1.Differentiate between circumcision and prepuce
The prepuce is the foreskin covers the urethral opening and can be turned up to reveal the urethral opening and the glans. The circumcision is a small foreskin mouth, upturned can not reveal or partially reveal the urethral opening and glans.
2.What are the hazards of circumcision or long foreskin?
(1) hinder penis development: in children, before puberty because the head of the penis is tightly wrapped by the foreskin is like wearing “small shoes”, directly affecting the reproductive development of the penis. In serious cases, it can cause foreskin inlay, foreskin congestion edema, infection or necrosis. If not rectified in a timely manner, the blood flow is easily obstructed.
(2) Prepuce or prepuce can cause foreskin, glans inflammation, prepuce often itchy, odor, increased prepuce, infection, etc., when it is necessary to maintain hygiene, frequent cleaning, if the symptoms do not improve, surgical treatment is required.
Circumcision has more effects on a person’s body than circumcision. Circumcision will accumulate in the foreskin for a long time, causing adhesions, glansitis of the foreskin, and long-term repeated infections can lead to glans cancer. If the foreskin is not reset in time, the foreskin will be embedded, leading to serious consequences such as necrosis of the foreskin glans. In some severe cases, the foreskin opening is as small as a pinhole, and the foreskin bulges like a ball when urinating, so that urination is not smooth. Therefore, surgery is recommended for patients with prepuce.
(3) It can cause prostatitis and even damage kidney function: due to inflammation of the penis, it can cause narrowing of the urethra or anterior urethra, causing prostatitis resulting in difficulty in urination. The function of the kidneys will be impaired by long-term difficulty in urination.
(4) Risk of cancer: circumcision or prepuce is closely related to tumor. Most urologists and scholars believe that the formation of penile cancer is due to the pollution and chronic stimulation of urinary scale, and that penile papilloma is the main cause of cancer (Dean’s).
(5) affect the quality of sperm: circumcision and prepuce can cause urethritis and prostatitis, which, over time, can affect the quality of sperm and lead to infertility.
(6) easy to affect women’s health: circumcision will not only bring harm to men, but also likely to bring some serious gynecological diseases to sexual partners, because within their foreskin if they do not pay attention to clean, there is the production of bacteria, the process of conjugal life is easy to transmit them to the wife, causing vaginitis, cervicitis, cervical erosion, and in serious cases can induce cervical cancer.
(7) Affect the flow of urine. Because the foreskin mouth is too small, or because the foreskin and glans form adhesions foreskin can be too long due to inflammation to form adhesions and become circumcised, the foreskin mouth is too small will affect the urine flow. circumcision does not necessarily have a prepuce, but a prepuce can have a prepuce, and the circumcision is more serious than a prepuce.
(8) Easy infection, easy to get sexually transmitted diseases: the deposits in the urine and urine scale accumulate in the foreskin, which becomes a bacterial culture agent, or cause infection and inflammation due to stimulation, and lead to foreskin adhesion, which affects sexual function. The foreskin is too long or circumcised because the inner plate and glans are often in a humid environment, prone to venereal diseases such as condyloma acuminata and gonorrhea. Modern medicine has proven that circumcision can reduce the chances of sexually transmitted diseases and even prevent venereal diseases. Therefore, patients with prepuce and circumcision should go to the hospital as early as possible, and the specialist will decide whether to do circumcision according to different situations.
3.What age is better to do the surgery
The first thing you need to do is to have a surgery. However, at this time the child is too young to cooperate with the doctor, so most children who have surgery at this time need general anesthesia. Sometimes, in order to reduce the economic burden, surgery can be given to the child around the age of 10 weeks, when the child can generally cooperate with the doctor and choose local infiltration anesthesia. Adults: Adult circumcision can be operated at any time.
4.What season is better to do the surgery
Circumcision can be done all year round. Some parents think that winter is better because it is cold and not easy to get infected. In fact, I think summer is more suitable for surgery than winter, summer post-operative care is simpler and more convenient, because summer wear less clothes, breathable, and even at home can not wear clothes, and most homes are currently equipped with air conditioning, the incision is also not easy to infection, a week after surgery can heal.
5, short penis beware of being mistakenly cut, small fat children should pay more attention to: what is called occult penis
The penis is buried in the subcutaneous or subcutaneous fat, from the appearance of the penis is very short and small, clinically known as “occult penis”, where the pseudo-occult penis in the small fat children most see, because the small fat children before the pubic bone fat accumulation, easier to bury the penis, treatment preferred to lose weight. Hidden penis requires corrective surgery to pull out the penis, at this time, do not do circumcision, otherwise it will cause very big problems for the follow-up treatment!
6.Summary of surgery
Although circumcision is only a minor surgery, but if the surgery is not professional excessive pursuit of speed, do not dispose of the details, it will cause infection and post-operative unsightly. The surgery is just like a master sculptor’s creation, which needs to be refined and precise positioning of the circumcision is needed during the surgery to avoid cutting too much to cause the foreskin to be too short, or cutting too little to reach the purpose of revealing the glans, and the congenital deformity needs to be found and corrected in time.