Circumcision foreskin is removed

The foreskin is removed
A circumcision or circumcision is a surgical procedure in which the foreskin of the penis is removed in whole or in part. The foreskin can either completely (radical circumcision) or partially (partial circumcision) are removed. When the radical circumcision, the most common method is the glans completely, in the partial circumcision, the glans is still covered.


Reasons for circumcision in children


From a medical point of view are the following reasons are given for a circumcision.

In children:

    When the foreskin - phimosis
    With recurring inflammation of the glans - Balanitis / balanoposthitis (after resolution of acute inflammation)
    For recurring urinary tract infections
    Ballooning of the foreskin
    Otherwise, the earliest after completion of the second year
    In a paraphimosis

Some psychologists advise against circumcision in age from 4 to 5 years, since this might cause in the development phase (phallic stage) surgery on the genitals castration fears.


Indications in adults
In adults, there is an indication for circumcision - in addition to the above reasons - sklerosus also in lichen, a skin disease to the white, itchy skin conditions leads. It can lead to hardening and narrowing of the foreskin. There is also the risk of malignant degeneration.


Contraindications
Circumcision should not be performed if there is an acute inflammation of the glans. Even with a paraphimosis with very severe swelling and tissue destruction (necrosis) is not advisable to circumcision. A congenital malformation of the urethra - hypospadias - not circumcision should also be conducted.


Alternatives
As an alternative to circumcision are so-called extension sculptures, which cut the foreskin of the stricture longitudinally and transversely is sutured. The goal is for all methods, a sufficient length of the foreskin is associated with a good visual result to achieve.



Religious or cultural concerns are not incorporated in the medical approach. Conversely, circumcisions for religious or cultural reasons are not medically justified.


Anesthesia or local anesthesia
A circumcision is performed under general anesthesia in children. In adults, local anesthesia is preferred by a penis or, less commonly spinal block.


Sutures will resolve itself on
Always wear suture material is used, the self dissolves. In newborns, to be circumcised, sometimes called the Plastibell method is applied. The surgeon cuts the foreskin first one, then strangled them on a scale from plastic bell stop to this, the blood supply to the foreskin. After about 9 days, the bell falls off together along with the foreskin.


Removal of the ribbon
Often at the same time, radical circumcision cut the frenulum (frenulotomy) because it is often shortened to a phimosis.



A circumcision is a simple and short procedure that is often performed on an outpatient basis. It takes about 30 minutes.


Complications


Complications are rare with a circumcision. Often, however, there is a swelling that usually regresses rapidly. The most common complications are bleeding, which usually can be accommodated with a short-term pressure bandage to a halt. Only rarely reoperation is required. Wound infections also occur occasionally. In partial circumcisions and expansion sculptures, a re-narrowing of the foreskin arise.

Rarely observed after a circumcision is a narrowing of the urethral opening.