What happens during circumcision?
In circumcision, a movable flap of skin that encloses the glans of the male limb (foreskin) is removed in whole or in part in a small surgical procedure. This procedure can be performed both under local anesthesia and under general anesthesia.
What are medical reasons of circumcision from a Circumcision doctor point of view
Age plays a crucial role in deciding whether to circumcise children. In early infancy and childhood, gluing of the foreskin is a normal finding (physiological). By the end of the first year of life, the foreskin can pull back in about half of the cases. After the age of 3, this rate rises to 90%, and in the case of adolescents 16 to 17 years old, up to 99%.
Medical reasons for early circumcision:
Recurrent inflammation of the foreskin and glans.
Recurrent inflammation of the urinary tract ( cystitis)
Other reasons that may require a circumcision doctor recommend circumcision
The foreskin in the stiffened limb cannot be retracted or only partially.
The stiffening (erection) of the limb can cause pain due to the narrowed foreskin.
When urinating, the urinary stream can be weakened or twisted by the narrowed foreskin.
Urinary retention – no more water can be left at all (very rare).
After the foreskin is continuously pulled back over the glans, a lacing ring appears (so-called “Spanish collar”). The foreskin lies below the furrow between the penis shaft and the glans and can no longer be pulled back over the glans because increasing swelling of the glans and foreskin prevents this. This situation is an emergency, which requires a live presentation to a urologist or in a urological clinic. Here you will try to rub the foreskin again over the glans. Local anesthesia or minor surgery can help.
Is circumcision beneficial to health?
Cleaning the limb, which is easier to perform after trimming, offers a particular advantage. Other reasons cited include reducing the risk of urinary tract inflammation and sexually transmitted diseases.
What forms of circumcision are there?
Depending on the findings and wishes of those affected, the following surgical procedures can be considered:
Circumcision by completely removing the foreskin. The entire glans is then exposed, a subtle seam is visible at the level of the furrow between the glans and penis shaft.
Incomplete (plastic) circumcision. Part of the foreskin left and partially covered the glans. This surgical method can usually be carried out in childhood since occasionally, it is sufficient to remove the foreskin, including the visible lacing ring.
Complete circumcision is recommended in adulthood since incomplete circumcision bears the risk of narrowing again at the surgical site due to scarring. There is, therefore, a risk that another operation is necessary, this time with complete removal of the foreskin.
Extension plastic. This surgical technique does not significantly shorten the foreskin; only the opening of the foreskin is made full. This method is most effective in childhood.
Is circumcision dangerous?
As a rule, circumcision is a procedure with little complications. However, as with any medical intervention, there may be unexpected difficulties. Most of these complications are mild and respond well to treatment.
Possible complications can include:
Bleeding from the scar area, the formation of a small bruise or even Swelling.
If the foreskin is only partially removed, the scar tissue can shrink again, causing a narrowing. Seldom do men describe slight sensation disorders in the area of the glans after circumcision. These changes are usually temporary. In the medium and long term, no changes in the sensitivity of the glans should result. The initially unfamiliar feeling of the exposed acorn wears off after a few days.