circumcision

First, what is circumcision:

The skin of a man's penis is very thin and malleable, and the penis can be completely displaced when it is erect. The skin of the penis is folded into double layers outside the penis head, which is called foreskin. Generally, before the age of seven, the boy's foreskin is very long, which can completely cover the penis head and urethral orifice. With the arrival of puberty, the penis becomes longer and bigger, and the foreskin shrinks. /kloc-After 0/8 years old, the penis head is exposed, but about one third of adults still cover the penis head. Only when the foreskin is turned up by hand, or the penis is erect, can the penis be exposed.

If some people not only have too long foreskin but also have too small and tight foreskin mouth, neither the foreskin upturned nor the 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 hazard is that the penis head and foreskin are easily inflamed and the inside of foreskin cannot 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 90% of penile cancers suffer from phimosis or excessive foreskin. In Islamic countries, male babies are circumcised after birth, so the incidence of penile cancer in these countries is extremely low.

When the foreskin is too tight, but it is not reset in time after being forcibly turned up, the tight foreskin mouth is like a narrow fibrous ring tightly sleeved in the hidden coronal groove of the stem head, which can cause high edema of the penis head. This condition is called foreskin incarceration. If incarceration lasts too long, it will also cause necrosis and erosion of the penis head. Therefore, patients with too long foreskin or phimosis need to find a doctor for circumcision in time. The main purpose is to remove the redundant prepuce, release the adhesion and complete the suture operation.

Some young people or parents of their children are very worried, mainly about whether circumcision will affect the sexual sensitivity of the penis. Actually, this is a wrong concept. Male sexual sensitive areas are the penis head, coronary sulcus, penile frenulum and the penis body below. When these parts are stimulated normally, they will appear and cause sexual excitement, that is, penile erection. A small amount of local anesthetic is injected during the operation, and it will fail within 1-2 hours, and there will be no side effects at all.

Some people have done special research on circumcised people, pointing out that the touch of penis has not changed. On the contrary, many people's sexual sensitivity will be much enhanced after operation because the penis head and penis frenum are exposed. This phenomenon can explain why the number of penile erections in some people has increased significantly after circumcision.

Second, the surgical method:

In recent years, we have made some improvements in circumcision, mainly in the suture method, using continuous suture or intermittent mattress suture, which can make wound healing more beautiful; In the choice of suture, we use thin thread or nylon thread, and the suture reaction of the wound is particularly slight; The stitching is also very thin. If there is no nylon thread, hair can also be used as suture, which also makes the surgical incision less responsive to suture and heal quickly. Generally, it only takes 4-6 days to remove stitches, and the scar after operation is extremely inconspicuous. For some phimosis in children without prepuce adhesion, we also designed a simple plastic surgery completely different from circumcision:

The specific method is: after lengthening the excessively long foreskin, cut the whole foreskin on the back of penis, the cutting length is subject to the fact that the foreskin is easy to turn up, and then sew a few stitches to complete the operation, and the operation can be completed in ten minutes. The effect is also very reliable, and the postoperative recovery is also fast, which is especially popular with parents of children.

Third, preoperative considerations:

1, the night before operation and the same day, wash the local area.

2, complicated with foreskin, penitencis, need to be treated in advance, and surgery will be performed after the inflammation subsides.

Four, postoperative matters needing attention:

1, within three months after circumcision, try to avoid walking, cycling, sexual stimulation and fantasy, so as to avoid repeated erection of penis affecting wound healing;

2. Keep the perineum clean. Some patients may feel uncomfortable in the foreskin after the operation. Do not scratch, scrub clean after defecation to prevent local pollution.

3. Do not urinate to avoid wound healing caused by repeated erection of penis;

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

Circumcision of prepuce root

Excessive prepuce of penis is a common congenital disease of male genitourinary system. In China, 265,438+0% men have this disease, and 4-7% of them are accompanied by phimosis. When phimosis is serious, the prepuce orifice is narrow, and sometimes the external urethral orifice is narrow, which affects urination and can damage renal function over time. When phimosis and foreskin are too long, there are scales in the bag, forming stones or lumps, which will lead to chronic inflammation. The scales contain anthracene substances. Long-term chronic stimulation is related to the formation of penile cancer and female cervical cancer.

With the improvement of social life and the popularization of medical knowledge, people gradually realize the harm of phimosis and excessive foreskin, and more and more patients require treatment. The traditional surgical method to treat phimosis and redundant prepuce is circumcision, that is, distal circumcision. Although this method removes the redundant foreskin, it also has many complications. Short prepuce after operation is one of the more serious complications. Because there are too many penile foreskins surgically removed, it is not obvious in normal non-erectile state. Once the penis is erect, the penis is pulled by the too short penis foreskin, which limits the erection of the penis. The pain after the erection of the penis will cause a long-term avoidance action, which will cause impotence, seriously affect the sexual life of husband and wife, and thus lead to the breakdown of their feelings.

First, the surgical method:

Skin excision of penis root to correct redundant prepuce. It is to make an incision at the root of penis, push and pull the foreskin to the root of penis to expose the glans, then cut off excess skin and sew up the incision. This method will not damage the lymphatic 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; 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 excision of the skin at the root of penis for patients with long foreskin not only keeps the natural state and good sexual feeling of the distal penis, but also avoids the occurrence of short foreskin and scar constriction ring at the distal penis.

Second, the preoperative considerations:

1, the night before operation and the same day, wash the local area.

2, complicated with foreskin, penitencis, need to be treated in advance, and surgery will be performed after the inflammation subsides.

Three, postoperative matters needing attention:

1, within three months after circumcision, try to avoid walking, cycling, sexual stimulation and fantasy, so as to avoid repeated erection of penis affecting wound healing;

2. Keep the perineum clean. Some patients may feel uncomfortable in the foreskin after the operation. Do not scratch, scrub clean after defecation to prevent local pollution.

3. Do not urinate to avoid wound healing caused by repeated erection of penis;

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