Among adult males in China, 29% of them have redundant prepuce, while redundant prepuce and phimosis may induce inflammation and cancer. For this reason, many parents "start from the baby". Every winter vacation is the peak of circumcision in the outpatient department of the hospital. Experts said that if inflammation has been caused or affected children's urination, surgery must be carried out as soon as possible.
However, experts also stressed that although prepuce surgery is the most common "small surgery" in urology, it may also cause major problems sometimes. Therefore, if there is no obvious discomfort and daily cleaning is in place, adults and children do not necessarily have to be cut.
Circumcision is required for patients with recurrent inflammation or dysuria
"The pediatric surgery clinic of our hospital ushered in the peak of circumcision again in the winter vacation." Deng Xiaogeng, director of the pediatric surgery department of the Second Affiliated Hospital of Sun Yat sen University, said that, in fact, compared with many European and American countries, our attitude towards excessive prepuce is relatively conservative. Some data show that on average, more than half of men in European and American countries have removed excessive prepuce, In many countries, the customs and habits of even children have been removed from their infancy.
"The boys who really need to come to the clinic for surgery are mostly 5 to 7 years old, and generally have the following two conditions: too long foreskin leads to redness, inflammation and discomfort; it has an impact on urination, such as difficulty in urination, frequency of urination, etc." Deng Xiaogeng said that this awareness is correct. Once the boy is found to have repeated inflammation due to too long foreskin or even urinary tract infection, the foreskin should be removed as soon as possible.
According to reports, foreskin refers to a layer of soft skin on the head of the penis. In infants and young children, the foreskin is longer and can protect the fragile glans outside the penis; With the growth of age, the foreskin gradually recedes to the penis; At the puberty stage, the foreskin naturally turns up with the development of the genitals, making the whole penis and glans all exposed. "If the foreskin still covers the penis and the penis can not be turned up at all, it is called phimosis; if it can be turned up, but the penis can not be exposed, it is called too long foreskin." Experts said that this situation, coupled with lack of hygiene, is likely to cause a series of diseases, and even have a negative impact on future marriage and childbearing.
"Now the technology of circumcision is constantly improving, and local anesthesia can be completed, which is relatively safe. Even the next day after the operation, you can take a shower. It is no longer like in the past, and you need to come to the hospital many times to remove the stitches and change the dressing." Deng Xiaogeng said.
Xiaopandun is often circumcised by mistake due to dysplasia
"In children's circumcision, it is particularly worth reminding parents that many 'little fat mounds' are not actually too long foreskin, but have been cut by mistake." Deng Xiaogeng said that there are more and more "little fat mounds" now, and many children will have various signs of sexual dysplasia, such as breast development, short penis, concealed penis, etc. The latter is easily mistaken by parents and even some doctors for too long foreskin or phimosis.
"We must distinguish carefully, because the treatment methods of the two are completely different. We have treated many boys who suffer from concealed penis but are treated as redundant prepuce, which will lead to their having to undergo a second operation, and the difficulty of the operation will increase, because the operation itself needs to have enough prepuce." He said.
You must go to a regular hospital for circumcision
Circumcision is a trivial matter, but many people have done great things. "A husband who had been married for just one month was asked by his wife to have his foreskin cut. As a result, he underwent a very poor operation in a small clinic. All the penises were dead and could not be recovered, so he had to have penis reconstruction later." The foreskin must be cut in a regular hospital. "In fact, as a common outpatient service, it is not expensive in regular hospitals. On the contrary, small clinics are more likely to charge indiscriminately for prescribing drugs. Therefore, citizens should not listen to small advertisements to avoid serious consequences."