Circumcision refers to the surgical removal of the foreskin. The foreskin refers to the fold of skin that can be pulled back in and covers the penis's end. It's a continuation of the skin that covers the entire penis.
Circumcision is being carried out for an array of reasons:
- Phimosis: Phimosis is where the foreskin is extremely tight to be pulled back over the head (glans) of the penis. This can certain times cause pain when the penis is erect, and, in unusual cases, passing urine may be difficult.
- Recurrent balanitis: Balanitis is where the foreskin and head (glans) of the penis become swollen and infected.
- Paraphimosis: Paraphimosis is where the foreskin cannot be brought back to its original position post being pulled back, causing the head (glans) of the penis to become swollen and painful. It is a possible complication of phimosis.
- UTI: Recurrent UTI in children with VUR
- Balanitis xerotica obliterans: This condition causes phimosis and, in a few cases, also impacts the head of the penis, which can become scarred and inflamed.
- Cancer of the penis: Penile cancer is an extremely rare type of cancer, where a wart-like growth or ulcer shows up on the penis end or below the foreskin, or there is bleeding, discharge, or alterations in the foreskin.
- Religious Purpose
The Procedure
• Circumcision is usually carried out on a daily patient basis.
• Patient will be admitted to the hospital on the same day they have surgery and will not have to stay overnight.
• The patient will be asked not to ingest food for 6 hours’liquidand for 2 hours prior to surgery.
• After he has been admitted to the hospital, he will be seen by the medical team members carrying out the procedure, comprising a surgeon and anaesthetist.
• He will usually either have a general anaesthetic, which means he will be unconscious throughout the procedure, or a local anaesthetic injection, which will numb the penis and the surrounding portion.
• Circumcision is a relatively simple procedure. The foreskin is removed just behind the glans of the penis, utilizing a scalpel or surgical scissors.
• New method like stapler circumcision can also be done without any sutures.
• Any bleeding can be stopped utilizing heat (cauterization), and the remaining skin edges will be stitched together utilizing absorbable sutures.
Recovering Post Circumcision
• When patient discharged from the hospital, they will be advised about recovery at home, including when they can drive, return to work, and have intercourse.
• It usually takes at least 2 weeks for the wound to heal.
• Patient should avoid having intercourse for at least 2-3weeks post-surgery.
• The hospital care team will give a contact number to call if he experiences any problems or concerns.
• For 3- or 4-days post-surgery, he will experience some discomfort and swelling around the head of the penis.
• Putting light, loose-fitting clothes for 2- or 3-days post-operation will also aid in avoiding irritation to the penis while it heals.