There is a part of a boy’s body where the skin is only a few square centimeters, but it is quite valued, and that is the foreskin.
The guys see, Korean surgery, European microsculpture, laser cutting, a new type of ring, a variety of new methods, television, radio, newspaper advertising also bombarded.
In urology clinics, there is always a steady stream of mothers and fathers and grandparents lining up to circumcise their dolls, so let’s talk about the problem of circumcision clearly.
What is circumcision and prepuce?
The foreskin is too long: the foreskin completely covers the head of the penis and the urethral opening, but the mouth is quite large and can easily be turned up to completely reveal the head of the penis. If the head of the penis can be fully exposed after erection, it is pseudo-circumcision.
Circumcision: If the opening of the foreskin is so small that it cannot be turned over to above the coronal sulcus, it is circumcision. If you have to turn it up, it may get stuck on the top and cannot be turned down, and then it becomes an embedded prepuce.
Many young boys have physiological prepuce, which is normal.
There are two types of prepuce: physiological (congenital) and pathological (acquired).
All boys are circumcised during embryonic development, and the inner surface of the foreskin is fused to the head of the penis. During development in the mother’s womb, the two gradually separate, but if there is still mild adhesion at birth, it is a congenital prepuce. This condition usually gets better during subsequent development.
Acquired prepuce occurs in about 0.8% to 1.5% of cases and is mostly caused by foreskin infection and injury to the head of the penis. In this case, the scar that forms at the opening of the foreskin causes the skin to lose its elasticity and ability to expand, and it cannot retract upward.
Do I need surgery right away when I find out my child is circumcised?
No.
Our media campaigns often leave parents with the extremely strong impression that pediatric prepuce is a pathology that can seriously affect development if left untreated, etc.
However, as mentioned earlier, many children’s circumcision conditions get better afterwards, and there are a variety of factors to consider whether to do surgery, such as whether it is infected, inflamed, etc. Therefore, it is recommended that the following steps be taken.
1.Wait and observe
Most children within 2 years of age with physiological prepuce do not need treatment if they do not have symptoms such as difficulty urinating or foreskin infection, and may heal themselves as they grow older.
2.Medication
If the child is simply prepuce, simple prepuce without infection, consult your doctor to use a steroid ointment with a concentration of 0.05% to 0.1% and apply it twice a day to soften the foreskin and increase its elasticity. If there is foreskin inflammation of the head of the penis, local cleaning can be used along with antibiotics to control the infection.
3.Dilatation, manipulation flip or reset
This method works better for children without infection and without fibrosis. If there is no absolute indication for surgery, you can often gently pull and repeatedly try to turn up the foreskin, or you can go to the hospital and use mechanical expansion to enlarge the foreskin opening. After exposing the head of the penis for cleaning, apply antibiotic ointment or liquid paraffin wax to lubricate and then restore the foreskin.
However, the technique must be gentle, and if unfortunately an impaction occurs and it is difficult to reset by yourself, the only way is to seek help from a doctor.
What kind of circumcision may the doctor recommend for surgery?
Generally speaking, your doctor may recommend surgery if the prepuce is in one of the following situations.
Pathological prepuce with a fibrous narrow ring at the opening of the foreskin that is difficult to dilate;
Recurrent episodes of phimosis;
Children over 5 years of age whose foreskin is still severely narrowed and cannot be turned up.
It should be noted that physiological prepuce causes the front end of the foreskin cavity to expand and bulge a bag when urinating, it does not mean that surgery must be done, but you should still consult your doctor for advice.
Do I have to undergo surgery if my foreskin is too long?
Not necessarily.
Circumcision is actually a common physiological phenomenon in children.
The latest recommendation from the American Academy of Pediatrics (AAP) is now to discontinue circumcision as a routine or standard procedure for newborn health. Most pediatricians in countries such as Canada and Australia also do not favor routine circumcision for newborns.
There are two main types of circumcision, one is therapeutic, where physicians are in relative agreement on the indications for the procedure; and the other is prophylactic excision, which currently tends to be done with caution.
It needs to be evaluated on a case-by-case basis, such as whether infection occurs frequently, whether conditions are available for frequent cleaning, and whether it can be easily upturned, before deciding exactly what to do.
Circumcision is actually not as bad as advertised
Many parents take their babies for circumcision, in fact, may be influenced by some propaganda. Here, we still ask you to be careful with the propaganda, especially on the internet and in various small medical institutions.
Circumcision can effectively improve premature ejaculation?
This claim is still controversial, and there is a lack of high quality probative medical evidence to confirm its efficacy, and relevant guidelines do not recommend it.
Premature ejaculation is technically in the male genes, but after the privatization of human mating activities and the awakening of female sexual awareness, premature ejaculation has been treated as a disease because it involves important social relationships according to the WHO definition of “health”. The definition of “premature ejaculation” as a disease is inherently controversial and uncertain.
Circumcision is only one of the possible causes of premature ejaculation. If you are an adult, the foreskin is not a very important part and it is not a bad idea to try it strongly, but don’t get your hopes up.
However, nowadays, some private hospitals and even some big hospital urologists advertise circumcision as a very important measure to treat premature ejaculation, which is actually a bit too much.
Can circumcision increase the risk of penile cancer?
This statement is not entirely accurate.
Some studies have shown that infant circumcision reduces the risk of penile cancer in adulthood and even reduces the risk of cervical cancer in women who are partners. However, with improved living standards and hygiene, the incidence of penile cancer is already very low. For example, in Northern Europe, where the standard of living is high, circumcision is not popular, but the incidence of penile cancer is not high either.
Circumcision for infants and children is, after all, invasive, and complications such as bleeding, infection and injury may occur. However, with good cleanliness and hygiene, the risk of penile cancer can be reduced just the same, so circumcision as a routine preventive measure is not necessary.
Does circumcision increase the risk of HIV?
According to WHO recommendations, circumcision can reduce the risk of HIV and STDs, but it is controversial whether the relevant studies can be applied worldwide due to the geographical limitations of the source.
At least in our country, it is too early to use it as a reason for active excision.
With the exception of a few religious reasons, whether or not the foreskin should be removed has to be viewed on a case-by-case basis for each individual.
Parents who go ahead and have their baby undergo a procedure that is not medically necessary because of aesthetic reasons, for example, should still think twice before doing so.
In addition, there are many different surgical options available, but we recommend that you go to a regular hospital, the name sounds very mysterious and advanced, 80% of them may have dug a hole for you to step on!