outpatient basis, is less invasive and less expensive, and is performed in most hospitals. However, whether circumcision should be done and how it should be done needs to be carefully considered!
First of all, let’s understand the circumcision and prepuce, circumcision refers to the penis in a fully erect state penis foreskin covers all glans, foreskin can be turned up, while the foreskin can not be turned up is called prepuce. Some circumcised patients, the outer mouth of the foreskin often has a microscopic ring, penis weak state, the glans can be turned open to expose, after erection, the glans is difficult to expose, forcibly turned open often lead to foreskin ton, and cause glans necrosis, belong to the urological male emergencies, need urgent treatment!
Whether circumcised or circumcised, the usual foreskin always covers the glans, often leading to the following complications: 1, infection: because of the moist and warm environment of the foreskin cavity, bacteria can be more likely to breed here, if not timely cleaning, or combined diseases such as diabetes, often leading to foreskin infection. Repeated inflammation of the foreskin, also often leads to secondary circumcision.
2.Circumcision: due to circumcision or narrowing of the outer foreskin, the glans is congested after being exposed and cannot be returned into the foreskin cavity, and swelling and necrosis occurs.
3.Occurrence of penile cancer: the recurrent infection and inflammatory stimulation of foreskin scale and foreskin are important reasons for the occurrence of penile cancer.
If the glans is exposed smoothly and the normal cleaning is timely, surgery is not needed; if glans inflammation often occurs and the glans is exposed due to the presence of fiber ring at the outer foreskin, surgery should be performed early. Of course, patients with prepuce are absolute indications for surgery.
However, for patients who need surgery, whether circumcision is suitable for implementation should be clearly diagnosed by a urological male specialist first, to determine the correct surgical method, sometimes circumcision is too arbitrary implementation but will have adverse consequences.
There was a post-circumcision patient who came to our department complaining of painful erection after surgery. After examination, the doctor found that the patient belonged to occult penis, but the local hospital did the surgery according to common circumcision, resulting in a short foreskin, which led to the occurrence of the disease.
Occult penis refers to normal penis length and circumference, pushing inward the fat pad and scrotal penile junction skin penis can be normally revealed, its etiology because of penile skin and penile root poorly fixed; flesh membrane dysplasia pulling penis; surgical scar restricts penile exposure; suprapubic fat pad too thick, etc.. The common reason is that the patient is obese, especially the patient’s suprapubic fat is too thick, and the thick fat pushes the foreskin outward, resulting in the glans not being revealed.
In fact, the foreskin of occult penis is not long. If the “overlong foreskin” is removed, the foreskin will be too short after erection and cause pain.
For occult penis, the correct surgical treatment should be occult penis orthopedic surgery, which not only can improve the appearance, but also can make full use of the foreskin, here is a comparison of the pre- and post-operative appearance of patients with occult penis.
Now it is the long vacation period, many patients with long foreskin or circumcision will go to the hospital with a view to surgery, but circumcision should still be diagnosed by a urological male doctor before performing the appropriate surgery.
The “circumcision” should be done carefully!