Foreskin is something that men are born with. We cannot underestimate it. Although it is trivial, there are still many human organs related to it. For example, prostate, urethra and even sexual life are all related to it. If it is not handled properly, it will seriously affect the sexual life of yourself and your partner, and the disharmony of sexual life will lead to family breakdown. Next, let's learn about the whole process of prepuce surgery.
1. Patient position: prone position.
2. Cleaning and disinfection: use soapy water and salt water to clean the part, and use 1 ∶ 1000 bromogeramine solution to disinfect; The phimosis patient injected bromogeramide solution into the prepuce sac for disinfection with a syringe and a venous incision needle.
3. Separation of adhesion: For those with narrow prepuce mouth and adhesion between prepuce and penis head, first use hemostatic forceps to expand the prepuce mouth, and then use two hemostatic forceps to clamp the middle part of the back edge (the distance between the two forceps is 0. 2cm), use slotted probe to separate the adhesion until the penis head and prepuce are completely separated, and then use sterile physiological saline to clean the prepuce sac and penis head.
4. Design incision: Use a pair of hemostatic forceps to clamp the prepuce laceration to lift the prepuce. Use the tip of the knife to make all marks at the place 0.5 cm away from the distal edge of the coronary groove on the outer plate of the prepuce, and prepare it as a circumcision incision to prevent excessive excision.
5. Dorsal incision: use scissors to cut the inner and outer plates of the prepuce along the probe slot, and the inner plate of the prepuce should also be cut to about 0.5cm from the edge of the coronary groove.
6. Excision of prepuce: align the inner and outer plates of prepuce, pull out the hemostatic forceps clipped at the back of prepuce and the laceration, and recheck whether the cut mark of the outer plate of prepuce is appropriate as the circumcision cut. If appropriate, cut the right skin flap along the incision about 0.5cm from the coronary groove with a curved shear, and then cut the left side. The inner and outer plates of the prepuce laceration can be left uncut or more reserved.
7. Hemostasis: shrink the penis skin upward and stop bleeding after exposing the bleeding point. Pay special attention to ligating the superficial dorsal vein of the penis in the middle of the dorsal side of the penis.
8. Suture: suture one needle at the back, abdomen, left and right of the circular incision with fine thread, and the ligation should not be too tight, so as not to damage the skin when tissue edema occurs. The suture shall not be cut short, and shall be reserved for fixed dressing. Then stitch 1-2 stitches between every two stitches, and the stitches should be threaded out close to the cutting edge.
9. Wrapping: wrap a piece of Vaseline gauze (the raw edge is folded inside) around the foreskin incision, fix it with a long suture, and then wrap it with several layers of gauze.
The foreskin should not be cut too much to avoid painful penis erection. Generally, the inner plate of prepuce should be cut to about 12.5px from the coronary groove. Do not leave too little lace up.
Experts pointed out that although circumcision is a small operation, try not to choose some informal small clinics. Although the price is relatively cheap, the quality is not guaranteed. Poor treatment will affect the later half of your life. After all, the operation is still performed on the important part of men. Therefore, I hope you can choose more formal hospitals to ensure the success of surgery and finally enjoy a healthy life.