Circumcision is defined as the inability to turn the foreskin up. At birth, physiological prepuce is due to adhesions between the foreskin and glans that prevent the foreskin from being turned up. As the foreskin grows, the two become separated due to the shedding of epithelial flakes or the accumulation of foreskin tissues in the two layers. The foreskin is often referred to as a “foreskin bead” and can be mistaken for infection and septicemia by uneducated parents. With natural erection and instinctive squeezing, more than 90% of children are able to flip their foreskin by the age of 3-4 years. The foreskin does not need to be forcibly turned up, as this can cause tears and scarring, a vicious cycle that can lead to pathological foreskin. If the child cannot turn up the foreskin after the age of 4, or if there is an attack of prepuce or glans prepuce, you can try betamethasone cream (0.05%) applied twice a day, and if there is no improvement after 1-2 months of medication, surgery is recommended, no later than school age. Circumcision should be performed as soon as possible if glucocorticoid therapy is tolerated or if there is a bulge sign indicating urinary obstruction.
Circumcision can be performed with a circumcision anastomosis, which is short, painless, quick to recover and aesthetically pleasing!