I finally made the decision to get circumcised, but I’m always anxious about where I can do it. Does it hurt? What if I have large blood vessels on my penis? Will the surgery take long? Do I need to be hospitalized? How long will it take to recover? How long can I have sex? Does the surgery have any effect on sexual function? There are many questions, many answers on the Internet, and the surgeon does not have that much time and patience to explain to you, so I organized my own personal experience and presented the whole procedure to you. First of all, the pre-operative preparation. Before the surgery you need to know to book their own surgery, although the surgery is small can not be sloppy: 1, choose the hospital: regular public hospital urology, male outpatient registration and doctor appointments, do not sloppy directly to the ward said they want to circumcision, often surgery will not be the same day, need to be scheduled; 2, leave: working people may need to take 1 week of vacation (of course, from the day of surgery, outpatient appointments or something not included), after barely able to work. The first thing you need to do is to take a week’s vacation (of course, from the day of surgery, outpatient appointments and so on are not included), after which you can barely go to work, the student party please choose the winter and summer holidays, distorted walking posture you do not say everyone may know that you go to “circumcision”; 3, pre-operative blood test: blood routine, syphilis, AIDS, hepatitis B, hepatitis C and other pre-operative four… There is no room for bargaining, or no doctor dare to give you do; 4, pre-operative drugs: ① anti-erectile drugs – estrogen: such as ethylene estradiol, taken 30 minutes before bedtime to prevent painful erections at night after surgery, but the effect is general, can only be taken a few days after surgery, can not be used for a long time to avoid adverse effects; ② anti-swelling drugs: such as Diosmin, can reduce post-operative edema symptoms, speed up recovery, but Still will be very swollen; ③ antibiotics; ④ postoperative lotion / spray: no matter what lotion / spray, the most important point is to disinfect the wound, remember to keep dry after disinfection (hair dryer cold air blowing); 5. skin preparation: preoperative home to shave the pubic hair, to facilitate surgical operations, postoperative care, so that the doctor shave words first of all, there is no foam, good knife and other tools, followed by a relatively rough. Next, the various parts of the surgery. The surgery is generally completed in the outpatient small operating room, completed by 1-2 doctors, but shows the specific surgical methods and different: 1, pure manual excision suture law (traditional circumcision) (1) anesthesia: adult local infiltration anesthesia (with a needle with anesthetic around the root of the penis under the skin, a few minutes to take effect, the doctor will use a clamp foreskin and so you do not feel pain and then hands, remember that it is not the feeling is (2) surgery time: surgery about 20-30 minutes, outpatient surgery, no hospitalization, postoperative observation of half an hour, no special discomfort, such as wound dehiscence, bleeding (bleeding is only stained part of the gauze, can not be special treatment, often can stop bleeding on their own, such as the occurrence of incision bleeding more than, resulting in a gradual increase in the scope of gauze stained red or appear blood constantly dripping from the gauze, or a patient can not determine the condition of the wound, please immediately seek medical attention), subcutaneous black large hematoma, bandage off) can go home; (3) surgical methods: skilled doctors can accurately cut out excessive foreskin, supplemented by a reliable bipolar electric knife subcutaneous bleeding point electrocoagulation to stop bleeding, large blood vessels can be ligated with sutures, solid and reliable, plus no need to remove the absorbable thread suture (4) postoperative care: within 3 days after surgery: should not shower; oral anti-swelling, anti-erection, antibiotics and other drugs; it is advisable to calm the mind and clear the mind, it is for your own good, erection will be very painful, very painful, easy to let the sutures collapse; 3 days because of tight gauze, edema and other reasons, urinary bifurcation (try to lean forward when urinating, urethral orifice vertical down, avoid urine flow to the gauze, solve After the paper dry), glans wound flow yellow water (wound ooze, even like sweat drops), tolerable swelling pain is normal; 3 days gauze fall or special discomfort immediately to seek medical advice, the third day after surgery to the hospital surgeon to review and remove the dressing gauze (to stop bleeding, protective effect), generally speaking, the doctor’s business ends here, after relying on the patient’s own care; to remove the dressing gauze, the use of disinfectant lotion / spray Disinfect the wound (disinfection to wound healing), cautious shower (3 days after the removal of the dressing gauze can be showered, shower in time to dry or hair dryer to avoid the occurrence of infection), the important thing to say three times: the entire penis and scrotum contact area to keep dry, dry, dry, or the incision will be very ugly; 1-2 weeks after surgery penis edema will be very strong, erection is even more, so remember not to sit for a long time, long standing If you have to pull on the “hair fa thing” or whatever, anyway, a month or so also endure it, fall a heart solid; absorbable thread suture without removing the thread, so when the exposed thread falls out, you will recover, time takes about 40 days; wound completely healed and can withstand external forces such as sexual life, it takes about 6-8 weeks, so sexual life (intercourse or masturbation) or trauma within 1-2 months after surgery may still split, if there is a wound split, please come to the hospital in time; the surgery itself has no effect on sexual function, but we have encountered erectile dysfunction – impotence due to pain, fear, psychological stress, congenital (not cut before) and other factors; during No need for other treatments such as infusion and light; (5) Cost: the cost of surgery is about 400 yuan, plus the cost of pre-operative tests coagulation, intraoperative anesthesia, absorbable thread, post-operative anti-inflammatory, anti-erectile, pain relief and other drugs, the total cost is close to 1000-1500 yuan; (6) Evaluation: this method is the VIP-level treatment, but also the most traditional, but also the most versatile, can cover all Age group, post-operative bleeding hematoma is almost zero, healing is also the fastest, of course, the most critical incision length will be very good-looking, JJ beautiful. Of course, the downside is that the surgery takes a long time and requires a high level of skill on the part of the surgeon. Unfortunately, the fee for this surgical method is really low to insult the value of the doctor, and is rarely carried out, but can be achieved through communication with the doctor. 2. Commercial ring ligation method (1) Anesthesia: local infiltration anesthesia for adults, as above; (2) Surgical time: about 5-10 minutes for surgery, as above; (3) Surgical method: choose the matching anastomosis according to the diameter of the penis. The anastomosis is divided into an inner ring and an outer ring. The inner ring is first placed on the penis, the foreskin is turned over to the inner ring, the length of the inner and outer plates are adjusted, the outer ring is seized to the inner ring, and the excess foreskin is removed. The foreskin at the seized area will naturally necrotize and heal; (4) Post-operative care: you can take a shower the day after surgery to keep the penis dry; remove the ring and remove the ring 7-10 days after surgery; other precautions as above. (5) Cost: the overall cost is medium, and the total cost of surgery is about 2000. (6) Evaluation: The operation time is short in this way, and the surgical incision is standard round. You can take a shower on the same day after surgery. There is no bleeding during the operation, and the chance of bleeding after the operation is very small. The ring will be removed in 7-10 days after the operation, and it is slightly painful when removing the ring. The incision will take about 3 weeks to heal after the ring is removed, during which necrosis of the incision tissue may occur with increased yellow discharge and incision splitting, but it can generally heal and recover automatically, but the edema is slow to subside. § 3, circumcision suture method (1) anesthesia: local infiltration anesthesia for adults, same as above; (2) operation time: operation about 5-10 minutes, same as above; (3) operation method: choose matching circumcision device according to penis diameter. The bell-shaped glans seat is placed, and the excess foreskin is cut at once after adjusting the length of the tether and inner plate, while the titanium suture is fixed and the elastic bandage is wrapped around the incision; (4) postoperative care: the wrapped gauze is removed 3 days after the operation, and other as [1. purely manual excision suture method]. Foreskin cutting suture has the problem of titanium nail off, such as intraoperative bleeding is obvious, it will be sutured 1-2 stitches, 1 week to return to the hospital to remove, titanium nail about 2-4 weeks or so can fall off on their own (bathing and other times will be passively fall off), such as more than 1 month did not fall off, the need for hospital visits to manually remove. (5) Cost: The overall cost is the highest among the three surgical procedures, and the total cost of the surgery is about 2200. (6) Evaluation: The operation time is short, the surgical incision is standard round, the cut edge is very neat, the appearance is very beautiful, the intraoperative bleeding is low, and the postoperative edema is light. The suture staples fall off automatically, and the healing time after surgery is comparable to that of traditional surgery, while attention should also be paid to the bleeding problem of postoperative observation, and its hemostatic effect is still somewhat different from that of manual suturing. Bruises may appear on the foreskin and glans after surgery, but they will all fade away naturally.