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【 Ask 】 How to deal with the prepuce frenum in circumcision?
Some books say that circumcision affects pacing function, and some books say that the foreskin frenum is too long to form edema. Which one is right or should be cut off? These statements are all right, so it is necessary to cut them properly during the operation. The most important thing in circumcision is the treatment of the lace. I think it is better to leave 0.8cm at the lacing. Both statements make sense, and the lace is not cut, and the appearance is good and beautiful; However, if the frenum is too long, it is easy to form intractable edema, which is often difficult to fade. If you really want to be beautiful after operation, you can try to do root amputation to keep the frenum intact, but this is not suitable for patients with short penis. I heard that the frenum can be removed-and the duration of sexual intercourse after operation can be prolonged. My opinion: 1. Although the foreskin strap is very important, it definitely does not mean that the absence of foreskin strap will affect penis erection. The simplest example is hypospadias patients, who still have erectile function without prepuce and frenulum. 2. In circumcision, if the foreskin frenum is too short, it will lead to the pain of the frenum when the patient is erect after operation. If it is too long, it will affect the appearance, but generally speaking, the short one is not as good as the long one. Xxl2005 wrote: When circumcision, do you want to cut off some foreskin straps? Some books say that the foreskin frenulum will affect the pacing function, and some books say that it is easy to form edema after a long time. Which is the correct foreskin strap? If it is cut off, it will cause feeling weakening and bleeding, so the foreskin frenulum is generally not cut off, but the foreskin under the frenulum must be cut off to form a "V" shape. Please discuss that erections can occur without prepuce lacing. The foreskin should not be excised too much during the operation, and at least 1CM should be reserved at the foreskin frenum to prevent the foreskin from being nervous and uncomfortable when the penis is erect after the operation, and pay attention to the symmetry of foreskin excision and the external beauty after the operation. Absolute bed rest should be emphasized after operation, and the penis should be raised to prevent edema. One thing to pay attention to is that the arousal of erection has little to do with lacing. It seems that the maintenance of erection in sexual life is negatively correlated with the sensitivity of frenulum. The frenulum evokes pleasure in the process of twitching and ejaculates when it reaches the threshold. So there is a saying that the erection time can be prolonged after operation, because the sensitivity of the penis head and frenulum is reduced after operation. Therefore, removing the lacing does not affect the erection. In addition, whether to trim the lace depends on whether the lace is too short after the foreskin is turned over and the shape of the lace. If the lace is too short, the cut edge can be sewn after the V-shaped incision at its proximal end to prolong the lace. The frenum is generally not too long, so-called excessive edema is often caused by too many inner plates left at the proximal end of the frenum. Root circumcision can be tried out. My experience: the lace can be cut a little, then it becomes an inverted "V" shape, then it is sewn into a "1" shape, and then the inner and outer panels are sewn together. In this way, there will not be too many lacerations and internal plates, and postoperative edema will not be very serious.