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When, at what age do boys circumcise?

In the prenatal period, the foreskin develops together with the head of the penis and forms a single whole. After birth, the outer and inner sheets of the foreskin reliably protect the head from external influences, damage, injuries, hypothermia. As the child grows, the leaves of the foreskin are separated. The process lasts several years, each child has this time individually.

Often there are reasons why boys are circumcised. The religious factor comes to the fore. Circumcision is a tribute to tradition, an obligatory ritual, a symbol of belonging to a certain nationality. Another procedure pursues social or hygienic goals. Surgical intervention may also be related to medical indications.

Why do circumcisions

There are several symptoms that require removal of the foreskin in boys:

  • congenital narrowing of prepuce, observed at 6–7 years,
  • frequent inflammation of the head and lobe of the foreskin,
  • a short bridle that interferes with the removal of the head,
  • sagging skin fold that prevents urination,
  • infringement of the outer end.

Muslim and Jewish peoples from ancient times held a rite of circumcision among boys. Getting rid of the "dirty" flesh allowed them to enter religious communities. In addition, it simplified hygienic care of the genitals, if there were problems with a lack of clean water.

Some families see the procedure as an ancestral tradition that should not be violated. In the last century, the removal of the foreskin was used to regulate sexuality and prevent masturbation in adolescents. Then circumcision simply became fashionable.

Removing leaves of flesh is done for hygiene reasons. The secretion of the sebaceous glands and the remains of dead epithelium accumulate in the folds of the skin. It is a breeding ground for microorganisms. And care after circumcision in boys becomes more affordable and simple.

When is the best time to do surgery?

Circumcision (circumcision) is done at any age. To avoid psychological disorders, the procedure is best done by a newborn baby.

The older the child becomes, the more experiences and fears associated with the upcoming operation.

Therefore, often circumcision in boys is carried out immediately after birth. In another case, the operation is performed when the future man can independently argue how appropriate such an act is.

For medical reasons, circumcision is done when absolutely necessary: ​​severe congenital pathologies or cicatricial phimosis. For small children, the procedure is carried out up to 3 years.

If at this time the operation is not done, circumcision is postponed for a period after 8 years.

With phimosis of a physiological nature, it makes sense to postpone the removal of the foreskin until puberty is over.

By this age, in most cases, the question is resolved by itself. According to religious prescriptions, circumcision is performed on the eighth day after birth, but circumcision is also performed for older children.

How to perform the procedure

There are several techniques for removing the foreskin. For medical reasons, a minimum excision is performed, it is almost imperceptible. The skin fold looks short, but fully fulfills its protective functions. With a partial incision, the urethra is visible, and the remaining skin fold protects the head.

The so-called free circumcision exposes the head of the genital organ completely. The most cardinal form of surgery is tight circumcision.The prepuce is removed completely, and during erection a strong tension of the skin occurs.

For children, the procedure is carried out in a medical institution.

Preliminary do a clinical analysis of blood and urine, an allergy test for anesthetic. Babies are manipulated under local anesthesia. Use injections or a special cream. Operations for children from 3 years to 10 are performed using general anesthesia. It provides immobility of the child. After 10 years, anesthesia may be local. To anesthetize the drug is injected into the penis with a thin needle.

Before circumcision, children put on a transparent plastic ring on the head of the penis. Then, with a scalpel, circumcision (circular cut) of the skin beyond the border of the ring is performed. The procedure lasts no more than 10 minutes. For some time, the device remains in the same place to prevent bleeding. Within a week, the latch itself disappears.

For large babies, instead of the ring, the skin fold is fixed with a clip. The foreskin is cut off around the instrument, leaving it until the flow of blood stops. The edges of the wound are sutured with absorbable material. Small children do not have stitches.

Do not carry out this procedure unless absolutely necessary for adolescents. After adulthood, the guy will be able to make his own choice.

Care after surgery

Typically, circumcision is performed in an outpatient clinic. With good care and hygiene, complete healing occurs after 3-5 weeks. The boy needs psychological help, care and attention, as well as physical peace and a minimum of movement. The bandage and sutures are removed after a week.

Nevertheless, the main condition after surgery is the care of the wound surface in children. Bandaging is carried out up to six times during the day with previously washed hands. Before removing the bandage, it should be soaked with peroxide so as not to cause injury. Seams can be washed with a weak solution of potassium permanganate or furatsilinom. To make the wound heal better, apply a bandage with an antiseptic ointment.

Probable complications

It is considered natural that the boy after the operation feels discomfort and pain. Sensitivity of nerve endings increases, the genital organ swells. When pain predominates, the child is given analgesics. Unpleasant sensations go away gradually, and to relieve swelling, it is recommended to use baths with chamomile broth.

You should contact a specialist in such cases:

  • severe swelling of the penis,
  • cyanotic skin tone on the genitals,
  • inflammatory process,
  • pus,
  • fever.

This condition is dangerous, it can result in an abscess or necrosis. The child will need antibiotic therapy, which the doctor will prescribe. Do not self-medicate!

The most gentle method is laser cutting. Complications after it are minimal.

Circumcision of the foreskin in children

Modern parents often worry about circumcision in their children. The procedure is promoted as useful and progressive. Among the doctors, she has both supporters and opponents. In the case of phimosis, circumcision becomes necessary. Do not worry - this is the simplest operation. The wound will heal quickly, you just need to properly care for it.

Baby circumcision

In the countries of the Middle East, circumcision makes sense not only within the framework of religion and culture. Historically, this procedure makes sense hygienic, medical and preventive. After all, the mucous membrane of the genitals accumulates microbes, which in a hot climate quickly begin to multiply. And circumcision was necessary to prevent possible infections and phimoses.

Child circumcision for boys has even become fashionable among the young parents of Europe and America. Popular doctors and pediatricians tried to popularize circumcision as a useful operation. In Europe, these efforts were ineffective and quickly came to naught.But in the United States, nearly half of the male population as a child goes through circumcision.

However, although in some cases circumcision is a tribute to fashion or culture, sometimes there are medical indications. The main indication for circumcision (or, in a scientific way, circumcision) is phimosis. That is, a condition in which the head does not open due to adhered foreskin.

Often, phimosis gets complications - secretions under the skin cause inflammation. Or the foreskin completely covers the head, and does not even allow you to urinate normally. Circumcision in such cases has to be done urgently.

How did you succeed in popularizing circumcision in America? Supporters touted circumcision as a way to avoid many future privacy issues and STDs.

It was alleged that circumcision in childhood would save a man in the future from a long rehabilitation period. This makes sense, but many doctors advocate the opposite point of view.

In the United States, there were even public protests against mass circumcision of infants.

Medical indications

If the doctor says circumcision is necessary, many parents begin to doubt. There are fears that surgical intervention at an early age will harm the baby. Or spoil in the future some aspects of his personal life.

Parents are worried that a medical error will be made and the boy will be injured, or serious complications will arise. In the case when there are no clear medical indications, such concern would be justified. It makes no sense to interfere in natural processes if they go their own way and do not interfere with life.

However, phimosis does not apply to natural processes, as well as its following symptoms:

  • A swelling of the foreskin while the boy is urinating
  • Pain and discomfort during urination,
  • Too thin stream of urine
  • Pus from the foreskin
  • Redness and swelling of the head.

These phimosis symptoms will only progress over time. The condition can worsen so much that the mucous membrane of the head and foreskin become one. In this case, the operation will become quite traumatic.

In the future, when a boy becomes a young man and a young man, serious difficulties will arise in his personal life. Up to the impossibility of having a normal sexual intercourse.

Given the prognosis, it is advisable to circumcise the boy as early as possible. It makes no sense to worry about complications with such unpleasant and serious symptoms. Better circumcision now than later resorting to this operation at a later, conscious age of the boy. Nevertheless, it is undesirable to resort to circumcision before the boy is two years old.

The essence of the procedure

Before agreeing with the direction of the boy for circumcision, parents often begin to wonder how this procedure goes.

There is no particular reason to worry so much, because circumcision is the oldest and simplest surgical operation. Millions of boys have been exposed to it throughout history, and complications are rare.

Circumcision is done in such a way that it is extremely difficult to make a medical mistake.

Now in private clinics and municipal hospitals, two types of circumcision are mainly used:

  • Classical circumcision. It is usually used when phimosis is not yet, or he recently made himself felt. A kind of surgical bell is inserted between the foreskin and the head, the skin is pulled. Outside, it is tightly clamped to reduce blood loss. And then the clamped part of the skin is cut off. The risk of head injury is virtually eliminated - it is isolated from surgical instruments,
  • Incomplete circumcision. It is performed as an urgent measure in case of difficulty urinating against phimosis.Circular excision of the foreskin is performed to free the external outlet of the urethra and to allow the boy to urinate normally.

When parents worry about the pain of the child, they can be reassured. In the case of young boys, surgery is always performed under local painkillers. In especially difficult situations, general anesthesia can also be used. However, this is undesirable for the health of the child, so they try to focus on local anesthetics.

Security

Complications are rare. The operation is simple, and any surgeon will easily carry it out. Errors are virtually eliminated. However, after surgery you need to look after the penis of the boy.

While the wound is healing, pathogens must not be allowed to enter. This requires keeping the head and wound absolutely clean. The healing period usually lasts from 14 to 45 days.

In the first seven days, you need to monitor how the skin of the penis heals. If this happens slowly, the boy fever rises - you need to urgently consult a doctor. Puffiness and redness of the head are especially dangerous. However, one should not panic here - most likely, modern antibiotics will quickly cope with the infection.

Medical errors, as already mentioned, are unlikely. Nevertheless, and in extremely rare cases, they occur. If the head and urethra are affected, the sensitivity and the process of urination may be impaired. Therefore, when a boy cries or complains of pain during urination, you should also consult a doctor.

Care and rehabilitation

A very young boy's body regenerates faster than an adult. Therefore, in childhood, circumcision is less traumatic. However, the following rules for caring for a child after circumcision should be considered:

  • Lubricate the head with Levomekol ointment if a dry and hard crust has formed on it,
  • Do not perform dressings yourself. Entrust this task to an experienced nurse. If the doctor allowed the parents to dress the wound, they should use only sterile materials,
  • In the early days, painkillers are required. Strictly observe the dosage of prescribed medications. Use only medicines prescribed by your doctor who circumcised or prescribed circumcision.
  • Do not attempt to remove the stitches yourself. Now, seams are usually used, which will dissolve themselves. If this is not so, ask the doctor when it is time to remove them and by the time go with the baby to the hospital. In most cases, the child is released from the sutures after a few days,
  • When the baby takes a bath, use lightly salty water. It disinfects, helps to heal a wound faster,
  • Treat the penis with a warm (but not hot) solution of two tablets of Furacilin. To prepare the solution, you need to throw the drug in 125 ml of boiling water, and then cool.

At what age and how is the operation performed?

The circumcision operation should be carried out under sterile conditions in order to avoid infection in the wound. The best option would be if such a procedure is carried out by a qualified doctor. Today, there are several methods of circumcision, but most of them are most often not used in practice due to their inefficiency and possible complications.

Traditional circumcision is carried out according to this principle:

  1. The boy is in a prone position. Hands and feet are secured with straps.
  2. Using a disinfectant and antibacterial solution, the genitals and the adjacent area are treated.
  3. A special tip is put on the head to prevent damage to the penis. This tip is left on the patient after surgery for a while.
  4. The foreskin is slightly pulled back and the required amount is cut off with a scalpel.
  5. Absorbable sutures and a gauze dressing are applied to the wound.

High qualification of a doctor and modern medications allow an operation to be performed in 20-25 minutes.

Many parents very often ask themselves: is it painful to do circumcision? The answer of the doctors is definitely yes. Any surgical intervention causes severe pain. That is why doctors recommend surgery for children from 2 years old, when the child's body normally perceives anesthesia.

In some clinics, there is a practice to remove the foreskin in the first minutes of a child's life. However, it cannot be considered the best measure, since doctors can not determine if there are any contraindications to this procedure or not.

Remember, circumcision is best done one week after birth, given that the baby is completely healthy.

Possible complications and consequences

With the correct circumcision, complications are unlikely to develop. Most often, the consequences result from a home procedure. This is due to a violation of hygiene standards and requirements, the use of non-sterile tools and the wrong technique.

All these factors lead to a risk of complications such as:

  • pain in a boy
  • bleeding
  • recurrence of phimosis,
  • tissue death
  • scarring,
  • narrowing of the urethral opening,
  • the discrepancy of the edges of the wound,
  • suppuration.

All of the above consequences can lead to a violation of the psyche of the child, and also require urgent medical intervention and inpatient treatment.

How to care for a boy after surgery?

The healing process, as a rule, is 7-10 days, but in many respects it depends on how the parents treat the wound. On the first day, removing the bandage is not recommended. And only on the second day you can prepare a pot of potassium permanganate and remove the bandage.

The wound is treated with brilliant green or a special antiseptic ointment, which the doctor prescribed. If after the operation the child experiences severe pain, the doctor may prescribe some pain medication.

It is necessary to do circumcision with a boy or teach him proper hygiene of the genitals, it's up to you. And if you decide to perform a similar operation on your child, contact only qualified doctors. We hope this article helps you make the right decision.

Circumcision in boys: what they do and how the operation is performed

Male circumcision in medicine is called circumcision. Most often, surgery is performed at a young age, but exceptions are possible. The procedure can be performed under local or general anesthesia. Special rehabilitation is not required, complications arise quite rarely.

Have you had a full examination of doctors in the last 5 years?

Religious reasons

The procedure for circumcision in boys is found among Muslims and Jews. It can be carried out not only in a medical institution, but also in a temple or even at home. Such religious intervention is necessary for religious reasons so that a person can approach the Almighty and get rid of sins.

In Jews, circumcision is performed when the child is 8 days old. Circumcision is carried out by a mohel - a religious figure specially trained for this.

On this day, a festive ceremony is held in the child's family, which takes place in the synagogue. After clipping, the foreskin is deposited with senior family members.

Moreover, the operation itself takes place without anesthesia, in rare cases, the use of anesthetic cream is allowed.

In Muslims, circumcision is most often carried out in the third or fourth year of a boy's life. It is believed that it was during this period that the child already consciously approaches the issue of religion and perceives the procedure as part of the sacred rite, and not as a given. Intervention is performed under medical conditions under general or local anesthesia.

In Muslims, circumcision is also possible in adolescence, if for some reason it was not done in early childhood.

At what age do circumcisions do?

Scientists believe that the most favorable moment for circumcision is the age of 8 to 9 weeks. At this time, the child still does not understand the essence of what is happening, so the operation is easier for him to carry.

For an older child, such an intervention can leave a negative impression on his whole future life. In addition, the child may have an insult to the parents for making such a decision for him.

If circumcision was not performed before 3 years, it is worthwhile to postpone the operation until the age of eight. At this age, the boy can already easily explain why this manipulation is needed and what it is impossible to do without it.

Sometimes in the case of physiological phimosis, doctors postpone surgery in infancy, since as the child grows older, the problem may disappear on its own. Only with cicatricial form of phimosis, the operation should be carried out immediately.

The operation is recommended in early childhood and because the nerve receptors of the genital organ are not yet so sensitive. In adolescence, the operation will cause serious discomfort, therefore, it is performed only under general anesthesia. Also, a similar procedure can lead to the development of psychological trauma in a young man.

Operation progress

The procedure for circumcision of the foreskin in a medical institution requires preparation. First of all, a young patient is examined, blood and urine tests are taken to determine the general condition of the body.

These measures are necessary to select the appropriate anesthesia, as well as to exclude possible contraindications for surgery. Sometimes, after such an examination, the intervention is postponed to a later date. Be sure to check the reaction of the child's body to pain medication and anesthetics.

Surgery before the age of 8 weeks is carried out for newborns without anesthesia, children under 14 years old under general anesthesia. Clipping occurs as a guillotine by pulling the foreskin and fixing it with special clamps.

In medicine, there are several types of manipulation:

  • minimal removal of the foreskin when the skin is cut off only around the head of the penis,
  • partial resection - exposes the genitals to the third part,
  • free removal - there is only a fold at the base of the bridle,
  • medium resection - the head always remains open,
  • complete removal - the penis becomes smaller.

In most clinics, now you can independently choose the type of operation method: laser or strip. The first is much faster and easier, and also almost completely eliminates the possibility of complications. The only disadvantage is the high cost of the procedure, unlike the second option.

The following main stages of the operation can be distinguished:

  1. The process of anesthesia.
  2. Marking the cut line.
  3. The process of surgical removal of the skin of the penis.
  4. Suturing.

Intervention takes no more than half an hour. After a successful operation, the patient is immediately sent home, stay and observation in the hospital is not required. After about a week, you need to return to the hospital to remove the stitches. Throughout the entire rehabilitation process, the wound should be taken care of to ensure rapid healing of the genital organ.

After the intervention of the boy’s genitals

To avoid various complications after surgery, it is worth providing the patient comfort and peace, as well as wound care. The surface should be treated every day at least 6 times a day.

Before manipulation, you must always wash your hands thoroughly and put on sterile medical gloves, and moisten the bandage with hydrogen peroxide. The wound itself is recommended to be washed with a solution of potassium permanganate.Levomekol or Tetracycline ointment will help speed up member healing.

You can not treat the genital organ with cotton, as its villi can get into the wound and lead to a purulent process.

Together with drug exposure, special underwear will help speed up the patient’s recovery. It can be bought at the pharmacy.

These are underpants that have a dense frame insert that protects the genital organ from infection or injury. Also, underwear does not allow the child to touch the seams.

Panties are made from cotton fabric. When buying, pay attention to the size of the goods.

Bathing during rehabilitation should be replaced by wiping the affected area with wet wipes with an antibacterial effect. This treatment is necessary after each urination.

With a favorable outcome of the operation and proper wound care during the rehabilitation period, the child's sutures are removed already for 7-10 days. By this time, the dressing process ends. Further treatment tactics are determined by the attending physician. But the main condition for a quick recovery and recovery is still genital hygiene.

Is the doctor guilty of the death of a five-year-old boy in Masalli?

The surgeon told how to choose the right time for the medical procedure to least injure the child.

BAKU, May 5 - Sputnik. The most optimal period for the operation to remove the foreskin in boys (sunnet) is the age of three months to a year. Sputnik Azerbaijan was informed about this by the head of the Department of Pediatric Surgery of the Clinical Medical Center, the chief pediatric surgeon of the Ministry of Health of the Republic of Azerbaijan Asim Ulukhanov.

The doctor explained that during this period of life, children do not understand what is happening to them, and therefore are not subject to mental stress, as is usually the case with older children. Along with this, in young children, healing processes proceed faster. This should take from 5 to 15 days.

However, circumcision can be done to the child a week after birth. However, medical indications must be present for this.

For example, congenital narrowing of the ureter may serve as an indication for surgical intervention. Then immediate surgery is a must.

But on the whole, it will turn out to be a sunni tradition in Islam, which all Muslims in Azerbaijan adhere to.

Ulukhanov explained why circumcision should not usually be done for babies up to three months old. During this period of life, children are most actively developing. Other congenital anomalies may occur, in which it is impossible to operate.

Along with this, any inflammatory processes may also be contraindications for circumcision. These are sepsis, congenital malformations of the cardiovascular system. But the absolute contraindications are inflammatory processes - temperature, colds, pneumonia.

Before taking the child to the operating table, you should do a general blood test and pay attention to coagulability, hemoglobin level. In these cases, it is better to prepare the patient, and only then take on the scalpel.

Meanwhile, the chief children's surgeon also commented on the advertisement of private clinics, where they promise to do bloodless laser cutting.

“In Azerbaijan, laser cutting is not done anywhere. Several clinics advertise themselves day and night; in fact, this is something else. They make a sunnet in the usual way. There is an ordinary scalpel, and a surgical electric knife is also used.

When the surgeon works with an electric knife, when exposed to high temperature, the edges of bleeding vessels are instantly closed. In this way, bleeding is prevented.

However, when using a conventional scalpel, the veins are sutured with special surgical sutures, ”said Ulukhanov.

Regarding anesthesia during the procedure, it is better for young children to use local anesthesia, as they quickly forget what happened. And older children - 5-10 years old - it is better to operate under anesthesia. But anesthesia is also not an easy procedure. A number of contraindications and complications may also exist for its use.

For local anesthesia, various drugs are used, which include lidocaine. The doctor said that the drug intolerance factor is very rare.

“However, there is no drug that would not give an anaphylactic reaction. Any drug used in medicine can have a side effect, ”says the surgeon.

Even lidocaine in large doses can cause a shock condition. Therefore, you first need to introduce antihistamines into the body.

It should be noted that on May 3, five-year-old Huseynov Kyanan Abutalyb oglu died in circumcision in the village of Musakyucha, Masalli district. For the ceremony, the baby's relatives called the doctor Ramiz Sadigov to the house. After the injection of the painkiller, which the doctor did, the child's condition suddenly worsened. And soon the child died, even before the actual surgical procedure began.

In this regard, the Ministry of Health of the AR reported that the former doctor Sadigov, aged 70, retired two years ago and illegally engaged in medical activities.

Male circumcision: what is it and why is it, care after surgery on the foreskin in children

Many have heard about such a procedure as circumcision, but not many know why it is performed, how and by whom. It is generally accepted that this is an exclusively religious rite, carried out in antiquity and preserved only among some nationalities. Is this really so, what is the purpose of this operation and why is it more often done in childhood?

Optimum age for surgery

At what age is circumcision better? According to religious rules, in Judaism the 8th day of a baby’s life is considered the best age.

There is a certain logic in this, since the necessary elements of blood coagulation - vitamin K and prothrombin - are formed in sufficient quantities by the end of the seventh day of a newborn’s life, so the 8th day is the first life of a baby in which it is least dangerous to have a Brit-mil operation.

Muslims are circumcised at any age. For example, in Turkey it is customary to spend 8-14 years, and in Iran and Iraq - 3-4 years.

Doctors do not agree with such an early circumcision as the Jews, and believe that this surgical intervention is not advisable until 3 years. The reasons that allow penile surgery from birth can only be serious pathologies that require immediate treatment.

Types of surgery on the foreskin

Depending on the disease or the desired result, circumcision is divided into the following types:

  1. Optimal. Often performed for medical reasons. Indications: excess amount of the foreskin, the presence of a scar ring. It consists in removing a small area of ​​the skin, as a result of which the foreskin remains a standard size and completely covers the tip of the penis.
  2. Partial After the procedure, only the opening of the urethra is ajar.
  3. Free. Bottom line - the head of the penis always remains open, but in cold water it can slightly cover it, the skin is not stretched.
  4. Average. The most common circumcision in which the head is always open, even in cold weather. The result is shown in the photo.
  5. Tight. It is performed only at the request of the patient or medical indications. After this operation, the skin fold on the penis is absent, and it seems smaller.

Where and what do circumcisions do for children?

Circumcision can be performed both in the hospital and on an outpatient basis. It is advisable for children not to spend at home, but in a clinic to quickly prevent possible negative consequences.

The operation is carried out with a scalpel or using a laser. Laser conducting has the following advantages:

  • shorter operation time
  • lack of bleeding due to relief of blood vessels,
  • neat cut and less noticeable seam,
  • not so much pain compared to the classical method,
  • minimal risk of infection,
  • reduction in the likelihood of complications,
  • there is practically no tissue edema after the procedure,
  • short recovery period.

The circumcision procedure does not last very long. When using a laser - about 30 minutes, with a scalpel - up to an hour.

In children, circumcision by the traditional method is done under general anesthesia, which is more dangerous for the body. Bleeding, infection and other complications are possible. Today, this method is outdated and more and more preference is given to modern methods.

Anesthesia

When circumcised before the age of 2 months, anesthesia is not performed, since it is believed that pain is dulled in newborns. Up to 12 years of age during surgery, general anesthesia is indicated.

It is carried out using Propofol or inhaled anesthetics Halotan, Isoflurane, etc.

Its advantage is that, in addition to anesthesia, the immobility of the child is ensured, the degree of accuracy of the operation is increased, the risk of additional damage from the involuntary movements of the boy is reduced.

Starting from the age of 12, surgery is performed under local anesthesia. For these purposes, anesthetic is injected into the base of the penis. The most commonly used are lidocaine, markain, novocaine and others. Anesthetic gels may also be used.

Features of the procedure

The procedure takes place in several stages. First, local or general anesthesia is anesthetized, then a cut line is noted. According to this trait, the skin is cut with a laser or a scalpel. The operation ends with suturing with absorbable sutures (catgut, vicryl). If the threads were used not self-absorbable, then after a few days it is necessary to remove the seams.

Before the intervention, the following contraindications should be considered:

  • acute balanoposthitis with pus,
  • congenital pathologies of the penis, various deformations and abnormalities,
  • wounds and ulcers on the genital mucosa,
  • venereal diseases,
  • hemophilia and other bleeding disorders,
  • oncological neoplasms.

Postoperative care

It is more preferable to perform circumcision in childhood because the healing process is faster. The smaller the child’s age, the easier it is to care for the genitals in the postoperative period.

After the operation, it is not advisable for newborns to bandage the penis or use cotton-gauze materials. In older boys, a sterile dressing is applied to the damaged area. In the first 24 hours it is forbidden to remove it.

Starting from the next day, its replacement is carried out 6 times a day for as many days as it takes to tighten the wound (on average, from three to four).

When the wound is healed, the dressing can not be done, as the access of air promotes healing.

If the penis is bandaged, then the adhered bandage should be moistened with hydrogen peroxide. This allows you to remove it without additional damage.

When dressing a child, the penis is treated with Chlorhexidine, Miramistin, a solution of potassium permanganate or Furacilin. Peroxide is not suitable for treating the wound itself, as it increases the healing time.

If the incision was not sutured with catgut or other absorbable sutures, after several days it is necessary to remove the stitches.

To alleviate the condition in the postoperative period, the doctor may prescribe a painkiller. For antiseptic purposes, ointments are used to facilitate care: Levomekol, Erythromycin and Tetracycline. If the incision does not heal well, Solcoseryl gel helps well.They also contribute to the healing of ointments and creams of Bepanten Plus, Panthenol, Dexpanthenol in children.

Water procedures can be taken only after two to three days. Bathing is carried out in water with a small addition of salt, decoctions of chamomile and sage. This promotes wound healing.

From how much to how many?

For a long time, circumcision was a mandatory procedure for boys in many countries. But more often it was about southern countries with a hot climate, as well as where Muslim movements of religions are practiced. It is also believed that it was the Jewish people who became the discoverer and reader of circumcision to this day. For countries and cities in Europe the question of the need for such a procedure is still open, few people know how old boys are circumcised and why.

Today, the removal of the foreskin of the penis is considered more of a hygienic measure than religious or traditional. In countries with a hot climate, lack of ponds and water, wearing loose foreskin can become a source of infections and pathogenic bacteria. Therefore, there circumcision is a necessary preventive measure against various diseases.

The main question is: at what age do boys circumcise?

Modern medicine and science do not give exact recommendations regarding the optimal age for circumcision. If we consider the issue from the point of view of physiology, you can remove the foreskin as a newborn or an old man. But from the point of view of psychology, a certain children's age does not accept such operations because of the risks of causing psychological trauma. Moreover, the older the child is, the more he will have fears and worries about removing parts of his body.

Based on thiscircumcision is appropriate for children of unconscious age, not older than 3 years. If the removal did not take place before this age, experts recommend postponing the operation until the age of 8. Around this age, the child is already able to think and reason about the advisability of such an act. Religion is also a determining factor in how many years circumcision is done. Muslims decide religious precepts. Usually there is indicated 7 years of age.

An important role in choosing the right time for circumcision is played by indications for such a procedure. When it comes to phimosis, surgery is usually delayed until puberty is completed. According to statistics, phimosis often manifests itself in newborns and older children, and in 99% of cases the disease itself goes away.

When can circumcision be done, and when is it too late?

Today, many medical forums and conferences vividly discuss the need for circumcision in boys and older men. As mentioned above, the earlier the operation was performed, the easier it will be to survive and perceive psychologically. The operation can be carried out by newborns and children under 3 years old, when they are not yet able to realize the whole essence of what is happening.

The next optimal age for removing the foreskin is from 8 years and older, when the boy can already explain the need for such an event in terms of physiology or religion. In addition, modern medical practice claims that many men at a young and middle age also often turn to a specialist for circumcision. This is due to the desire to protect your genitals from infections and bacteria accumulation, as well as in case of fusion of the skin with the head.

Circumcision in adulthood: why men

Almost one sixth of the male population of the Earth undergoes the procedure of removing the foreskin, or circumcision (the medical term is “circumcision”).

Circumcision is carried out according to religious beliefs, following cultural traditions, for reasons of hygiene, and, finally, for medical reasons.However, experts still cannot agree on how useful and safe this procedure can be.

In some countries, circumcision is part of the cultural, historical, and religious tradition enshrined in centuries of practice. Thus, Jews are circumcised for children on the eighth day after birth, for Muslims - on the 13th year of life.

According to studies by oncologists from the World Health Organization, women whose husbands circumcised have a terrible disease such as cervical cancer that is almost 50% less.

As for the Europeans, until recently they were skeptical about circumcision. However, in the 60s of the XX century, a boom of circumcision broke out in the West.

Soon, a wave of general circumcision covered the United States. Even President John F. Kennedy made a circumcision and campaigned for American men to join.

Benefits of Circumcision

  • possible prevention of malignant tumors of the reproductive system

Under the foreskin, a large amount of oily liquid accumulates - smegma, which, albeit infrequently, but can still cause cancer.

  • increased duration of sexual intercourse

The fact is that the skin of the head of the phallus, deprived of the foreskin, becomes rougher and less sensitive to friction during frictions, which pushes the onset of orgasm in a man.

  • improving the appearance of the penis

The most sensational discovery belongs to Australian scientists. Having carefully studied the ways and means of spreading HIV infection, they came to the conclusion that circumcision is the most effective AIDS treatment.

After all, the virus primarily affects the foreskin, which is prone to frequent microtrauma, and the risk of infection through these wounds is very high.

According to statistics, the vast majority of men who have contracted AIDS through sex are uncircumcised.

  • pain shock and possible postoperative complications

Circumcision causes severe pain, since this operation is most often done without anesthesia.

  • penile deformity

If too many tissues were removed during the circumcision process, then the development of penile deformity associated with excessive tension of the skin is possible.

  • hygiene problems

After circumcision, there is an urgent need for careful care of the head of the penis, since the recesses and folds of the skin in the frenum and corolla are an ideal place for the development of bacteria.

There are several diseases when circumcision is done for medical reasons. For example, it is carried out with inflammation and infection of the urinary tract in men with a congenital abnormally narrow opening of the foreskin.

Circumcision is a surgical operation to remove the foreskin in men, boys and boys. The second name of this procedure is circumcision. It is carried out for religious reasons, medical reasons or as a sign of nationality. Circumcision is partial or complete. With partial circumcision, only areas of the extreme skin are removed.

When, at what age do boys circumcise?

For a long time, circumcision was a mandatory procedure for boys in many countries. But more often it was about southern countries with a hot climate, as well as where Muslim movements of religions are practiced. It is also believed that it was the Jewish people who became the discoverer and reader of circumcision to this day. For countries and cities in Europe the question of the need for such a procedure is still open, few people know how old boys are circumcised and why.

Today, the removal of the foreskin of the penis is considered more of a hygienic measure than religious or traditional. In countries with a hot climate, lack of ponds and water, wearing loose foreskin can become a source of infections and pathogenic bacteria.Therefore, there circumcision is a necessary preventive measure against various diseases.

Modern medicine and science do not give exact recommendations regarding the optimal age for circumcision. If we consider the issue from the point of view of physiology, you can remove the foreskin as a newborn or an old man.

But from the point of view of psychology, a certain children's age does not accept such operations because of the risks of causing psychological trauma.

Moreover, the older the child is, the more he will have fears and worries about removing parts of his body.

Based on this, circumcision is appropriate for children of unconscious age, not older than 3 years. If the removal did not take place before this age, experts recommend postponing the operation until the age of 8.

Around this age, the child is already able to think and reason about the advisability of such an act. Religion is also a determining factor in how many years Muslims are circumcised, religious precepts are decided.

Usually there is indicated 7 years of age.

An important role in choosing the right time for circumcision is played by indications for such a procedure. When it comes to phimosis, surgery is usually delayed until puberty is completed. According to statistics, phimosis often manifests itself in newborns and older children, and in 99% of cases the disease itself goes away.

Today, many medical forums and conferences vividly discuss the need for circumcision in boys and older men. As mentioned above, the earlier the operation was performed, the easier it will be to survive and perceive psychologically. The operation can be carried out by newborns and children under 3 years old, when they are not yet able to realize the whole essence of what is happening.

The next optimal age for removing the foreskin is from 8 years and older, when the boy can already explain the need for such an event in terms of physiology or religion.

In addition, modern medical practice claims that many men at a young and middle age also often turn to a specialist for circumcision.

This is due to the desire to protect your genitals from infections and bacteria accumulation, as well as in case of fusion of the skin with the head.

For reference! According to the testimony of doctors and the practice of millions of people, circumcision has no time frame and boundaries. Therefore, we can say that it is never too late to perform circumcision.

The problem of the need for circumcision involves exclusively religious and ethical roots. According to Orthodox literature, Jesus Christ himself underwent surgery to remove the foreskin, since then this procedure has been cultivated for centuries. After a while, Christians recognized circumcision as a tradition of Judaism, and therefore rejected the need for circumcision.

Despite this, medical statistics claim that men who have not undergone surgery to remove the foreskin are 2-8 times more likely to become infected with AIDS than circumcised men.

Doctors say that it is this flesh that becomes a peddler in most cases of infections, such as gonorrhea, syphilis, herpes, etc.

It is also proved that the inner part of the flesh consists of cells susceptible to HIV and other diseases.

Depending on the age of the child, the need for anesthesia is identified. If the child is not yet 8 weeks old, anesthesia is not performed. If patients belong to the age category from 8 weeks to 14 years, the doctor carries out general anesthesia. For an adult patient, only local freezing will be enough.

Using special clamps, the foreskin of the man’s penis is pulled and fixed. Cutting it with a scalpel, the doctor removes it in a circle, after which it sutures.

There are cases when a special apparatus resembling a guillotine is used for circumcision.In general, the operation lasts no longer than 15 minutes, after which the patient can go home.

And after 9-10 days you will need to remove the seams.

Male circumcision or circumcision is performed at an early age. To remove the foreskin, there must be good reasons for this - religious beliefs (Muslims, Jews), social and medical evidence.

This procedure is performed under general or local anesthesia. With proper care in the postoperative period, complications do not arise.

Today we will tell you why circumcision is needed, when they are performed and how to care for a member.

Indications

Circumcision (circumcisio) is a surgical procedure where the foreskin of the penis is cut off and has several ways to remove the skin.

In Russia and the CIS countries there is no such custom as circumcision in children, therefore, there are health problems as a direct indication for surgery. Circumcision in some cases is considered the only way to solve the intimate question of the future man.

For example, phimosis in a boy can manifest itself in constant inflammation, difficulty urinating, painful hygienic procedures, and surgery in severe cases cannot be avoided.

The religion of some countries involves the removal of the foreskin. Many people wonder why? First of all, approach the Almighty and become cleaner. In some countries where there is a hygiene problem, such as the African continents, circumcision is a necessary measure.

With the accumulation of smegma, bacteria begin to multiply, inflammation appears, which leads to more serious consequences. Caring for the intimate area of ​​a man becomes easier and more convenient.

How do

Children under adolescence under general anesthesia, children 1-8 weeks old do not use any anesthesia, adults - epitural or local anesthesia. By pulling the foreskin and fixing it with surgical clamps, the guillotine is cut off.

Circumcision in a child and an adult lasts no more than 15-25 minutes, after which there is no need to stay in the hospital. About a week later, you can remove the stitches. All these days, take care of the wound so that there is a quick healing, fusion and prevent complications.

Why is it necessary

What is this procedure for? Children are given medically when the condition requires circumcision.

  • Elimination of phimosis that interferes with the opening of the genital organ.
  • Removing the foreskin if it pinches the head of the penis.
  • Inflammation of the penis.
  • Balanitis and balanoposthitis.
  • Various formations on the genitals (papillomas, condylomas).
  • Pathological changes in the foreskin.

If there is evidence, then do at the age when the problem arose. For religious reasons, it is better to carry out the operation to a newborn; their nerve receptors of the organ are not so pronounced.

In adolescents, the circumcision process is a painful procedure, therefore it will be carried out under general anesthesia and from the point of view of medicine it is not recommended to do this. The development of psychological trauma at this tender age is great.

The parents of the boy should decide on the operation, weigh the pros and cons. Many men, already in adulthood, do circumcision for aesthetic reasons, the simplicity of caring for the body and the interest of the opposite sex increases significantly.

How old

Stress, negativity and imprint for life are guaranteed. Especially if the parents made a decision, and not he consciously. But there are inevitable situations that can seriously affect the health of the future man.

If the parents did not decide on circumcision until 3-4 years of age, then it is better to postpone to 8-9 years. During this period, the guy can be explained how important it is to do this procedure for him to improve his health.

Circumcision can also occur after puberty, for example, if physiological phimosis occurs.Why wait so long? Because this condition can disappear as the boy grows up.

In adolescence, according to statistics, only 1% of children are diagnosed. An incurable form of phimosis is cicatricial, surgery is recommended here without fail.

For religious reasons, the age of circumcision often does not exceed 7-8 days from the birth of a boy.

A specific operation is carried out in specialized clinics, where the necessary preparation is done before the procedure. The required tests are taken, a visual examination of the boy takes place, a medical history is collected and the general condition of the child is taken into account.

These preparation measures are necessary to understand what anesthesia to apply, whether there are contraindications and whether it is necessary to transfer to another period.

Preparation before surgery - hygienic procedures of the genitals, if there is hair, then they must be removed. Be sure to check the reaction to anesthetics and painkillers.

How is

An anesthesiologist must be present at the operation, it is he who selects the correct dosage of anesthesia, controls the condition of the child during circumcision. If the age of majority, then produce local or epidural anesthesia.

  1. Anesthesia.
  2. Definition and delimitation of the cut line.
  3. The process of excising the skin of the penis.
  4. Suturing.

Local anesthesia - chipping of the nerve fibers of the genitals to a complete loss of sensitivity. General anesthesia is carried out by an iv anesthetist.

Epidural anesthesia is injected into the lumbar puncture, after which the action of the drug is necessarily checked. The younger the age, the lower the sensitivity of the nerve endings of the penis and therefore anesthesia may not be used at all.

  • Removing the foreskin to a minimum - cuts off the skin around the head of the penis.
  • Partial resection that exposes the penis by 1/3.
  • Free view - a fold of skin is left at the base of the frenum.
  • The middle one is based on the constant opening of the head.
  • Complete removal. The genitals become visually smaller.

Among doctors there is an opinion that there is nothing superfluous in the human body, and each organ has its own purpose. The foreskin has its own functions:

  • protects the glans penis from injury
  • there are glands that secrete smegma, which protects the head from excessive moisture loss,
  • numerous nerve endings contribute to erection and add sensations during intercourse.

Methods of operation

There are no unequivocal recommendations about at what age to circumcise. From a physiological point of view, it can be carried out both in a newborn and in an old man. But in childhood there are periods when it is better not to circumcise boys because of the risk of psychological trauma.

It is best to circumcise a newborn when he is not aware of the situation. The older the child, the greater the risk that the circumcision procedure will be perceived with fear, with the experience of losing a part of the body. All these emotions are the essence of psychological trauma.

If circumcision is not done before three years, then it is recommended to postpone it until the age of 8, when the child can fully understand what is happening and understand that circumcision does not deprive him of something important, but helps to maintain health.

If circumcision is indicated due to physiological phimosis, then it makes sense to postpone it until puberty is over. Why wait? The fact is that this form of the disease is often cured on its own.

Statistics confirm: physiological phimosis is diagnosed in half of boys from birth to one year, by three years - in 10%, after puberty - in less than 1%. But if cicatricial phimosis is detected, an independent cure will not occur.

In Islam and Judaism, the age at which boys should be circumcised is determined by religious precepts.For example, Muslims do this procedure on the 7th day of a child’s life.

The use of anesthesia for circumcision is determined by the age at which the child was on the operating table: babies under 8 weeks of age are not anesthetized, general anesthesia is used under the age of 14, and local ones are administered to adults.

Then the foreskin is stretched and fixed with clamps. The doctor cuts it and removes in a circle, sutures. The second way to perform the procedure: the drawn foreskin is cut off by a device similar to the guillotine according to the principle of operation.

The whole procedure takes no longer than 15 minutes, then you can immediately go home, a hospital stay is not required. Sutures are removed 9-10 days after surgery, when the tissues are fused. Prior to removal, the dressing must be changed daily. Why do this? To minimize the risk of complications.

The time of complete healing of wounds and postoperative suture depends on the individual characteristics of the body, its regenerative potential. If the care is of good quality, they will heal in 3-5 weeks.

The removal of the foreskin to the child due to his religion or nation is an internal issue of each family (see also: what to do if the child does not open the foreskin?). However, there are cases when circumcision is necessary to eliminate medical problems. Why can the boy be circumcised and what are the indications for circumcision:

  • Phimosis, which does not go away by 6-7 years (more in the article: how to treat phimosis in a boy at 6 years old?). This phenomenon is the growth of the foreskin to the glans penis. In children under three years of age, the disease is physiological in nature and does not need treatment. At a later age, phimosis can lead to inflammatory processes of the head of the penis and painful sensations.
  • Problems with urination. They occur when the opening of the foreskin does not coincide with the urethra and the urine is retained in the skin fold.
  • Inflammation of the foreskin - balanoposthitis. There is a disease due to non-compliance with the hygiene of the genitals.
  • The formation of growths and papillomas.
  • Head injury. This phenomenon can occur due to physical effects on the penis.
  • Skin diseases.
  • The tendency to oncology. It is believed that cancer of the head of the penis occurs in uncircumcised men more often.
  • Short bridle.

Circumcision is a simple but specific exercise. Doctors believe that children should be circumcised before they turn 3 years old (when they know little) or after 6 years (when they already understand everything). This will save the child from psychological trauma. At an early age, the healing process is faster. The photo-illustration schematically shows the result before and after the operation.

Contraindications to circumcision:

  • low pain threshold that will cause pain shock,
  • inflammatory processes in the body,
  • bleeding disorder,
  • congenital pathologies of the penis,
  • diabetes.

You also need to consider that after removing the foreskin, hygienic problems can occur, as it creates the likelihood of inflammation in those places that protected the skin.

Circumpy for medical reasons is performed on an outpatient basis and does not require a hospital stay. When circumcision is carried out for religious or national reasons (as among Muslims and Jews), the event can be implemented at home. The main conditions for removing the foreskin in boys are sterility and accuracy.

The classic way to perform the procedure is surgical circumcision. In simple words, this is a mechanical removal of the foreskin with a sharp medical instrument. The skin of the penis is pulled using special devices, cut and cut off. Sutures are placed on the edges of the wound with special absorbable threads.

Small children undergo circumcision without suturing. During circumcision, special rings or clamps are used. A small incision is made in the foreskin and the necessary device is introduced between the head of the genital organ and the skin. The top of the skin is fixed and excess flesh is removed. After 5-7 days, the latch disappears by itself. The classic surgical method uses local anesthesia.

By laser

Laser clipping is considered more gentle. The operation is performed using a laser, not a scalpel. However, it is not possible to make such a procedure in every clinic and its cost will be higher than with the classical method. Bleeding after such circumcision is very rare, and the body heals faster. Thermal laser action minimizes the need for suturing.

Laser circumcision is the most gentle circumcision method.

At home

The operation at home is usually carried out by people who are specially trained in this (for example, rabbis). To carry out house circumcision, it is necessary to have sterile instruments and disinfectants and to ensure cleanliness in the place where the procedure will be carried out. However, circumcision at home increases the likelihood of postoperative complications.

Religious motives

Various ceremonies associated with circumcision exist mainly among the eastern and southern peoples. There is a scientific justification for this. In a hot climate and the absence of even enough water even under the foreskin to comply with the elementary rules of personal hygiene, bacteria often accumulated under the foreskin, which caused inflammatory processes and impaired male reproductive function.

For Jews, the rite of circumcision is performed as a sign of the boy's belonging to this ethnic group. It is part of a “contract with God,” a strict obligation that must be strictly observed. Uncircumcised Jew simply will not accept society. And even if only he knows about it, due to the national mentality, such a boy or man will feel very uncomfortable.

In some nations, circumcision is practiced in adolescence as a rite of sexual initiation. It demonstrates that the boy has turned into a man and can enter into intimate contacts and choose his wife. Such ceremonies are usually group and held once or twice a year in the presence of numerous relatives.

In some cases, circumcision is recommended by the doctor. It helps to cope with such problems:

  • phimosis and paraphimosis - narrowing of the foreskin, in which it interferes with the normal opening of the head,
  • erythroplakia - an inflammatory disease of the mucous membrane of the penis,
  • purulent balaposthitis - an infectious disease of the head of the genital organ.

Sometimes circumcision remains the only way to achieve an effective cure, and the operation itself has to be done against the background of the inflammatory process. In this case, a few days before the procedure, the patient should take baths with a solution of potassium permanganate regularly and treat the head with anti-inflammatory ointments.

Experts say that for religious and social reasons, circumcision is best done in infancy. There is still not a large number of nerve endings on the skin of the baby, and the procedure is performed without the use of anesthetics. And because of the high regeneration rate, the wound heals already on the second or third day.

Circumcision in men and boys over 14 years old is done under local anesthesia. Most often, head treatment with a gel that reduces skin sensitivity is enough, but sometimes you have to inject lidocaine or another drug.

At this age, healing takes longer, and after the procedure a slight increase in temperature is possible. But in general, circumcision is well tolerated.

From a physiological point of view, age is not very important for the procedure. The operation is not complicated and is easily tolerated by boys of any age. The psychological aspect and postoperative care are important here:

  • Kids up to a year do not understand what is happening to them, do not remember the pain, therefore, to perform the ritual, they often circumcise in the first months of life. The doctor uses a seamless technique, heals the wound faster. Opponents of manipulation believe that circumcision of infants is inhumane, because the procedure works without the consent of the future man and, moreover, without anesthesia.
  • An older child, but not 8 years old, can be very worried about changes in the body and upcoming pain. The operation takes place under general anesthesia. The postoperative period is complicated by the high motor activity of children of this age.
  • Young men consciously go to circumcision, undergo surgery under the influence of local anesthetics, which are injected directly into the penis, and easily carry out postoperative care on their own.

At what time of the year it is better to go for surgery, it does not matter. Properly selected clothing and adherence to doctor's recommendations exclude complications in both heat and cold. The only prerequisite is the need for the boy to be at home under adult supervision. It is necessary to plan the procedure for the time when the holidays, parental leave or other conditions coincide.

If circumcision is necessary for the child for medical reasons, only the doctor decides how old he is and by what method it is best done.

The mandatory procedure is considered only for health problems and has the following indications:

  • Phimosis and paraphimosis. The prerequisites for the disease are visible in half of the born boys. By the age of 3, in 40% of children they disappear, after puberty, pathology remains in only 1% of young men. Doctors are in no hurry to prescribe circumcision for children up to adolescence. The exception is cicatricial phimosis, which itself does not pass, and the removal of the foreskin will save the child from inflammation of the glans penis.
  • Chronic balanitis and balanoposthitis. Dead skin cells accumulate in the skin pocket and sebaceous gland secretions, the moist environment of the genitals accelerates the process of reproduction of bacteria. The operation eliminates a similar problem.
  • Shortened frenum of the penis. In this case, circumcision is optional. The doctor’s decision depends on the individual structural features of the baby’s genitals.
  • Excessive overgrowth of the foreskin is a situation when it is better to circumcise a child so that he can urinate normally and carry out hygiene.
  • Papillomas and growths on the skin fold.
  • Mismatch of the openings of the urethra and the foreskin when urine lingers on the penis.

In all other cases, the operation is not mandatory and depends only on the decision of the parents of the baby or the desire of the teenager.

The need to change the penis of a boy is dictated by the religious canons of different faiths:

  • Muslims believe that child circumcision will make a child a real man. They perform the ritual at the 7th week from birth, at 7 or 13 years.
  • Jewish communities preach that circumcised men are given the opportunity to become closer to God. Jews make circumcision at the age of 8 days or 8 years to their sons.
  • In the African settlements, the foreskin is removed to increase strength and health. From a medical point of view, the ritual often yields a negative result due to the impossibility of proper care: heat, lack of sufficient water, and unsanitary conditions.

Regardless of the country of residence and religion, young men go for surgery for aesthetic reasons, believing that in this way they will increase intimate attractiveness in the eyes of the opposite sex.

Circumcision is not a complex surgical operation and does not require special preliminary measures. The child is prescribed tests and a test for susceptibility to the components of anesthetics.

If circumcision is planned under general anesthesia, the baby does not need to be fed and watered 8 hours before surgery to prevent bouts of nausea. Typically, circumcision in children is performed in the morning, so you need to come on an empty stomach. With local anesthesia, it is enough to refrain from eating for an hour.

To ensure sterility and safety, the procedure should be performed on an outpatient basis. According to rituals, circumcision of boys from Jewish families is carried out in the synagogue or at home. Muslims, in most cases, do not go to the clinic, arrange a specialist visit and prepare a magnificent celebration on this occasion.

Depending on the age of the child and the indications, different methods of removing the foreskin are used:

  • For babies, a plastic ring or clip is put on the head and the protruding flesh is cut off. The area is treated with an antiseptic, the patients are not sutured. After 4-5 days, the wound is healed, the latch itself disappears.
  • Older children are put into a state of sleep, the foreskin is pushed aside, and excision is made around the circumference at the site of fusion with the penis. Suture with self-absorbable sutures and a sterile dressing.
  • The operation is performed in the same manner for adolescents using local anesthetics.

The flesh is removed in whole or in part, using the classical or laser method. In the second case, the operation is faster, without blood, but costs more and is not practiced in all clinics. On the procedure for circumcising boys from photos and videos, you can see that not all children are ready for it and tolerate it equally.

The main condition for quick recovery is to ensure sterility. If a bandage is applied to the penis, it must be periodically changed with the use of antiseptics and antibacterial ointments. Any drugs can be used only as directed by a doctor.

You can bathe the child on the 3rd day after circumcision. When the dressing is removed, the genitals should be washed with warm water with the addition of baby soap, then rinsed with a decoction of chamomile or a weak solution of potassium permanganate.

In the first days after the operation, you should not give the child diuretic drinks, but it is better to feed him with liquid light food.

Like any operation, circumcision is associated with certain risks. Possible complications depend on how circumcision was done to children, in what conditions and are expressed in the following:

  • violation of aesthetics with improperly performed manipulation,
  • prolonged healing due to anatomical features, surgeon errors or improper care,
  • decreased sensitivity of the penis in adulthood,
  • allergy to anesthesia,
  • bleeding (if the bridle is affected),
  • tissue infection.

Whatever the nature of the complication, eliminating it is easier with timely detection and treatment. Therefore, you need to come to the reception even when visually everything is normal. An urgent visit to the doctor is mandatory at the first symptoms:

  • increase in temperature of the penis or general
  • blackening or cyanosis of the head of the penis,
  • purulent discharge
  • weakness and drowsiness in a child,
  • tissue edema longer than 3 days,
  • pain.

Before circumcising the boy, you need to make sure that he has no contraindications and the operation will not harm the child. It is better to consult with several specialists.

Circumcision of boys: how to do it, at what age, consequences, photo Link to the main publication

Recovery after the procedure ↑

Male circumcision is a surgical procedure in which the foreskin of the penis is cut off.

Many parents are interested in the question: "Why do circumcision in boys?" There may be several reasons, for example, medical indications.When phimosis is detected - fusion of the glans penis and foreskin - circumcision is an effective way to solve the problem.

With this disease, the foreskin sags very much, and the child can hardly pee. In some cases, phimosis can pass on its own, for this it is necessary to shift the foreskin daily and conduct hygienic procedures.

Circumcision is also done for religious reasons. What for? Why do Jews and Muslims circumcise boys? In ancient times, it was believed that this procedure makes the boy closer to God, while its advantages and disadvantages did not matter.

Easier care and maintenance of genital hygiene is another reason for this procedure. In a bag of uncircumcised foreskin, smegma often accumulates, consisting of secretions of the sebaceous glands and dead epithelium.

The presence of moisture makes this fat-like substance an ideal medium for the growth of bacteria. After circumcision, the problem disappears, it becomes easier to maintain a clean penis.

Read more about phimosis in a child →

Proper care of the wound and sutures after circumcision in boys will accelerate healing and prevent the development of complications.

Dressing should be done 3–6 times a day with hands thoroughly washed with soap. In order to remove the bandage without injuring the wound, it is better to soak it in hydrogen peroxide. You can treat the seam with a weak solution of potassium permanganate.

If blood or anemia is secreted, an antiseptic ointment, for example, Levomekol or Actovegin, should be applied with a thin layer. After 10 days, you can stop dressing. The need for medication is determined by the doctor, Methyluracil is often prescribed, which accelerates healing.

Disadvantages

Male circumcision has its drawbacks. The most significant among them are:

  1. Strong pain. Until recently, the operation was performed without anesthesia. Over the past few decades, many countries have been practicing the procedure with painkillers.
  2. Hygiene problem. Deepening near the bridle requires special care, as it can no longer be cleaned naturally.
  3. The procedure is contrary to ethical standards.

From the beginning of the nineties of the XX century, mass movements of opponents of circumcision began to be created. Their main argument is that any serious medical intervention should be carried out only with the consent of the patient. In children who have recently been born, it is impossible to get it, so the procedure must be canceled or postponed until the boy reaches a conscious age.

How circumcision occurs

At the preparation stage, the doctor outlines with a special pencil the line along which the excision will be performed. Much depends on how old the procedure is. In adult men, the penis is measured in a relaxed and excited state. This is necessary in order not to remove too much or, conversely, too little flesh.

Having performed local anesthesia, the doctor makes an incision with a scalpel. The edges of the flesh are then sutured by absorbable sutures. The procedure is fast enough, the patient is conscious.

Complications

The earlier male circumcision is performed, the lower the likelihood of complications and side effects. Regeneration processes at a young age are faster. In addition, there is a mother nearby who constantly monitors the cleanliness of the wound and the most accurate handling of the penis.

With inaccurate or improper circumcision, the risk of damage to the cavernous bodies and severe bleeding is high. Sometimes very rough ugly scars form on the head.

At first, patients experience rather severe discomfort due to rubbing the head with linen. Drying and cracking of the mucosa may occur.

If by the end of the second week redness, swelling, pain, or suppuration of the suture persist, it is imperative to see a doctor. You should immediately go for a consultation in case of bleeding or a strong increase in body temperature (more than 38 degrees).

After removal of the foreskin, patients usually feel satisfactory. In some cases, the following complications may develop:

  1. Severe swelling. Normally, it should subside within a week. If this does not happen, then treatment with ointments with antibiotics is required.
  2. Stitch rejection. This is due to infection, allergies, improper application techniques.
  3. Suppuration. A serious complication requiring complex treatment in a hospital.

Seek medical attention immediately in the following cases:

  • the seam has opened
  • strong pain,
  • swelling is increasing
  • pus comes out of the wound
  • difficulty urinating
  • fever.

In order to avoid serious consequences, it is recommended to undergo an unscheduled examination by a surgeon.

During the week after the operation, pain, swelling, and increased sensitivity may appear. They relate to normal reactions to surgery. Postoperative care is able to cope with them. With severe pain, you can take analgesic drugs. Minor edema without signs of inflammation must be removed with the help of salt baths.

A doctor is required if:

  • inflammation of the wound appeared, swelling became pronounced,
  • there were discharge from the penis,
  • the temperature has risen
  • bluish spots formed on the penis.

In no case should you self-medicate, normal care will not help, it is better to immediately seek qualified help. Only a doctor can correctly diagnose the condition and select effective medications.

Why and should boys be circumcised now? Opinions of medical associations in Europe, as well as Canada and the United States are generally similar: circumcision has a number of positive aspects, but cannot be a mandatory procedure, its use is possible only after discussing with parents all the advantages and disadvantages.

The attitude of doctors to the circumcision procedure is ambiguous. Some doctors advocate mass removal of the upper skin in order to prevent diseases, while others believe that this is a useless traumatic procedure. However, all experts agree that circumstance in boys is a must when medical conditions appear (for example, with phimosis).

Adherents of circumcision argue that removing excess skin from the penis reduces the risk of diseases of the genitourinary system and viral diseases, facilitates the hygiene of the penis. Circumcision is believed to reduce the likelihood of cancer and AIDS. However, these allegations are not certain.

Removing the foreskin is considered a simple surgical operation, but it can cause harm to the human body and cause complications. Opponents of circumcision insist that the procedure leads to psychological trauma of the child, and if the technique of surgery is violated, the genitals can be damaged. Do not exclude the likelihood of death.

Circumcision can provoke the development of various complications, at least - the psychological stress of the child

Possible complications after circumcision:

  • painful shock,
  • wound infection
  • blood poisoning,
  • heavy bleeding
  • organ head injury
  • allergic reaction to anesthesia,
  • decreased genital sensitivity
  • long healing process
  • severe organ swelling
  • penis cosmetic defect.

Many complications appear if sanitary procedures were not followed during the procedure. Within 5-7 days after surgery, the boy may experience pain, the genitals become more sensitive, a slight swelling appears.These body reactions are the norm and, with proper care and adherence to the doctor’s recommendations, pass quickly.

Suitable age for the procedure ↑

For both Jews and Muslims, circumcision is a religious conversion. According to the customs of the Jews, the procedure is carried out by a specially trained person after morning prayers in the synagogue. But today, increasingly, parents prefer to do this with the hands of an experienced surgeon in a hospital. In this case, the presence of a rabbi is mandatory.

Surgeons use modern equipment and methods that allow circumcision to be performed painlessly and quickly. In this case, complications are practically excluded. For example, if the edges of the tissues are not stitched correctly, then a scar will form during healing, which can cause pain and complications. Such effects usually occur during surgery at home.

Where better to do circumcision?

At present, circumcision can be done both in the municipal clinic and in a private institution. In public institutions, it is carried out in the direction of the attending physician (for example, with phimosis). The cost of the procedure is minimal or not worth the money. In private clinics, an operation can be done without a referral, but it will cost several times more.

Many people prefer private surgical centers. These clinics are equipped with laser devices, which are preferable during the operation. Whatever choice parents make, it must be borne in mind that circumcision in children should only occur if there are no contraindications.

Some facts about circumcision

The problem of the need for circumcision involves exclusively religious and ethical roots. According to Orthodox literature, Jesus Christ himself underwent an operation to remove the foreskinSince then, this procedure has been cultivated for centuries. After a while, Christians recognized circumcision as a tradition of Judaism, and therefore rejected the need for circumcision.

Despite this, medical statistics claim that men who have not undergone surgery to remove the foreskin are 2-8 times more likely to become infected with AIDS than circumcised men. Doctors say that it is this flesh that becomes a peddler in most cases of infections, such as gonorrhea, syphilis, herpes, and others. It is also proved that the inner part of the flesh consists of cells that are susceptible to HIV and other diseases.

Watch the video: Circumcision - Indications, Controversies, Complications & More. Dr. Jennifer Singer - UCLA Urology (February 2020).

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