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Circumcision: circumcision, contraindications and recovery

Circumcision, or circumcision of the foreskin in men, is called the procedure in which the excision of the skin covering the glans penis is performed.

Many men who are facing this type of operation are interested in how circumcision takes place, what are the consequences of circumcision, and whether it affects sexual life.

What is partial circumcision of the foreskin?

By this type of surgical intervention is meant incomplete, i.e. partial circumcision in a man of the foreskin.

This means that the entire genital organ remains covered, only a small part of the head is exposed.

In this case, coarsening of the skin does not occur, since only the external opening of the urethra is open.

If circumcision is associated with the presence of phimosis in the patient, plastic bridle can also be performed, the length of which after manipulation of the sag will increase, which will not allow it to be injured or torn during intercourse.

In medicine, several varieties of partial circumcision are used.

  1. Free. In this case, circumcision of the foreskin is performed, in which the head can be partially open, and during an erection, the skin fold is at the level of the coronal groove.
  2. Moderate. When cutting, the head is always covered with foreskin, but if necessary, the crease moves freely.
  3. The minimum.

Pros and cons of circumcision

So, what is circumcision, found out. Consider the pros and cons of surgery. First of all, aesthetics are a plus. The appearance of the genital organ after excision of the foreskin is significantly improved, as many men believe.

Interesting: according to a survey in America, women more often agree to oral sex if a man has no foreskin.

Benefits of circumcision for men:

  • Reducing the likelihood of developing inflammatory processes, since there is no “bag” under which physiological discharge, residues of urine, seminal fluid, smegma, etc. were collected. With each hygiene procedure, against the background of the openness of the skin, biological fluids are easily washed off. There is also no unpleasant odor, which is often detected in men who do not follow the rules of hygiene,
  • The operation affects the sexual intercourse, in particular, after the procedure, the susceptibility of the head of the penis is significantly reduced, as a result of which the duration of intercourse increases,
  • Prevention of male pathologies. Statistics note that patients who have undergone this manipulation suffer from infectious pathologies much less often than uncircumcised men. The coarsening of the skin on the head creates a powerful barrier to the penetration of viruses and pathogens,
  • Reducing the risk of contracting AIDS. Australian scientists have found that circumcised men have AIDS more rarely than uncircumcised men. This is due to the fact that the virus initially enters the foreskin, and then into the bloodstream, spreading throughout the body.

Circumcision, what is it? This is a medical manipulation during which the foreskin of the penis is excised. Thanks to this procedure, the risk of cystitis in patients is reduced tenfold, the number of pathogenic microorganisms is reduced by a third, and the chance of cancer of the glandular organ is reduced by 45%.

Surgical intervention is characterized not only by pluses, it has certain disadvantages:

  1. The size of the reproductive organ. Definitely, the removal of the foreskin does not in any way affect the real length of the penis, but visually it seems that it has become somewhat smaller, which aggravates the emotional state of the man. This problem is easily solved by removing the hairline in the perineum - this manipulation artificially compensates for the loss.
  2. Postoperative recovery. The process of coarsening the head of the penis gives pronounced discomfort to the man. Even a jet of water or contact with underwear cause pain. And having sex in this period is not at all possible, since the wounds have not completely healed, which increases the risk of infection thereof.
  3. Hygiene. The accumulation of pathogenic microorganisms is reduced, which is an undoubted plus, but the reverse side of the coin is the excessive dryness of the skin of the head. This side effect appears immediately after the intervention. Therefore, for a couple of months, a man needs to use moisturizing creams until the body adapts.
  4. Sex life. Due to the increased dryness of the head, lubricants may be needed.
  5. Circumcision is better at a young age: the older the man, the higher the risk of bleeding.
  6. Loss of potential correction material. When the foreskin is circumcised, the patient loses a patch of skin that doctors could use for injuries to the urethral canal.

It is worth knowing: circumcision is the simplest surgical intervention that even a "novice surgeon" can cope with. But to give aesthetics to the penis is only possible for a highly qualified and experienced surgeon.

Indications for the operation

In most cases, partial circumcision is a medical indication.

    Partial circumcision with phimosis is the procedure that is most often performed for patients who are diagnosed with this diagnosis.

    The foreskin must be removed so that it does not interfere with the opening of the head of the penis.

For example, cicatricial phimosis can cause not only problems with urination, but also in case of untimely surgery lead to necrosis of the head, which will be impaired by a narrow ring of flesh. Physiological phimosis can cause inflammatory diseases of both the foreskin and the head. These include balanitis and balanoposthitis.

Also, with this type of disease, a man cannot bare his head, which can lead to paraphimosis. Therefore, with this diagnosis, surgical intervention is necessary to prevent negative consequences and complications. But there are a number of cases in which resorting to partial circumcision. For example, if a man has too long foreskin, then for aesthetic reasons, partial removal is performed. In some cases, partial circumcision is necessary for some diseases of the head. For example, with Keir erythroplasia.

There is a category of men who insist on circumcision according to religious traditions. This includes Muslims and Jews, for whom this procedure is mandatory for all boys and men.

Circumcision is an indicator that the boy has become a man. The procedure is performed no earlier than 8 and no later than 14 years. After circumcision, Muslims are allowed to go to the mosque and must from this period observe the laws of Islam.

This video about the need for circumcision with phimosis:

Indications and contraindications for surgery in men

Indications for surgical manipulation may be religious, medical, aesthetic or hygienic in nature. For example, in some religions, circumcision of boys is a mandatory procedure. Aesthetic indications can be considered personal preferences of partners who like a penis with an open head.

Hygienic indications include those moments when the foreskin does not allow to achieve the required purity, as a result of which the patient has infectious pathologies with an enviable frequency. The operation promotes high-quality hygiene of the penis, which ensures the preservation of male health.

The medical indications for circumcision are as follows:

  • Phimosis and complications of pathology, against which there are difficulties with the performance of hygiene measures, since the foreskin has significantly narrowed,
  • The occurrence of genital warts (infectious disease),
  • Injury to the foreskin. After recovery, a scar appears, which leads to a narrowing,
  • Prevention of diseases that are transmitted during intimacy,
  • Erectile dysfunction - a short duration of sexual intercourse, premature ejaculation, etc.

Along with the indications, surgical intervention has certain contraindications, which are taken into account without fail. It is impossible to perform circumcision if a man has balanoposthitis - an inflammatory pathology of the head of the penis. Do not circulate when the amount of foreskin is extremely small.

  1. A history of oncological pathologies.
  2. Paraphimosis of an advanced form.
  3. Peptic and dermatological diseases in the field of intervention.
  4. Some diseases of the circulatory system.

In some cases, if there is a medical contraindication, treatment of the corresponding disease is prescribed. After the therapeutic course, medical manipulation is performed.

What part of the flesh is removed?

Partial circumcision can be performed in several ways:

    Low cutoff. In this case, the surgeon removes the foreskin as much as possible, while maintaining external prepuce.

The seam after the operation is under the very base of the coronal sulcus.

  • High circumcision. The outer part of the flesh is removed, while the internal prepuce is preserved.
  • Despite the choice of a circumcision option, the doctor is faced with the question of whether to save or remove the bridle.

    1. Its removal will prevent the spread of infections on the one hand, but on the other hand this is the most erogenous zone in men.
    2. Its removal can significantly reduce sensitivity during intercourse.
    3. An undeniable removal can only be premature ejaculation in a man.

    Methods of circumcision

    Surgery circumcision refers to the category of cosmetic interventions in the penis of a man. The technique is determined by the size of the skin fold. In medical practice, the following options are circumcised:

    • Minimal intervention is recommended in cases where a man has a decrease in organ sensitivity due to the formation of a scar or scar tissue. In the process of manipulation, an insignificant area of ​​the skin is excised,
    • A free operation is performed in cases where there is a need to completely expose the head of the genital organ. During the intervention, the doctor forms a fold in the coronary zone of the penis,
    • A tight laser procedure involves complete excision of the foreskin. Manipulation is carried out by means of a laser. Advantages: short rehabilitation period, minimal risk of bleeding even in old age,
    • During low circumcision, the entire foreskin is removed from the inside, a skin fold is formed around the coronal groove,
    • High circumcision allows you to save the inner part of the foreskin, but a substantial part of the skin is removed where required. The suture is located in different parts of the root of the penis.

    For information, in most clinical pictures, moderate circumcision is carried out, during which the head of the penis is exposed, while the skin fold is not very pronounced.

    The method of surgical intervention is selected individually on strictly medical grounds. The operation is carried out regardless of the age of the person.

    Rehabilitation and recovery

    Wound healing takes place within two weeks. To speed up the recovery process and prevent possible complications, you need to abandon intimacy and masturbation for 40-45 days. Within 2-3 months after surgery, it is recommended to use condoms during sexual intercourse.

    The first dressing is carried out in a medical facility. The patient is engaged in further care on his own. Dressings are carried out within 10 days, after postoperative sutures are kept open. At first, you need to act carefully to avoid injury.

    The following solutions can be used to facilitate removal of the dressing:

    1. A decoction based on pharmaceutical chamomile or calendula inflorescences.
    2. Hydrogen peroxide.

    It is impossible to say exactly how long it will take to complete recovery, since everything is due to the individual characteristics of the body, the rate of regeneration of the skin. Healing usually occurs within 2 weeks. Some men experience discomfort for one month. It takes 2-3 months to fully recover.

    In the presence of a sac, additional processing of the wound surface is required. To do this, use a weak solution of potassium permanganate (slightly pink), ointment Levomekol, Furatsilina solution. Bandage up to three times a day. When the situation improves, once a day is enough.

    Important: after circulation, painful sensations in the suture area, swelling of the penis, inguinal region and scrotum are revealed. These symptoms are a variant of the norm, pass on their own. The main task of a man is to keep the seam clean and consult a surgeon, if purulent discharge appears, his body temperature rises.

    Usually they suture, which themselves absorb. If they cause inconvenience and discomfort to the patient or their departure is delayed, then they are removed in a medical facility for 7-10 days after the intervention.

    Circumcision is an operation involving complete or incomplete circumcision of the foreskin in men. Allowed at any age. Before manipulation, they always take tests to make sure there are no contraindications. To prevent complications in the postoperative period, it is necessary to strictly follow the doctor's recommendations.

    Training

    Before the operation, the patient should be consulted by a urologist, who must decide if there is a need for this procedure. It is also important to determine the type of anesthesia. It can be administered intravenously or under local anesthesia. Another option may be suggested - spinal anesthesia.

    It is very important to undergo a diagnosis before the operation and make the necessary tests. These include:

    • general urine and blood tests,
    • Rhesus factor and blood group analysis,
    • syphilis analysis,
    • ELISA for the presence or absence of hepatitis, as well as HIV infection,
    • ECG,
    • fluorography
    • Therapist’s opinion.

    IMPORTANT. All analyzes should be fresh. Between their surrender and the operation should not pass more than 10 days. X-ray period not more than a year.

    Stages and conditions of the operation

    Circumcision at the present stage of development of medicine is carried out only in a sterile operating room in a medical institution. At the request of the patient or by the presence of any circumstances, preference is given to one of the types of anesthesia:

    Taking into account the time from the moment of anesthesia to the end of the operation, the entire manipulation takes no more than 40 minutes. There are 5 main stages of circumcision surgery:

    • Local anesthesia with novocaine or its analogues (lidocaine, ultracaine) or the introduction of a patient into general anesthesia.

    • Surgical excision of the foreskin. With a scalpel, an incision is made of the foreskin. The basic rule is to maintain a 5–10 mm section. from the inner sheet of skin.

    • Performing hemostasis. A special electrocoagulator is used, which allows locally acting on bleeding vessels. Go to the next stage only after the bleeding stops completely.

    • Suturing.A feature of the suture material is its ability to self-resorption, which eliminates the need for subsequent removal of sutures.

    • Applying an aseptic dressing to reduce the likelihood of wound infection.

    The pain that scares patients so much is absent during surgery. After the termination of anesthesia in the early postoperative period, discomfort in the area of ​​the postoperative wound can be observed. For pain relief, the doctor may recommend pills that effectively relieve pain.

    An hour after the operation, the patient can go home, since constant monitoring in the postoperative period is not required. Contacting a urologist is necessary if you develop any complications or have any questions to the doctor. With proper observance of all recommendations, the operation itself and the postoperative period go smoothly.

    Features of the operation

    Under anesthesia, the patient is partially circumcised using a special radio wave scalpel or using a laser. These methods allow high-quality and bloodless surgery.

    The operation consists of several stages using clamps.

    1. The surgeon fixes the foreskin and then pulls it on. To prevent head injury, the doctor applies a direct clamp.
    2. The foreskin, which is excised in a circle above the clamp.
    3. Next, stitches are made of self-absorbable materials.
    4. A bandage is applied over the seams.
    5. After the operation, examination of the wound and dressing with antiseptic treatment is carried out after 2-7 days.

    In most cases, the patient is not hospitalized, but sent home after several hours after surgery.

    What you need to know about the operation of the patient

    No specific preparation is required before surgery. On the part of the patient, it is important to clearly understand why he needs this surgical intervention.

    After the operation, the aesthetic appearance of the penis will be more pleasant, hygiene procedures will be simplified. For some, circumcision is a surefire way to extend the time of intercourse. Doctors recommend circumcision to prevent recurrence of infections.

    Partial circumcision: photo

    Below you can see the photo of partial circumcision: before and after the procedure.


    Where can I sign up for circumcision?

    The circumcision procedure is performed by many medical institutions. It is important to choose a clinic in which the operation will be performed by a urologist. The specific qualification of a specialist is guaranteed by the fact that you will find yourself in skilled hands.

    The stages of circumcision surgery are performed by the urologist clearly and sequentially. High professionalism allows you to achieve almost completely bloodless circumcision.

    You can make an appointment at a private medical center, among whose employees there is an operating urologist. If you do not want to spend time searching for such a medical institution, you can ask for help in the help desk at the private clinics “Your Doctor”. The dispatcher will give you detailed information about the clinics that provide this service and offer an appointment with a specialist at a convenient time for you.

    Useful information on the topic:

    This article is posted for educational purposes only and is not scientific material or professional medical advice.

    Recovery

    The rehabilitation period after surgery is about 3-4 weeks. After the flesh is cut, edema appears, which can be removed with medications prescribed by a doctor. You can use folk recipes from decoctions of chamomile or calendula.

    There is a likelihood of the occurrence of inflammatory processes, since men can not correctly perform all the necessary hygiene procedures after the operation. But partial circumcision is effective in that this risk is small, and healing is fairly quick.

    The surgeon must prescribe all the necessary drugs that will contribute to the quality of wound healing and restoration of functions.

    Classification

    The main task of circumcision is to reduce the size of the foreskin of the penis, so circumcision is considered a full plastic surgery.

    Circumcision may be:

    • The minimum. It consists in excising a small area of ​​the foreskin. It is used with an excess of foreskin, the presence of rounded scar formations.
    • Partial. It is carried out in the presence of medical indications, characterized by partial resection of the foreskin. The result of this operation is the possibility of free exposure of the head by the patient.
    • Free. It is characterized by the appearance of a groove in the coronal area of ​​the genitals. With free circumcision, the head of the penis becomes completely bare.
    • Tight. It implies the complete removal of the foreskin from the glans penis. It is carried out only with the permission of the doctor.
    • Low. It consists in the complete removal of the inner part of the foreskin. With this operation, the postoperative suture is located in the coronary sulcus.
    • High. The goal of high circumcision is to remove a large volume of tissue. A characteristic feature of such an intervention is a postoperative circular suture located at any height from the root of the genital organ.

    Video: "What is circumcision?"

    Sexual life after surgery

    Since in most cases the operation is performed for medical reasons, in particular when diagnosing phimosis, a man’s sex life is improving. The foreskin does not interfere with the bare head, as a result of which it ceases to experience discomfort and pain.

    Many men who underwent partial circumcision notice a significant lengthening of sexual intercourse. Partial circumcision is not a complicated procedure that does not threaten the health and sexual life of a man. The man who underwent surgery noted significant improvements in the work of the sexual sphere and in sexual life.

    In children

    Boys are prescribed surgery:

    • the presence of inflammation in the head area of ​​the penis caused by advanced phimosis,
    • paraphimosis (long-standing ordinary phimosis),
    • impaired normal urination.

    Often the reason for circumcision in children lies in religious motives (Jewish beliefs, Islam).

    In adults

    Most often, circumcision is performed if available:

    • phimosis (narrowing of the foreskin),
    • paraphimosis,
    • sclerotrophic lichen,
    • genital warts,
    • chronic relapsing adhesions balanoposthitis (inflammation of the head of the penis),
    • hypersensitivity, premature ejaculation (the goal is to increase the duration of sexual intercourse),
    • injuries of the foreskin.

    Sometimes circumcision is performed for hygiene reasons.. The fact is that smegma is accumulated in the pocket between the head of the penis and the foreskin - fertile soil for the development of infection. During sexual intercourse, stagnant smegma enters the cervix, increasing the risk of developing cancer.

    To prevent such a development of events, a man should regularly (at least twice a day) move his foreskin and remove smegma. Not everyone does this. Circumcision allows a man to refuse such thorough care.

    Method Features

    Circumcision is not carried out if available:

    • anatomical anomalies of the genital organ,
    • long-running neglected paraphimosis,
    • ulcerous lesions in the penis area,
    • discharge during systemic urination,
    • chronic diseases of the penis (e.g., filariasis),
    • hemophilia
    • other visible contraindications, for example, oncology.

    Before sending the patient for surgery, the doctor should exclude the presence of contraindications for the man, familiarize him with the pros and cons of surgery.

    Pros

    The benefits of circumcision include:

    • reducing the risk of developing infectious diseases of the urinary tract (cystitis, pyelonephritis),
    • reduced risk of STIs (HIV infection, syphilis, genital herpes),
    • improved penile hygiene,
    • reducing the risk of developing penile oncology (when performing circumcision in the first years of a child's life),
    • a decrease in the risk of developing cervical cancer in a woman (transmission of HPV infection from circumcised men is less likely).

    Minuses

    Complications of circumcision are rare. As a rule, their appearance is associated with insufficient quality work of the surgeon.

    The disadvantages of circumcision include the appearance of:

    • inflammatory complications inherent in any surgical procedure (the risk of suppuration of the wound increases due to the proximity of the anal area),
    • genital deformities associated with excessive tension of the skin with excessive resection of the foreskin,
    • scars and scars on soft tissue.

    The listed complications are very rare, so you should not worry about this.

    Operation technique

    The first thing a patient who decides to circumcise should do is make an appointment with a urologist. Next, the man will need to pass the tests necessary for surgical treatment.

    They include:

    • general blood analysis,
    • coagulogram,
    • biochemical blood test (creatinine, glucose),
    • infectious group (hepatitis B and C, HIV, RW).

    Men older than 50 may need a physician consultation and ECG.

    The operation to remove the foreskin is performed in the operating room. Circumcision is done under local anesthesia or (if the patient insists on it) with the use of sedation, when the man does not feel anything, is in a state of medical sleep. Surgery to excise the foreskin continues for 25-60 minutes.

    Video: "Circumcision Technique"

    Please note: if you plan to conduct surgery with sedation, on the day of circumcision, you must refuse to eat.

    The procedure is carried out in several stages.:

    • disinfection,
    • resection of the foreskin,
    • the imposition of a surgical suture and a sterile dressing with an antiseptic.

    At the end of the operation, the patient spends several hours in the ward of a day hospital under the supervision of a doctor. After that, you can return home. On this day, it is advisable to abandon driving, especially if sedatives were used during circumcision.

    Reviews

    Reviews about circumcision on the forums are positive. Patients claim that recovery from surgery was uncomplicated, and it was easy to follow the recommendations voiced by the surgeon. Some men had difficulty refusing sexual intercourse for a long time, however, compliance with this condition is necessary for successful wound healing. Complications after surgery were rare and were associated with improper actions by the surgeon / patient.

    Watch the video: Circumcision - Indications, Controversies, Complications & More. Dr. Jennifer Singer - UCLA Urology (February 2020).

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