Author: Chen Shanwen (Huashan Hospital Affiliated to Fudan University)
Circumcision, commonly known as “circumcision”, refers to the removal of excess or diseased foreskin covering the glans of the penis to fully expose the glans of the penis.
Circumcision is a common surgical procedure for the treatment of phimosis and foreskin diseases such as excessive prepuce. It is carried out from primary hospitals and even individual clinics to tertiary hospitals. However, due to differences in medical conditions and technical levels, medical disputes about circumcision still occur from time to time, and there are even reports of injury and disability.
Therefore, I remind male compatriots who need circumcision to choose a professional andrology or urologist with rich experience in circumcision in a regular hospital for treatment before deciding to have circumcision. Before surgery, make the following preparations.
Image source: Zhanku Hailuo
One, make an appointment for medical treatment
Again, please go to the urology department or andrology clinic of a regular hospital to make an appointment with a doctor. Don’t go to the ward sloppily and say that you want to be circumcised. Often, the operation will not be carried out on the same day, and you need to choose an appointment.
Image source: Zhanku Hailuo
Second, ask for leave
Office workers may need to take 2~3 days of vacation (of course, it is counted from the day of surgery, excluding outpatient appointments), and then can barely go to work; student party please choose winter and summer vacations, It is beneficial for postoperative rest and recovery, otherwise the distorted walking posture will affect normal learning and activities.
Three, preoperative medicine preparation
Before surgery, the following medicines are usually prepared to take after surgery to reduce postoperative discomfort and prevent complications.
Anti-erectile drugs (estrogens): Such as diethylstilbestrol, taken 30 minutes before bedtime, can prevent the pain of penile erection at night after surgery, but the effect is average, only It should be taken a few days after the operation and cannot be used for a long time to avoid adverse effects.
Swelling drugs: Such as diosmin, which can reduce postoperative swelling and speed up recovery, but the penis may still be swollen.
Antibiotics: Prevent postoperative infections.
Postoperative lotion/spray: No matter what lotion/spray it is, the most important thing is to disinfect the wound, remember to keep it dry after disinfection (electrical blow dry with cold air).
4. Preoperative skin preparation
It is best to shave the pubic hair at home before surgery to facilitate the operation and postoperative care. If the doctor shaves, firstly, there are no tools such as foam and good blades, and secondly, the shaving is relatively rough.
V. Preoperative examination
Usually includes routine blood tests, coagulation function, and urine routine tests. In addition, many hospitals also use the four preoperative tests for syphilis, HIV and other sexually transmitted diseases and hepatitis and other infectious diseases as screening tests. Preoperative preparation must be checked.
6. Clean the vulva and foreskin
Foreskin should be turned over and washed to remove smegma as much as possible. In addition, for patients who need to take basic anesthesia (general anesthesia), they should also fast for 4 to 8 hours before surgery, and if necessary, check the liver, kidney, heart, and lung functions according to the requirements of anesthesia. However, local infiltration anesthesia is currently recommended for adult foreskin surgery, so there is no need to fast or water.
Image source: Zhanku Hailuo
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