Circumcision

1. What is circumcision?

The skin of a man's penis is thin and has good extensibility, so it can be fully displaced when the penis is erect. The skin of the penis folds into a double layer outside the penis head, which is called foreskin. Generally, before the age of seven, the foreskin of a boy is long and can completely wrap the penis head and the urethral orifice. With the advent of puberty, the penis is lengthened and enlarged, and the foreskin retreats. After the age of 18, the penis head is exposed, but about one third of the adult foreskin still covers the penis head. Only when the foreskin is turned up by hand or the penis becomes erect can the penis be exposed. This situation is called foreskin is too long.

If someone's foreskin is too long and the foreskin mouth is too small and too tight, neither upturned foreskin nor penis erection can expose the penis head, this situation is called phimosis. These two malformations are the most common malformations in male genitalia. The main hazards are that the penis head and foreskin are easily inflamed, and the inner side of foreskin can not be cleaned. Excessive accumulation of scales may cause inflammatory adhesion, lack of pleasure during sexual intercourse or pain during sexual intercourse. In addition, according to statistics, more than 9% of penile cancers suffer from phimosis or redundant prepuce. Countries that believe in Islam circumcise baby boys after birth, so the incidence of penile cancer in these countries is extremely low.

When the foreskin is too tight and forcibly turned up, and it is not reset in time, the tight foreskin mouth is like a narrow fibrous ring tightly sleeved in the coronal groove of the concealed stem head, which can cause high edema of the penis head. This situation is called foreskin incarceration, and if it is incarcerated for too long, it will also cause necrosis and erosion of the penis head. Therefore, patients with excessive prepuce or phimosis need to ask a doctor for circumcision in time. The main purpose is to remove the redundant prepuce, loosen the adhesion and finish the suture operation.

Some parents of young people or children are worried, mainly about whether the foreskin operation will affect the sexual sensitivity of the penis. In fact, this is a wrong concept. Men's sexual sensitivity areas are the penis head, the coronal sulcus and the penis frenum and penis body below. Stimulating these parts will normally cause sexual excitement, that is, the erection of the penis. A small amount of local anesthetics injected during the operation will be metabolized within 1-2 hours without any side effects.

Some people have made a special study on people who have undergone circumcision, pointing out that the sense of touch of the penis has not changed. On the contrary, many people's sexual sensitivity will be much enhanced after surgery because the penis head and penis frenum are exposed, which can explain why some people have significantly increased the number of penile erections after circumcision.

Second, surgical methods:

In recent years, we have made some improvements on circumcision, mainly using continuous suture or intermittent mattress suture in the suture method, which can make the wound heal more beautifully; In the choice of suture, we used fine thread or nylon thread, and the suture reaction of the wound was particularly slight; The suture is also very fine. If there is no nylon thread, you can also use the hair thread as the suture, which also makes the surgical incision have little reaction to the suture, and the healing is fast. Generally, it only takes 4-6 days to remove the suture, and the scar after operation is also extremely inconspicuous. For some children's phimosis without prepuce adhesion, we also designed a simple plastic surgery that is completely different from circumcision: < P > The specific method is: after lengthening the excessively long prepuce, cut off the full-thickness prepuce on the back of the penis, with the length of the cut being that the prepuce is easy to turn up, and then sew a few stitches, the operation will be completed, and the operation can be completed in ten minutes. The effect is also very reliable, and the postoperative recovery is also fast, which is particularly affected.

3. Precautions before operation:

1. Wash the local area on the night before and on the day of operation.

2. Patients complicated with prepuce and phalitis need to be treated in advance, and then operated after the inflammation subsides.

Fourth, postoperative precautions:

1. Within three months after circumcision, try to avoid walking, cycling, sexual stimulation and fantasy, so as to avoid the wound healing affected by repeated erection of penis;

2. Keep the perineum clean. Some patients may feel uncomfortable in the foreskin after operation, so scratching should be prohibited, and they should be scrubbed clean after defecation to prevent local pollution.

3, don't hold your urine, to avoid the wound healing due to repeated erection of penis;

4. You can take sedatives properly before going to bed within 2 ~ 3 months after operation, and you can take some estrogen orally for a short time to avoid pain and bleeding caused by penile erection.

Circumcision of prepuce root

Prolonged penis foreskin is a common congenital disease of male genitourinary system, and 21% of Chinese men have this disease, among which 4-7% are accompanied by phimosis. When phimosis is serious, the prepuce mouth is narrow, and sometimes the external urethral mouth is narrow, which affects urination and can damage kidney function over time. When phimosis and foreskin are too long, there is scale in the bag, forming stones or lumps, which will lead to chronic inflammation, and the scale contains anthracene substances. Long-term chronic stimulation has a certain relationship with the formation of penile cancer and female cervical cancer.

With the improvement of social life and the popularization of medical knowledge, people have gradually realized the harm of phimosis and excessive prepuce, and more and more patients have taken the initiative to ask for treatment. The traditional surgical method to treat phimosis and redundant prepuce is circumcision, that is, distal circular excision of prepuce. Although this method removes the redundant foreskin, there are many complications. Short prepuce after operation is one of the more serious complications. Because too much penis foreskin is removed by surgery, it is not obvious under normal non-erection state. Once the penis is erect, the penis is pulled by too short penis foreskin, which makes the penis erection limited, and the pain after the penis erection will cause avoidance actions for a long time, which will cause impotence and seriously affect the sexual life of husband and wife, thus leading to the breakdown of the relationship between husband and wife.

1. Operation method:

Penile root skin excision to correct the redundant prepuce. It is to make an incision at the root of penis, push and pull the foreskin to the root of penis, so that the glans penis is exposed, then cut off excess skin and sew the incision. This method will not damage the lymphatic vascular system under the penis, and there will be no blood and lymphatic reflux disorder after operation. The overturned foreskin and foreskin frenulum are not damaged, and the appearance remains natural; No pain after erection; It will not cause annular scar contracture. The operation method is simple, less trauma, less postoperative swelling, short recovery time and no need for hospitalization.

The skin excision at the root of penis for patients with too long prepuce not only keeps the natural state of the distal penis and good sexual feeling, but also avoids the occurrence of too short prepuce and the narrowing ring of the scar at the distal penis.

2. Precautions before operation:

1. Wash the local area on the night before and on the day of operation.

2. Patients complicated with prepuce and phalitis need to be treated in advance, and then operated after the inflammation subsides.

Third, postoperative precautions:

1. Within three months after circumcision, try to avoid walking, cycling, sexual stimulation and fantasy, so as to avoid the wound healing affected by repeated erection of penis;

2. Keep the perineum clean. Some patients may feel uncomfortable in the foreskin after operation, so scratching should be prohibited, and they should be scrubbed clean after defecation to prevent local pollution.

3, don't hold your urine, to avoid the wound healing due to repeated erection of penis;

4. You can take sedatives properly before going to bed within 2 ~ 3 months after operation, and you can take some estrogen orally for a short time to avoid pain and bleeding caused by penile erection.

I hope it can help you! ! ! !