Post Date December, 03 2023
In recent years, men's health has been harmed by many diseases, disrupting the normal lives of male patients, and men must pay attention to it. Prolonged foreskin is one of the common diseases in men, which brings many discomfort to men and requires early treatment. Is there any method for treating excessive foreskin? Let's take a look at the treatment knowledge of redundant foreskin.
Long foreskin and phimosis are the primary causes of foreskin balanitis during laser circumcision. Many patients have recurrent foreskin balanitis due to long foreskin and phimosis, which seriously affects their normal lives. The most permanent way to solve this problem that plagues male friends is to undergo "laser circumcision of the foreskin.".
Procedure of circumcision
1. One-time circumcision method
(1) Separation of foreskin and penis adhesion: Before circumcision, check whether there is adhesion between the foreskin and penis. If there is adhesion, it should be separated first.
(2) Traction and fixation of the prepuce: Place the prepuce in a natural position and clamp it with two vascular forceps at the middle of the surgical side of the prepuce and the ventral side of the prepuce, with a distance of about 0.5cm between the two forceps.
(3) Cut the dorsal and ventral prepuce longitudinally: The assistant presses and pinches the root of the penis with his left hand to temporarily stop bleeding. Then lift the two vascular forceps in the middle of the dorsal side, and the surgeon uses scissors to cut the foreskin longitudinally between the two forceps until it is 0.5 to 0.8 cm from the coronary groove. Then lift the two vascular forceps in the middle of the ventral side and cut the ventral prepuce in the same way. The length of the prepuce retained at the frenum is slightly longer than the dorsal side by 0.2 to 0.3 cm. When cutting, be careful not to damage the frenum.
(4) Circumcision: After the dorsal and ventral foreskins are cut longitudinally, the penis head and coronal groove can be exposed. Firmly pull the two right vascular forceps, and use scissors to cut the overlong prepuce from the longitudinal incision on the dorsal side of the prepuce, 0.5 to 0.8 cm from the coronary groove, until the ventral longitudinal incision is reached. Then pull on the left two vascular forceps and circumcise the left half of the foreskin in the same manner.
(5) Ligation and hemostasis: After circumcision, the assistant releases the left hand, quickly pushes the foreskin down towards the root of the penis, exposing the wound, and ligates the bleeding spot with 3-0 fine silk thread.
(6) Suture incision: Align the inner and outer plates of the foreskin. Using fine silk thread, stitch 1 needle first at the lace, then stitch 1 needle at the center of the back side and at the center points of the left and right sides. Knot the 4-needle suture and keep its tail. Then add 1-2 more stitches between each two threads. After tying, cut the suture short.
(7) Wrapping the incision: Fold the vaseline gauze into a strip and wrap it around the prepuce incision. Use the tail of the suture stitched up, down, left, and right to bind and fix it. Then wrap it with gauze outside the oil gauze and fix it with adhesive tape. The penis should be exposed.
Ring cutting method for inner and outer plates
(1) Draw the outer plate incision line: With no tension on the prepuce, draw the outer plate incision line parallel to the coronal groove at the prepuce about 0.5 cm from the distal side of the coronal groove.
(2) Draw an inner plate incision line: Turn the foreskin over the coronary groove to expose the coronary groove, flatten the inner plate of the foreskin, and draw an inner plate incision line parallel to the coronary groove approximately 0.5 cm from the proximal side of the coronary groove.
(3) Excision of prepuce: Cut the skin along the incision lines drawn on the outer and inner plates of the prepuce with a sharp knife, and then make a longitudinal incision at the dorsal midline of the prepuce to connect the inner and outer plates of the transverse incision. Lift up the two corners of the skin strip with vascular forceps and separate them in the superficial layer of the blood vessels to gradually peel off the excised foreskin.
(4) Suture incision: After complete hemostasis of the wound surface, intermittently suture the incision edges of the inner and outer plates using conventional methods. When suturing, suture should be performed together with the connective tissue of the incision edge to prevent the skin from boxing and bending at the incision edge.
3. Root skin circumcision
(1) Cut line drawing: Push the foreskin upward until the glans is completely exposed, and confirm that there is no possibility of incarceration. After that, use gentian violet to draw a circular excision of the skin at the root of the penis.
(2) Circumcision of the skin: circumcision of a penis along a surgical line.
(3) Ligation and hemostasis: Use fine thread to suture the bleeding point on the wound surface to completely stop the bleeding.
(4) Suture the incision: Use small tweezers to pull the skin on both sides of the incision together, and intermittently suture with fine silk thread.
(5) Wrapping the wound: Apply a layer of sterile vaseline gauze to the wound and then apply sterile gauze to wrap it.
Through the learning of the above content, we have learned about the treatment of redundant foreskin. Is there any method for treating excessive foreskin? We know the answer to this question. As long as male patients go to the hospital for treatment in a timely manner, they will be able to recover their physical health as soon as possible. To protect yourself, go to the hospital for treatment as soon as possible.
