Circumcision is a surgery during which in a male is removed penis foreskin around penis head. Major indication is phymosis (foreskin narrowing) which causes constrictions in penis erections and prevents from undergoing normal sexual intercourse (narrow foreskin acts on penis like a collar that squeezes penis head).Also circumcision is indicated in cases of chronic inflammation in preputial punch (area between penis head and foreskin) that causes itch and bad smell in genitals – this results in narrowing and roughening of foreskin. Extra skin is removed.
Circumcision is indicated in next cases:
- when foreskin is affected by human papilloma virus (HPV)
- foreign bodies in foreskin
- premature ejaculation
Surgery is performed under local or general anesthesia. Most often surgery is performed under local anesthesia. General anesthesia is used only in cases where children are operated or when it is patient's desire. During operation are used conventional, traditional surgical instruments. Cuts may be closed up with stitch material that later resolves itself and in this case patient is saved from unpleasant procedure of their removal.
How circumcision is made?
First, penis head is processed with bleach solution, then local anesthesia is made, after which on penis head is applied a rubber binder, and anesthetic is injected into penis. It helps pain sensitivity to disappear for the time necessary for surgery. Around penis head is made a circular cut, then “leafs” of foreskin are cut, and plastics of frenulum of prepuce of penis is performed. Edges of wounds are closed up with stitch materials that are further resolved or not. After surgery aseptic dressing is applied.
Circumcision lasts 20 – 40 minutes. Much time is spent on sealing of wound because doctor models penis in order to make it look better. Pre-hospitalization is not needed. Patient spends in hospital only 1 – 3 hours and after operation may go home. Wound is healed during 7 – 10 days, however, edema persists much longer. Patient must have sexual intercourse only in one month after operation.
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