circumcision
A circumcision is the removal of the foreskin(fold of the skin that covers the head of penis) from the penis. Although, It is usually practiced in many cultures and religious traditions, but it is also performed for medical reasons( eg phimosis/Para phimotic/infections). Usually it is carried out in infancy, but there is no age limit.
- Surgical excision and suturing (surgeon assesses the amount of skin to be removed, measures, marks and removes the excess skin. The cut ends are stitched together with dissolvable sutures and dressed with non-adherent dressings.
- Plastibell(this involves fitting and tightening a specially designed small plastic ring around the glans foreskin. This ring stops blood reaching the foreskin which as a result then dies and falls off in two weeks.
Both procedure are equally effective with each having their advantages and disadvantages. Post-surgery, loose nappies are advised for infants. Oral painkillers are usually given for pain relief. wound usually heals within a week and dressings are kept dry during this period. In case of plastibell, you can give bath to baby as there are no stitches or dressing.
Any congenital perineal abnormality like Small or buried penis, hypospadias, chordee, deformity of dorsal hood, penile webbing, epispadias, ambiguous genitalia, and bleeding diathesis.
It is considered a safe procedure with complication rate of 2%
These include infection, bleeding, swelling, redness, ulceration, abnormal scarring, loss of sensation, damage to penis, difficulty in urination, psychological and sexual problems. In rare circumstances, The ring may slip and becomes tight around penis, you should contact your doctor immediately if that happens.
It usually takes 30 minutes
In infants and younger children, it is performed under local anaesthesia, in older children and adults general anaesthesia is usually used.
Circumcision is performed as day care procedure and patient can go home after they have been given instructions about the care of surgical site by their doctors
Wound healing usually takes 7-10 days.
No. A local or general anaesthetic will be administered so there will not be any pain.
If a child is not suitable for circumcision then there are a few alternatives
Stretching the foreskin on a daily basis as advised by the doctor Steroid creams: can be directly applied to the skin and are often used to treat phimosis
But none of the treatment can replace circumcision
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