The World of Pregnancy

How Do You Get Circumcised?

If you ever asked yourself “how do you get circumcised,” this is where you can find the information that interests you.

How Do You Get Circumcised

How Do You Get Circumcised?

Anesthesia: local anesthesia at the base of the penis, or general anesthesia, if the case requires this.

Purpose: Removing part of the foreskin which contains the fibrous ring.

Duration: 45 minutes to 1 hour.

Surgical methods: The “cuff” resection represents one of the most frequent methods of circumcision. The Burian method is advisable in the case of partial circumcision.

The incisions are performed using a scalpel, in both the inner mucosa and at the external foreskin`s skin. The foreskin is removed under the form of a rink of tissue in excess. Also, now it can take place a frenaplasty (repositioning of the frenulum) or a frenectomy (total excision of the frenulum), if the patient chooses so. Bleeding during surgery is stopped with an electric thermocauter.

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The closure of the incision is made with resorbable or non-resorbable sutures (the resorbable sutures ensure the quality of the appearance and results). An additional closure of the incision is performed with special wound closure strips to reduce suture tension and to match the skin edges as accurately as possible.

The postoperative period has the following particularities:

  • Remitting the edema after 2 days.
  • Removing the yarns after 1 week, if there were no resorbable sutures used.
  • Daily hygiene involving the area of the incision (just shower; bath isn`t allowed).
  • The application of temporary bandages and unusual ointments.
  • The application of refreshing gel packs to decrease the risk of swelling of the penis and hematoma formation.
  • Sometimes the doctor will recommend administering enzyme drugs.
  • The healing of the wound will occur after 2 or 3 weeks.
  • The return to the regular activities is made after 2 or 3 days.
  • Sexual activity or physical exercise is forbidden for around 3 weeks.

There`s no age limit regarding the circumcision operation. Experts claim that this procedure can be applied in the cases of babies, boys of any age, teenagers, adult male and even males of over 80 years old. The most important aspect is the patient`s general health.

Restoration of the Foreskin

Reconstructive plastic surgery also provides a reversibility intervention of circumcision (performed with/without the patient`s approval). This is known as reconstruction of the foreskin. Besides the intervention itself, there are a series of elongation methods of the penis`s skin to allow the restoration of the foreskin.

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Risks of the Circumcision Intervention

Circumcision, regardless of the reason for which it was made, presents particular risks which have to be take into consideration, although they aren`t always felt:

  • Bleeding.
  • Cracks, strictures, ulcers.
  • Affecting some penny nerves.
  • Penile venous occlusion.
  • Hypersensitivity of the penile gland.
  • The occurrence of the hematoma.
  • Psychological trauma.
  • Wound infection, swelling, inflammation.
  • Desensitization of the penile gland.
  • Painful erections through loss of tissue supply.
  • Depigmentation of the area of incision.
  • Partial or total rupture of wound sutures.

Circumcision & Genital Infections

A proper genital hygiene and practicing protected sex may prevent lots of issues and conditions, therefore circumcision isn`t a priority for men. Circumcision represents more of an elective surgery based on personal opinions and an understanding of the pros and cons of the circumcision. Genital hygiene is crucial for both circumcised and uncircumcised men.

Following circumcision, small changes start to appear in the anatomy of the male gland, the urethra meate coming out a little in relief, which deprived by the protective skin, dries out. Also, the risk of infection or surgery when getting in contact with the underwear or other materials or textures is a bit higher.

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Regarding the hygiene, in the absence of the foreskin, there`s no accumulation of smegma, but if an uncircumcised man is preoccupied by his daily hygiene, there`ll be no major difference.

Myths Regarding Circumcision

Being such a controversial subject, circumcision has created a large range of myths.

Pro Myths

  • Lower risks of getting urinary infections or venous diseases.
  • Greater resistance during sexual contact because of desensitization of the limb with the foreskin`s removal and fever.
  • A higher degree of penis hygiene.
  • The penis is more aesthetic.
  • Circumcision prolongs the penis by 1 – 2 cm.

Con Myths

  • Circumcision is considered a sexual mutilation.
  • It decreases sexual pleasure.
  • It might cause death.
  • It may reduce the penis`s size.
  • It may create psychic trauma.
  • It may dry the penis.
  • It may lead to painful erections, impotence or other sexual dysfunctions.
  • It may produce an acute sensitization of the gland.

The veracity of this myth depends on each person and each particular case. However, what is related to sexual pleasure, hygiene and the aesthetic aspect represents subjective opinions. Still, there are some aspects that need to be cleared to avoid confusion:

  • It terms of sensitivity, this increases especially after surgery (it takes time for the skin to thicken and ensure protection).
  • In newborns, circumcision is sometimes practiced without anesthesia and can be a fetal procedure. Moreover, the baby may experience severe injuries of the sexual organ.
  • Regarding the length of the gland, circumcision cannot increase its size; on the contrary, an excessive excision may affect its length in a negative way.

A British journal, “Journal of Urology,” published an interesting article after investigating the side effects of circumcision and draw a conclusion: by circumcision, the man may lose a particular amount of erogenous tissues, the penile gland remaining unprotected in the face of the mechanical effects; repetitive rubbing becomes somehow less sensitive with time passing, therefore reducing sexual pleasure.

Circumcision in Babies

Circumcision is practiced pretty frequently in newborns in their first day of life. In case that their health doesn`t allow it, it can also be performed 7 days after birth. – See also this!

Circumcision in babies is practiced for both religious reasons, aesthetic (in the United States, a circumcised penis is more hygienic and aesthetic) or for medical reasons. However, the medical reasons are often hard to detect in a newborn, as phimosis is a medical condition that occurs in boys up to 8 months, being a physiological state.

The most frequent circumcision method for newborns is pushing the foreskin towards the base and applying a metal clip or a plastic ring to keep the gland offset. If the clip if from metal, the foreskin is excised and the ring removed (the wound usually heals in 5 to 7 days). If the ring is made of plastic, it`s applied a tight suture around the foreskin, and the ring will fall after 8 days, while the wound heals in 7 to 10 days. Circumcision in babies is usually made with no anesthesia, but with the application of an anesthetic topic. Anesthesia is generally used in babies who are at least 2 or 3 months old.

What Complications Might Occur After the Baby`s Circumcision?

The most frequent complications are bleeding, irritation of the uncovered tip of the penis, pain, infection at the urethra`s outer end or at the circumcision`s area. Long-term complications involve possible scarring of the gland due to surgery errors, the low degree of sexual penis stimulation and the deterioration of the external urethra.

Is Circumcision Necessary?

Evidence in the strict necessity of circumcision from a medical point of view isn`t conclusive because of there are a small number of reported cases. Still, it`s believed that circumcision may contribute to penile cancer during adulthood and decreasing urinary tract infections.

Almost 20 years ago, the American Academy of Pediatrics performed a specific study on the necessity of circumcision in infants and concluded that this particular intervention shouldn`t be recommended as a routine intervention in infants and its potential medical benefits aren`t more important that the possible side effects.

Image courtesy of raisingchildren.net.au
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