1. Concept and complications of prepuce excess
Concept: After a man becomes an adult, the skin of the penis wraps around the glans, so that the glans cannot be fully exposed.
Complications: Prepuce excess can lead to sexual dysfunction, even affect ejaculation, and some secondary prostatitis, which then leads to infertility.
This disease is caused by the genetic inheritance of parents.
Concept: After a man becomes an adult, the skin of the penis wraps around the glans, so that the glans cannot be fully exposed.
Complications: Prepuce excess can lead to sexual dysfunction, even affect ejaculation, and some secondary prostatitis, which then leads to infertility.
2. Modern medicine confirms that prepuce excess and phimosis will cause the following harms:
1. Restrict penis growth
During puberty, if phimosis occurs, the glans penis is tightly wrapped, affecting growth and development.
2. Produce "smegma"-the culprit of genital and urinary infections. Smegma is a breeding ground for bacteria and viruses, which can cause urinary and reproductive system infections. Long-term inflammatory stimulation may increase the incidence of penile cancer
3. Foreskin is too long, the chain that binds your sexual happiness
4. It is easy to cause male infertility and make men lose their "father" rights. Because foreskin inflammation can retrogradely cause prostatitis, seminal vesiculitis, etc., it can reduce sperm motility and semen viscosity, and can cause infertility.
5. Harming the health of partners, male foreskin is too long and phimosis is also extremely harmful to partners, and often becomes a cause of vaginitis, cervicitis, cervical erosion, cervical cancer, etc.
3. What kind of people need circumcision?
1. Adult phimosis
This situation has obvious surgical indications and requires circumcision.
Considering that adult phimosis is prone to balanitis and increases the incidence of penile cancer, once adult phimosis is diagnosed, surgery should be arranged as soon as possible.
2. Child phimosis
Infants and young children under 3 years old are mostly physiological phimosis. At this time, no intervention is required, and observation and waiting are enough. After 3 years old, with growth and development, the foreskin begins to retreat and turn up, and most phimosis will gradually correct itself.
However, it should be noted that if a child has pathological phimosis, this condition cannot heal itself and requires surgical intervention.
3. Foreskin is too long
Simple foreskin is too long and surgery is not necessary, but if the foreskin is too long and combined with the following conditions, surgery is recommended. ① Although the foreskin can be turned over, a more obvious narrow ring can be seen, which is easy to cause foreskin incarceration. ② Recurrent balanitis and balanitis, resulting in varying degrees of adhesion between the inner plate of the foreskin and the glans penis or secondary phimosis.
4. Chronic inflammatory thickening of the foreskin, chapping of the foreskin due to penile erection, affecting sexual intercourse or a tendency to foreskin incarceration.
5. Those who require surgery for beauty, religious beliefs, etc.
6. Foreskin is too long and combined with benign foreskin tumors or neoplasms such as condyloma acuminatum, which can be removed at the same time.
4. Contraindications of circumcision in children
5. Concealed penis is more common in obese children. It is characterized by phimosis, thick subcutaneous fat around the penis, poor development of the penis skin, poor development of the penis corpus cavernosum and urethral corpus cavernosum, and the penis body cannot enter the penis skin and foreskin cavity. Therefore, the penis is buried in the foreskin and subcutaneous fat tissue in the pubic area. Concealed penis cannot ejaculate urine due to urethral curvature, which can cause urinary retention in severe cases. Some children have inferiority complex and often cannot have sexual intercourse in adults. This disease needs to be distinguished from small penis and no penis, but it is not difficult to distinguish based on the body shape of the child and careful physical examination. Concealed penis refers to the penis being buried in the foreskin and subcutaneous fat tissue in the pubic area. A little attention can reveal abnormalities. The best treatment time is 5 to 6 years old.
6. Circumcision
Circumcision is a surgery to remove excess foreskin in patients with excessive foreskin and phimosis. The benefit of circumcision is that it can prevent the formation of smegma and the occurrence of balanitis, and it can also improve and help the quality of sexual life to a certain extent.
7, circumcision has entered the era of minimally invasive surgery, and no more "surgery" is required
Circumcision is now generally treated through minimally invasive and painless surgery. Choosing a disposable circumcision stapler for circumcision is currently the best and most authoritative technology for circumcision. It is the best choice for circumcision because it is less painful, recovers quickly, and does not affect work and study.
8. Advantages of one-time circumcision and anastomosis:
1) Short operation time, safe and painless: The operation time only takes 3-5 minutes. No bleeding, no need for sutures, no need for infusion treatment, you can go as you go, minimally invasive, safe and painless.
2) No impact on normal work and life, fast recovery after surgery: Surgery can be performed in all seasons, does not affect work and life, has no side effects, and recovers quickly after surgery.
3) No scars after surgery, natural and beautiful: It falls off easily 7_14 days after surgery, and the appearance after surgery is neat and beautiful, leaving no scars, and no need to remove stitches.
4) It is conducive to the secondary development of the penis: It promotes frequent erections of the penis at night, activates penile cell tissue, and forms secondary development.
5) Enhance sexual function and prevent other diseases: It can enhance sexual function after surgery; and solve problems such as premature ejaculation and erectile dysfunction to varying degrees. Prevent male prostatitis and female gynecological diseases. 9. Basic principles of circumcision staplers: Circumcision staplers are mainly used in urology to cut and suture the excessive length of the foreskin of the penis. They are an innovative leap in urology surgery, making cumbersome and complicated operations simple, convenient, fast and safe. At the same time, they solve the two problems of foreskin edema and pain caused by foreskin compression during various circumcision operations. The working principle of the circumcision stapler is similar to that of the tubular gastrointestinal stapler commonly used in general surgery: that is, a single row of staples is fired into the tissue to staple the tissue, and the suture is tight to prevent leakage. All staples are made of stainless steel. Compared with manual sutures, the tissue reaction is small. Because the staples are neatly arranged, the spacing is equal, and the suture is uniform, it avoids manual sutures that are too sparse or too dense and ligatures that are too tight or too loose, thus ensuring good tissue healing. 10. Composition of the stapler
Main parts: bell-shaped glans seat
Nail magazine ring
Suture stapler
Ring-shaped cutting knife
Adjustment knob
Safety buckle
Firing handle
9. Precautions after stapler circumcision surgery
1. Patients are not allowed to open the dressing without authorization. On the third day after surgery, the medical staff will come to our department to treat the wound and change the dressing. One week after surgery, the dressing will be removed and sprayed with special liquid every day, 2-3 times a day, for 2 weeks. During this period, you should wear loose clothes and pants, and changing underwear frequently will help maintain a dry environment;
2. When urinating, you can use a paper towel to pad under the glans to prevent urine from entering the incision and causing frenulum and incision infection. After defecation, use a paper towel to absorb the remaining urine. Take oral antibacterial drugs 3-5 days after surgery. If the incision pain affects your life and sleep, you can take a tablet of Progynova orally every night and use appropriate amounts of analgesics.
3. Avoid continuous erection of the penis. Avoid sexual intercourse for 2 months after surgery. Couples should rest in separate beds and avoid sexual stimulation, such as pornographic books and videos. Urination during morning erection can relieve the erection state. Avoid holding urine. Drink less water before going to bed at night. When the penis is erect, you can urinate or distract your attention to inhibit continuous erection of the penis. Adults can take one tablet of estradiol valerate orally before going to bed every night;
4. The suture nails will begin to fall off by themselves about 10 days after surgery, and can be removed by themselves in about 20 days. If they are still not removed after 20 days after surgery, you can come to our department for treatment by medical staff;
5. If the penis continues to erect after surgery and causes incision cracking and bleeding, you should come to our department for treatment in time; pay attention to the color of the glans penis. If the glans penis is found to be purple or black, you should come to our department for treatment in time
6. The recovery period after surgery is mainly bed rest. Do not participate in strenuous exercise. Avoid smoking, alcohol, spicy and other irritating foods. Eat more fish, meat, eggs and other foods to facilitate wound healing.