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What is the best way to do laser or scalpel cutting?

Indications for circumcision in men are many diseases and aesthetic preferences.

The latest surgical technique is laser cutting or laser circumcision using special equipment.

In the article below, you will have the opportunity to learn more about this procedure.

Laser cutting of the foreskin in men: a description of the technique and its advantages

Circumcision (circumcision) - a small surgical procedure performed to remove the foreskin around the glans penis, as a result, it opens in whole or in part.

The laser cutting technique has several advantages:

  • the laser simultaneously seals the blood vessels, so there is no bleeding,
  • tissue edema does not occur,
  • the procedure is almost painless, so local anesthesia is used,
  • the wound surface does not come into contact with the instruments, therefore, the possibility of infection of the wound is completely excluded,
  • the whole operation takes 20 minutes, it is half the length of the traditional intervention,
  • the recovery period after the procedure takes only 10-14 days, during which the wound is healed.

Types of circumcision

The operation as a whole relates to plastic types of surgical intervention, therefore its types are divided by the number of removed flesh:

  1. Minimum - removal of excess volume of flesh and bringing its size back to normal. The head of the penis practically does not open.
  2. Partial - performed for medical reasons. A cut of skin is cut so as not to interfere with the mechanical exposure of the head.
  3. Loose - the head of the penis opens, a fold is formed in the area of ​​the coronary sulcus.
  4. Moderate - The most common technique, as a result of which the head is fully open.
  5. Tight - complete removal of the foreskin, without the formation of a skin fold. It is carried out exclusively for medical reasons in rare cases.
  6. High - the inner part of the foreskin is maximally preserved. The circular seam is at different distances from the root of the penis.
  7. Low - the inner part of the flesh is excised, the seam is made on the site, located next to the coronal groove.

Indications and contraindications to the procedure

Laser cutting of the foreskin is often performed by men on their own initiative for religious reasons or to eliminate aesthetic defects. There are a number of medical indications:

  • phimosis
  • paraphimosis,
  • injuries and inflammation of the foreskin,
  • premature ejaculation
  • inflammation of the head of the penis,
  • Keir erythroplasia,
  • hygienic indications: difficulty urinating, cancer prevention.

Preparation for the operation and the technique of its implementation

Before circumcision with a laser, it is necessary to carry out all tests and diagnostic examinations standard for surgical intervention. In the case of physical health of the patient and the absence of diseases of the genitourinary system, the operation is performed on the day of the visit to the doctor.

The procedure does not involve hospitalization and is performed on an outpatient basis. The doctor performs the following manipulations:

  1. Local anesthesia is performed by subcutaneous administration of Novocaine or Lidocaine. The patient does not feel the penis during surgery. The effect of anesthesia lasts 1-1.5 hours at the end of the procedure.
  2. The base of the penis is pulled together with a tourniquet.
  3. The incision site is disinfected.
  4. A circular cut is made along the diameter of the head.
  5. A second incision is made under the crown of the penis.
  6. The flesh is removed, the edges of the wound are sutured, or rather soldered with a laser beam.

Scalpel

The scalpel is the main surgical instrument during operations. It is a small sharp knife, with the help of which cutting and excision of soft tissues is carried out.

Before surgery, the patient must be administered pain relievers. Then the penis is bandaged with a special thread near the head so as not to accidentally touch the scalpel with tissues that do not need to be cut off.

After bandaging, the surgeon pulls the foreskin and excises it with a scalpel. After that, self-absorbable sutures are applied to the site of exposure. In the past, soft tissues were wetted with swabs during surgery to stop bleeding. To date, during the operation, coagulators (electrodes) are also used, which cauterize blood vessels and stop bleeding.

Postoperative Recovery

The risk of negative effects of circumcision is minimal, but medical supervision during the day after it is desirable. Healing takes from 1 to 3 weeks, depending on the amount of flesh removed. Within 2-3 months after the operation, some pain remains in the area of ​​the head of the penis.

Hospitalization may sometimes be required. This is necessary in case of infection of the wound, the development of hematomas. In this case, it is necessary to conduct restorative physiotherapeutic procedures.

Comparison

A laser and a scalpel are used to remove the foreskin of the penis - due to this, the risk of developing infectious diseases of the genitourinary system is significantly reduced, the hygiene of the penis is improved (as dirt and various secretions, which are a favorable environment for the reproduction of bacteria, cease to accumulate under the head), and sexual intercourse is lengthened.

Both methods are equally popular today. The scalpel method is chosen by many patients, since it is more familiar, and many know its principle of action. However, this method, in comparison with a laser, has several disadvantages:

  • Causes bleeding (but blood droplets are cauterized by electrodes).
  • There is a risk of infection.
  • The operation lasts 2 times longer.
  • A doctor may accidentally cut off an extra area of ​​skin.
  • Longer rehabilitation period (up to 1 month).
  • Unpleasant sensations after surgery are more pronounced than after laser exposure.

Both laser and scalpel cutting can be performed at any age - the operation is done even to infants a few days after birth.

The contraindications for both procedures are the same:

  • Oncological diseases.
  • Blood diseases, bleeding disorders.
  • Immune Disorders
  • Viral and catarrhal diseases.
  • Infectious and inflammatory pathologies.
  • Genital infections.
  • Sexually transmitted diseases.
  • HIV and AIDS.
  • Unhealed circumcision injuries.

After circumcision (in any way), visit the sauna, bathhouse, pool for a while, take a bath (wash in the shower), and exercise. Typically, restrictions are removed 2 weeks after surgery.

Complications after surgery

Circumcision has practically no disadvantages, while some consequences after it can occur:

  1. Distant complication - a decrease in the sensitivity of the glans penis, but some men consider this a plus, since it is possible to increase the duration of sexual intercourse.
  2. Hematomas. May occur with increased capillary permeability in the patient.
  3. Infectious inflammation. They arise as a result of a man not observing the rules of personal hygiene after surgery.

Some danger is an increase in the size of the penis during wound healing. The edges of the circumcised flesh, welded together by a laser, may diverge during the process. If this happens several times, scars form in the area of ​​the excised flesh.

Opponents of the male circumcision technique for men with a laser warn of the danger of too much beam penetration during the procedure. It is difficult to disagree with this, therefore, for the operation, you should choose a highly qualified specialist and a clinic that has the latest equipment.

In modern conditions, more and more men decide to perform circumcision for aesthetic and hygienic reasons. Laser circumcision is an opportunity to carry out the manipulation as quickly as possible and without increased pain.

What's better

Today, the laser is a safer and more modern way to remove the foreskin - it does not cause bleeding, gently excises soft tissues, and has a short rehabilitation period. Therefore, it is preferable to choose this method.

The scalpel method is suitable for those who are not ready to pay a large amount for the procedure. Sometimes a medical operation is performed free of charge in public hospitals.

Circumcision should conduct experienced surgeon. The inexperience of a doctor can lead to serious complications. It is best to pay money and have surgery in a specialized clinic. It should be borne in mind that the clinic must have a license.

Benefits

The obvious advantages of the laser method are the following factors:

  • Laser cutting of the foreskin in men with low blood loss, since the laser beam "fuses" the vessels and tissues, preventing bleeding.
  • After healing, no scars remain.
  • The risk of complications after surgery is minimal.
  • The recovery period is much faster than with a similar intervention with a scalpel.

Methodology

Circumcision does not require the introduction of general anesthesia, only local anesthesia is performed. For this, lidocaine, novocaine or other suitable analgesics are most often used. Local anesthetics are injected under the skin of the penis, and then a tourniquet is applied to the organ. Thus provoke a semblance of an erection.

Further, the surgeon performs an incision and excision of tissues under the head of a man’s penis. Sutures can be placed on the edges of the tissues, which after a while, will dissolve independently, or staples, which, after healing, will be removed by the surgeon. The seam that was formed after circumcision, some time after healing, becomes invisible, or disappears altogether.

Immediately before the operation, the type of excision of the foreskin is performed. It will depend on the medical indications or preferences of the patient.

  • Partial and minimal circumcision. It is carried out according to indications to eliminate defects (adhesions, scars).
  • Moderate and free removal of tissues of the foreskin. After this procedure, a small part of the skin remains.
  • Complete or tight removal of the foreskin. It implies the complete removal of "excess" skin, after which the folds do not remain.

Rehabilitation

After laser circumcision, it is necessary to follow simple rules to prevent the development of complications and accelerate the rehabilitation period:

  • Within 14-15 days, abandon sexual activity. In some cases, the abstinence period can be extended to 1 month.
  • Observe personal hygiene measures.
  • Treat the wound surface with antiseptic ointments, which are prescribed by the operating surgeon. The application of ointment Levomekol is recommended.
  • Limit physical activity for the entire rehabilitation period.
  • On your own, daily change the sterile dressing.
  • Take a bath or shower is allowed 3 days after the procedure.
  • Change underwear daily.
  • Avoid wearing underwear or tight trousers for a period of at least 1.5 months.

The average recovery period after laser cutting is 10 days. In some cases, it can increase up to 2-3 weeks. During this period, pain, slight redness and slight swelling of the glans penis can be felt. When healing tissue, itching, craving to scratch a member may appear. As a rule, on 3-5 days these symptoms decrease or disappear.

The first days after circumcision with the laser, the penis will be quite noticeable hurt. Therefore, it makes sense to arrange sick leave for 3-5 days to give the body the opportunity to recover. During the week it is forbidden to ride a motorcycle, bicycle.

Weight lifting and stairs should be avoided. Clothing during the rehabilitation period should be spacious. It is advisable to use barrier methods of protection during intercourse (condom) in the first 3-4 months after removal of the foreskin. This significantly reduces the risk of infection of the postoperative scar.

In the first few days after surgery, a slight increase in body temperature and slight weakness are possible. In the event that the body temperature begins to exceed 37.6-38 ° C, and the symptoms of malaise increase, you should consult your doctor.

Stitches or staples are removed 7-14 days after circumcision. If, when stitching fabrics, a self-absorbable material was used, there is no need to remove the seams.

What pathologies does laser cutting do?

There are a number of genitourinary diseases in which it is recommended that a circumcision be performed (or laser circumcision). It is shown in the following situations:

  1. When the head of the penis opens with great difficulty or does not open at all. Some men are faced with such a problem from birth or it occurs over time. Physiological phimosis is often found in boys. If the head does not open by the age of 18, when the young man begins to masturbate, then surgical intervention is necessary.
  2. Inflammation, accompanied by swelling of the head of the genital organ. Due to non-compliance with basic hygiene rules, infection of the foreskin and head of the penis occurs. Prolonged ignoring of such pathologies is fraught with overflowing into a chronic form, which is accompanied by periodic exacerbations and painful inflammations.
  3. Congenital malformations of the frenum, leading to difficulty urinating. Often they require immediate surgical intervention.

Laser circumcision in children carried out in congenital pathological conditions. They tolerate a similar procedure easier and recover faster. But in adolescence, as well as in adulthood, manipulation should not be avoided if it is recommended by a doctor. Pulling with circumcision can lead to difficulty urinating, erectile dysfunction, problems with the functioning of the genitourinary system, and psychological disorders.

Advantages of the laser method

Laser surgery has many advantages when compared with a traditional surgical knife and other surgical techniques:

  1. Minimum blood. During the procedure, blood vessels are cauterized, which avoids excessive bleeding.
  2. Lack of swelling of the penis in the head area.
  3. Almost complete absence of pain, which avoids the introduction of general anesthesia, replacing it with local anesthesia.
  4. Protection against infection during surgery, sterility. Skin contact with laser removal of the foreskin in men not happening. As a result, the patient is protected from infections and inflammations that often occur during the recovery period when using a scalpel.
  5. The average duration of an operation is 20-30 minutes, when it takes more than an hour to circumcise in the usual way.
  6. Fast rehabilitation. If, after the traditional intervention, the patient is forced to spend about a month on sick leave, then with laser plastic surgery, you can return to normal life within one to two weeks.

Why do doctors recommend this procedure?

It is impossible to say with confidence that male circumcision has a positive effect on health (if there is no doctor’s testimony). If you exclude aesthetic and religious prerequisites, experts recommend resorting to laser circumcision the following reasons:

  • reducing the risk of recurrence of inflammatory processes affecting the head of the penis and foreskin,
  • simplification of hygiene procedures, which is especially important in conditions where it is not possible to rinse the penis twice a day,
  • a decrease in the sensitivity of the head of the penis, prolonging sexual contact and preventing early ejaculation.

The essence of the method

With the development of new medical technologies, laser circumcision has firmly entered into urological practice. Naturally, the operation is also performed by the classical method using a scalpel, but it is more often accompanied by complications (blood loss, extensive hematomas, distant scars).

In fact, the difference is not as great as they try to imagine. An experienced surgeon by any of the methods will perform the procedure efficiently and with minimal risk of negative consequences. But in a global sense, using a laser is preferable.

Circumcisio (circumcision)

with penis thickening
radio wave scalpel

Circumcision of the foreskin (classic)

Price: 22 500 rub

Circumcision of the foreskin (with a thickening of the penis)

Price: 30 000 rub

Consultation is free

Address: Moscow, Bolshaya Pereyaslavskaya street, 46, p. 2
m. Prospect Mira
Moscow Academic Clinic IVF

Anesthesia, plastic frenum, consultations are included

The difference between a laser scalpel and a radio wave

A radio wave scalpel is a high-frequency radio wave beam that is so thin that it allows 0.3 mm incisions. In this case, the skin cells surrounding the incision are not damaged. It seems to evaporate skin cells, evaporates them, but without heating.

A laser is also a beam, but it has a thermal nature. Therefore, laser cutting of the foreskin caused burns that damaged not only skin cells at the incision site, but also around it. Today, doctors are refusing to use a laser in genital surgery. We do not use a laser scalpel to circumcise the foreskin and do not recommend it to our patients. Because a radio wave scalpel (knife) is more efficient and safer for the same purpose.

What are the advantages of the laser cutting method?

The procedure is called cercumcisio and therefore laser cutting is called circumcision. During the intervention, a circular incision is made in the foreskin. In this case, the thermal effect of laser radiation contributes to the destruction of the cell structure with instant blockage of blood vessels. This means that laser circumcision does not give rise to subsequent complications, infection and other negative phenomena.

Important! The process of valorization (evaporation of the tissue base) when using a laser allows you to remove the flesh with an accuracy of 1 mm.

Laser circumcision has the following list of benefits:

  1. Sealing of blood vessels, which ensures bloodlessness of the intervention,
  2. Lack of tissue edema - reduction of rehabilitation period,
  3. Minimal soreness of the procedure, which allows the use of local anesthesia instead of general anesthesia,
  4. During operation, the laser sterilizes the surface, and sterile clean tissue is preserved under the crust formed, which eliminates the processes of suppuration, inflammation,
  5. Circumcision takes no more than 20 minutes, and this is two times shorter than the classical procedure,
  6. The rehabilitation period lasts 7 days.

Laser cutting is fully consistent with the set medical, aesthetic goals. In men, the risk of genital infections is reduced, including by facilitating hygienic procedures. Experts note that in patients with the foreskin removed, the incidence of cancer is minimal, as well as STDs.

In what cases is the operation performed?

If religious considerations are excluded, laser removal of the foreskin in men is indicated in the following cases:

  1. Phimosis with a violation or difficulty in removing the head of the penis. In this case, cracks, scars may occur, pain may appear. To exclude the phenomena, it is better to do circumcision and avoid inflammatory diseases.
  2. Balanitis (scarring of the skin of the head) complicated by phimosis also requires excision of prepuce.
  3. Difficult urination due to advanced inflammatory processes.
  4. Paraphimosis - a shift of the foreskin beyond the head, supplemented by squeezing the organ, requires surgical intervention.
  5. To eliminate the problem of premature ejaculation. Circumcision of the foreskin helps to reduce the sensitivity of the head, which prolongs sexual intercourse without the use of drugs.
  6. Hygienic indications for circumcision are considered mainly in countries with hot climates - this prevents the occurrence of infection.

There are aesthetic indications - laser circumcision is performed with an overgrown foreskin. Specialists recommend laser cutting in men for medical reasons to age patients in case of tissue proliferation and blockage of the urethra. It should be noted that the laser method has much less contraindications than classical surgical intervention.

The procedure includes a preliminary examination, including laboratory tests and consultations of a therapist, anesthetist. In especially urgent cases, surgery is performed on the day the patient contacts. Inpatient treatment lasts 2-3 days to exclude the occurrence of complications and teach the patient how to make dressings.

Laser cutting in men is performed using an injection of lidocaine, novocaine and other local painkillers. The medicine is administered subcutaneously, then a tourniquet is applied to the base of the penis. A circular incision under the crown of the head, excision of the flesh and suturing - the process is controlled by a specialist. The laser suture is considered cosmetic, located under the head and with normal tissue healing, after a while it ceases to be noticeable.

Before performing circumcision, the doctor selects the type of excision:

  • Minimal - elimination of a small area of ​​the skin,
  • Partial - elimination of a piece of skin that blocks the urethra,
  • Free - after the procedure, the skin will cover the coronal groove of the organ,
  • Moderate - the head of the penis will always be open,
  • Tight - complete removal of the foreskin. It is carried out rarely and only for medical reasons.

Contraindications to the procedure

Removing the flesh is not possible with the following factors:

  1. Chronic inflammation of the head,
  2. Fungal organ diseases
  3. Hemophilia,
  4. Purulent or mucous urogenital secretions,
  5. Individual structural features of the organ,
  6. Oncological diseases.

Other types of contraindications (skin rash, ulceration) are conditional. After symptomatic treatment, the doctor will allow circumcision of the foreskin.

Possible complications after surgery

If the procedure is carried out without observing the mandatory conditions by an inexperienced doctor, complications may develop:

  • inflammatory, infectious processes in the field of excision,
  • erectile dysfunction,
  • loss of genital sensitivity
  • septic blood infections - this will lead to death.

Most often, a consequence occurs in the form of an unaesthetic appearance: a scar from a seam, a curvature of an organ. It all depends on the tools and qualifications of the staff, so before doing circumcision, you should check whether the clinic meets the stated standards or not.

In addition to complications, there are temporary discomfort after surgery:

  1. swelling of the tissues, if the man does not comply with the regimen,
  2. hyperemia,
  3. some discomfort
  4. pain syndrome.

In the case of a prolonged manifestation of symptoms, you should consult your doctor.

The disadvantages of the operation include pain shock and violation of ethical standards. Most often this relates to excision for religious reasons: the child experiences the fullness of pain, since the pain is not given to newborns. In addition, when removing the extreme piece of the flesh of an organ, a man should carefully monitor personal hygiene: the corolla and frenum are not protected by the skin, therefore they will require better washing. However, the positive aspects of the operation are much greater, in particular: a return to normal life in the presence of phimosis, paraphimosis and other pathologies.

Surgical methods

Circumcision refers to plastic surgery. Modern surgery offers several options for intervention, the choice depends on the joint decision of the patient and the doctor.

The following options for circumcision are possible:

  1. Partial Often used for phimosis and paraphimosis. Only part of the foreskin is removed, allowing the head to be exposed. At rest, it is half hidden by a skin fold.
  2. Free. Fully opens the head of the penis. A groove forms in the coronal area of ​​the genitals.
  3. The minimum. This circumcision process is used for cicatricial phimosis or excessive growth of the foreskin. Only excess drooping skin is removed; at rest, the head is completely closed.
  4. Tight. All foreskin is cut off, the head is fully open. This circumcision procedure is carried out only after detailed consultation with a urologist, contraindications are possible.
  5. High. It is used for significant overgrowth of the foreskin. The circular postoperative suture may be at different heights.
  6. Low An incision to remove the skin fold is made in the coronal groove, it also hides the postoperative suture.

The circumcision operation is irreversible, therefore, before its beginning, it is necessary to weigh all the advantages and disadvantages. Complications are rare, in some cases an allergy to medications or scar formation is possible.

Preparation for the procedure

An adult circumcision is performed on an outpatient basis or in a hospital.

  1. For adolescents, general anesthesia is used, adult men are more often given local anesthesia. Without anesthesia, circumcision is impossible.
  2. Before the procedure, you must pass a blood test, confirming the absence of infections and inflammations.
  3. If there are sexually transmitted diseases, it is necessary to completely cure them and only then think about circumcision.

Before surgery, the penis is disinfected with special preparations and clamped with a tourniquet at the base. Anesthetics (lidocaine, ultracaine, ubitezin) are injected into the penis with a thin needle.

How does the circumcision operation go?

So, how does male circumcision occur? The operation of circumcision will be as follows:

  1. After anesthesia, the foreskin is pulled back by clamps, an incision is made on the skin, after which the foreskin is removed in a circle with a scalpel or surgical scissors. The amount of skin removed depends on the circumcision technique chosen.
  2. Usually the bridle of the head is not affected, but with its defect, simultaneous plastic is possible. A too short bridle is dissected along with a scalpel and then stitched with an extension suture. As a result, the skin becomes less sensitive to tears.
  3. After circumcision, the sutures are applied using self-absorbable sutures. The success of adult circumcision surgery depends entirely on the skill of the doctor. Particular attention is required when completely removing the foreskin, as there is a high risk of damage to the head of the penis. Only a specialist can properly circumcise a member!

How long does circumcision take? The average duration of the procedure is 60 minutes.

The following shows how men are circumcised - a photo of the foreskin:



Postoperative Care: Quick Recovery Secrets

In the first hours after the circumcision and weakening of the anesthesia, the patient may feel pain, which is removed with the help of anesthetics, discomfort completely disappears after 1-2 days.

  1. Postoperative sutures are treated daily. In the first 3 days, the sterile dressing is changed 3 times a day.
  2. Then the procedure can be carried out 1 time per day. The dressing is soaked in hydrogen peroxide or a decoction of pharmacy chamomile, this allows you to remove it without pain and not injure the wound.
  3. Dressings change 10 days, then the seam area remains open. For disinfection, it is treated with hydrogen peroxide or chlorhexidine. The seams do not need to be removed, the threads dissolve on their own.

In some cases, patients observe anemic discharge. Treatment of sutures with Levomekol, a solution of furatsilin or potassium permanganate will help to remove them. Accelerate wound healing will help taking Methyluracil. If bleeding does not stop, urgent consultation of a urologist is necessary.

It is important to monitor the drinking regimen. You can’t drink too much liquid, instead of diuretics such as coffee and black tea, herbal infusions, homemade fruit drinks and clean still water are recommended.

The recovery period lasts about 2 weeks. During this time, the sutures completely heal, swelling subsides, the penis becomes normal. Another 2 weeks is necessary to refrain from sexual intercourse and masturbation.

In the next few months, it is better to use barrier contraceptives (condoms), which reduce the risk of infection or microtrauma. When swelling occurs, baths with table salt are recommended (1 teaspoon per glass of warm water).

Circumcision in adult men is an operation that is performed for medical, hygienic and other indications. There will be no complications, and the recovery period will not be delayed and the patient will quickly return to normal life, subject to the rules of hygiene. Thanks to the article, you learned about circumcision, with the placement of a patient in a hospital or on an outpatient basis, got acquainted with the photo after circumcision surgery. We hope this information was useful to you!

Removing the skin covering the head of the penis in medicine is called circumcision or circumcision. Male circumcision is considered the norm. Such a procedure is mandatory among Jews and is widely practiced among Arabs; it is used by virtually all Muslims.

In the northern representatives of the stronger sex, circumcision is rarely performed. In European countries, 90% of infants do not undergo circumcision, but when they reach a conscious age, men do the procedure for various reasons. One such reason is the treatment of the disease.

Causes and goals of male circumcision

Factors in which circumcision is performed in men:

  1. Traditions and religion - about 1/7 of men in the world perform excision of the foreskin. Many parents are of the opinion that it is necessary to observe the tradition of ancestors.
  2. Aesthetic looks - the skin surface of the head is slippery and moist. As a result of circumcision, it becomes dry and dull. Proponents of circumcision consider the uncircumcised head of the penis to be untidy and dirty.
  3. Compliance with hygiene of the genitals - in men who have not undergone the procedure, smegma begins to be produced, which lubricates the scalp and the mucous membrane of the foreskin. Lubrication is intended to facilitate intercourse. But such a biological environment is favorable for the development of bacteria and viruses. With prolonged sexual abstinence, smegma decomposes and toxic, carcinogenic substances begin to be produced. To constantly maintain the purity of the external genitalia, it is necessary to wash smegma twice a day to avoid infections.If there is no opportunity for regular maintenance of cleanliness, men perform circumcision and exclude the production of lubricant and the introduction of viruses and bacteria.
  4. Prevention of balanoposthitis is a common type of urological disease, characterized by inflammation of the head and inner flesh. It is associated with the accumulation of smegma (secretion of the sebaceous glands) and associated microorganisms. Infection penetrates the genitourinary system and causes urination disorders, cystitis, prostatitis.
  5. Sensation changes during intimate communication - after circumcision, the glans penis is less sensitive, which increases the time of sexual contact and prevents premature ejaculation. These changes are to the liking of many women and are able to solve many sexual problems in a couple, even save the family.

Circumcision medical indications

For a number of reasons, men, regardless of age and religion, decide on surgical intervention:

  • Pathological phimosis - with pathology, the foreskin is attached to the head and is not exposed on its own either during a period of strong excitement or at rest. Depending on the neglect of the state of the disease, problem symptoms arise. The easy stage is caused by the inconvenience of urination, the severe - by the impossibility of the urination process.
  • Paraphimosis is a complication of phimosis in which the head of the penis is pinched by the foreskin and does not close. The result of pinching is a violation of the blood supply to the head of the male organ and the gradual death of tissue.
  • Injuries of the foreskin - after healing at the site of the injury, a scar forms that interferes with sexual intercourse.
  • The problems of premature ejaculation are a decrease in the sensitivity of the head of the male penis.
  • Relapses of the inflammatory process of the head.
  • The risk of developing infections of the genitourinary system - according to doctors, circumcision in children reduces the risk of cystitis and pyelonephritis, in adults - the likelihood of contracting sexually transmitted diseases and sexually transmitted infections (genital warts, genital herpes, syphilis) and HIV infection is reduced.
  • Papilloma virus - excision of the flesh reduces the risk of infection.
  • If circumcision is performed in a man, then his sexual partner reduces the likelihood of developing cervical oncology.
  • Oncology of the male penis.
  • Genital warts (warts) are neoplasms of a benign nature on the surface of the head and tissue of the foreskin. They can be either single or multiple, have both a threadlike structure and lobed. Formations are associated with infection of the body with papilloma viruses. Extensive genital warts require surgery to excise the flesh.

In modern medicine, it is believed that circumcision reduces the likely development of penis oncology in the male population by 50%.

How is circumcision performed?

Circumcision is done in a medical institution in order to avoid unpleasant consequences. The operation is quite painful and can cause pain shock.

Infants and children under two years of age are not given anesthesia, as it is proved that it is harmful to newborns. Moreover, infants are more likely to tolerate such operations, and pain passes faster. Doctors sometimes block the spinal nerve to anesthetize the baby’s penis, but blocking is sometimes not effective. It provides a certain degree of pain during the operation, but does not relieve pain during the treatment and recovery process, lasting two weeks, in which the baby defecates and urinates in an open wound. Surgical circumcision is performed in the newborn period, during which the process of natural separation from the head is interrupted.

When surgery in an adult male, local anesthesia is used, in children under 13 years old - general anesthesia.

In men, after circumcision, problems with the sensitivity of the head may occur, since it was previously hidden by the tissues of the flesh, and after circumcision was exposed. There is a constant erection from friction on linen, lasting from 10 to 15 days. Then the phenomenon disappears and the penis returns to normal.

The circumcision procedure is carried out as follows:

  • The head of the penis and the surrounding area (thighs, lower abdomen and testicles) are cleaned with a disinfectant,
  • The base of the penis is clamped with a special tourniquet,
  • Anesthetic is injected into the tissue with a needle,
  • The foreskin is pulled away and circumcised
  • The skin is removed with scissors or a scalpel,
  • Sutures from catgut are applied to the skin, the threads of which dissolve independently after healing,
  • The penis is wrapped in a sterile medical dressing or bandage.

Sometimes circumcision is performed using clamps - the skin is pulled back, fixed with a special tool that blocks the access of blood, and the tissue gradually begins to die.

Excision can be either complete or partial. If the male organ is free from abnormalities, partial circumcision is used.

Laser cutting method

In modern clinics, in addition to surgical intervention, patients are offered laser excision of the foreskin. The method is safe, bloodless and has certain advantages:

  • Lack of bleeding - the thermal capabilities of the laser are prescribed to patients with hematopoiesis,
  • The use of local anesthesia - laser exposure does not cause pain for patients,
  • Minimal complications after surgery
  • The penis heals quickly,
  • High cosmetic effect
  • The operation lasts for twenty minutes.

When choosing a circumcision technique, the patient should consult with the operating surgeon about what the penis will look like after circumcision. During excision, the bridle of the male organ is not affected, since it is penetrated by many blood and lymph vessels, which ensure the functioning of the penis of a man.

Complete healing process

The recovery period depends on the individual characteristics of the patient and the rate of regeneration. Regular suture healing takes two to five weeks. Seams diverge very rarely. For the rehabilitation period, the following care is required:

  • In order not to injure the stitched seam with an adhered bandage, the bandage must be moistened with hydrogen peroxide and only then proceed to remove the seams on the wound,
  • The appeared sucrose is treated with antiseptic drugs (ointments) or washed with a solution of potassium permanganate,
  • In the first two days, dressing is done from three to six times, with improvement once a day. With normal healing of the sutures after ten days, you can stop dressing,
  • For accelerated healing of the patient, methyluracil is prescribed,
  • The swelling that appears is removed with saline: one teaspoon of bath salt per glass of water,
  • Refusal of sexual intercourse for at least two months.

Contraindications to circumcision

Before circumcision, an examination by a urologist is required, passing the necessary tests, excluding factors that are contraindicated to the procedure. Circumcision is not performed if there are the following features:

  1. Common signs of inflammation - with increased body temperature, increased white blood cell count and other signs of inflammatory processes,
  2. Local inflammatory processes,
  3. Discharges from the genital tract - discharge due to infectious and inflammatory processes (sexually transmitted diseases, urethritis),
  4. With poor blood coagulability,
  5. Congenital pathologies of the structure of the male penis, as well as the foreskin - curvature, hidden penis and micropenis,
  6. Neoplasms - tumors, warts, warts, etc.

A bit of history

According to historical evidence, it is likely that the first circumcision was performed in ancient Egypt, in the years 2300-2400 BC.: on the grave in Saqqara, an image of an adult circumcision ceremony was discovered.

Circumcision is believed to be a noble practice for the Egyptians, so much so that the sun god Ra himself was circumcised, closely associated with this people's obsession with hygiene, and probably also attributing the importance of prestige, purity and spiritual development, and for this reason it was carried out on the occasion of public ceremonies.

The ancient Inca, Aztec, and Mayan populations practiced circumcision.

However, it was not until the end of the 19th century that circumcision became a medical act thanks to an orthopedic surgeon named Sayre, who found this practice useful for treating children with motor impairments. Later, after reading his work, many other doctors adopted this technique for the treatment of the most diverse diseases, contributing to the rapid spread of the circumcision procedure (especially in America and England), until the first half of 900.

Prevalence

Circumcision is a common practice in some countries of the world, such as:

  • Africa,
  • Israel,
  • United States,
  • and some regions of Southeast Asia.

About 13 million menpeople living in these geographical areas are circumcised: these are people of Islamic or Jewish faith who were circumcised by children or young people.

Circumcision is also practiced in Russia, perhaps it is as widespread as in the rest of Europe and Asia. This procedure is also indicated in some cases limited to resolving health problems, such as having phimosis or other diseases as established by WHO (World Health Organization).

In addition to medical indications, circumcision remains a widely discussed practice in the Western world and even in some countries such as Finland, it is considered illegal.

Why circumcision is needed (meaning)

Circumcision is primarily of religious significance.

In the Torah Jewish bible, in the first book of Genesis, speaks of circumcision, which Patriarch Abraham practiced over his sons, over himself and over all the people of his house, hence the biblical commandment, according to which all descendants of Abraham are ordered to circumcise their children on the eighth day of life.

"This is My covenant, which you must keep between Me and between you and between your descendants after you in their birth: may the whole male sex be circumcised among you."

Even Jesus, according to the Gospel of Luke, was circumcised.

Therefore, among Jews, circumcision is a “sign of the covenant,” which allows each circumcised man to be a member of the “chosen people” and become pure and worthy to read prayers.

IN Quran no mention of circumcision.

Circumcision for Muslims is a Sunnah, a code of conduct written by the Prophet Muhammad in person, which talks about the circumcision that Muhammad committed against two nephews aged 7 years. Therefore, all Muslims are circumcised as a mandatory act of transition to puberty, and therefore only after they have completed this practice, men reach physical maturity and are ready to marry.

Even among the natives of Australia and Polynesia, circumcision is a ritual of initiation into adulthood. Although at first the significance of this was probably different, that is, the practice was a kind of sacrificial rite or “test of courage”, which was carried out for those who came into contact with these tribes on campaigns.

When to be circumcised?

Jews circumcise children on the eighth day of life, with the exception of premature babies or serious health problems, which may delay the procedure.

This is a religious ceremony held in the synagogue or at home, in the presence of family and friends, and during which the child is given a name.

Circumcision of the penis with a scalpel, depriving it of the foreskin, is the responsibility of a specialist (usually a doctor) named Mohel, and the ceremony is called Brit Mila (which means "circumcision"). This practice is followed by a reading of blessings and prayers, as well as a banquet.

Among Muslims, as a rule, circumcision is practiced no earlier than after 6-7 years of life, when the study of the Qur'an is already completed, and the child takes the responsibility to pray alone daily, as well as to enter into engagement in adulthood.

Also in the Islamic world, circumcision is a religious ceremony held in the family or in front of the whole community.

In Africa (Nigeria, Sudan, Zaire, Uganda, South Africa, ...) circumcision is practiced in newborns.

Among Aboriginal people, circumcision is practiced by young people and is part of a series of numerous initiation rites (including scarification of the skin).

Medical circumcision

Circumcision is an operation that a doctor can perform:

  • andrologist
  • urologist,
  • or plastic surgeon.

Foreseen local anesthesia (or common in children) and daytime inpatient treatment.

Circumcision is a relatively simple procedure in which the foreskin is removed with a laser technique or a scalpel. Any bleeding can be stopped using heat (cauterization), and the edges of the residual skin are sewn together with absorbable sutures.

Indications for use

Circumcision for medical purposes can be performed if:

  • phimosis
  • paraphimosis,
  • premature ejaculation
  • penile sclerosing,
  • incomplete development of the urethra (hypospadias),
  • narrowing of the urethra,
  • chronic penile lymphedema,
  • penile cancer.

In case of premature ejaculation, circumcision is associated with the removal of certain nerve fibers present in the head, which are responsible for the rapid achievement of sexual pleasure.

The benefits of circumcision

It is believed that circumcised men best intimate hygiene and therefore less risk of contracting genital infections.

The infection is protected by the absence of the foreskin, defined as an anatomical pocket, in which small amounts of urine or smegma can stagnate, causing inflammation such as balanitis and / or post.

Indirectly, women with circumcised partners are also more protected from the risks of developing bacterial and fungal vaginal infections during intercourse.

Circumcision also reduces the risk of infection with the human immunodeficiency virus (HIV), the virus, usually located in the foreskin, where there are all favorable conditions for its growth and reproduction. These data are reflected in studies that recorded a decline in AIDS among the African population, where circumcision remains a widespread practice for cultural reasons.

On the other hand, there is no evidence that a circumcised man is better protected from other sexually transmitted diseases, such as gonorrhea, chlamydia or syphilis (for which condoms remain the safest method of prevention).

Regarding the transfer human papillomavirus (papilloma virus) sexually in the scientific world, there is still conflicting evidence about those who are inclined to consider circumcision as a safe method of prevention, and about those who still doubt this procedure.

Finally, according to some authors, circumcision will improve the aesthetics of the genitals and increase the perception of excitement and pleasure during intercourse.

Female circumcision

Female circumcision is called infibulation (from the Latin word fibula, which means "staple") and consists in removing the clitoris, small and large lips of the vagina and suturing the vulva, limited to a small hole to allow the passage of urine and menstrual blood.

The World Health Organization (WHO) believes that infibulation is the mutilation of women, violation of women's rights and privileges, and in 2012 the UN unanimously adopted a law that impedes its practice around the world.

Despite the law, infibulation is still widespread in many regions of sub-Saharan Africa and eastern Africa (Iran, Iraq, Saudi Arabia, etc.).

According to studies conducted by UNICEF, there are about 200 million circumcised women in the world.

The practice is conducted on girls or young women, usually aged 14-15, and is entrusted to women without a medical education (elderly women from villages, spiritual mentors or obstetricians), therefore, complications such as bleeding, acute urinary retention or serious infections can often occur .

These girls are subjected to genital cutting in poor hygienic conditions, without anesthesia and disinfectants, using fairly primitive tools (such as knives, razors, scissors, glass chamfers, etc.). This is a traumatic and very painful practice.

Nevertheless, the same women will impose infiltration on their future daughters: in fact, infibulation is rooted in the culture and traditions of the peoples who practice it, where it is a rite of passage to adulthood, which makes a woman spiritually clean, submissive and obedient to your man.

It is believed that circumcised women have reduced sexual desire caused by painful sexual intercourse, and this will be a guarantee of marital fidelity.

Conclusion

The most easily tolerated procedure is boys 7 years old and adolescents. In men, the recovery period may take longer. Therefore, if circumcision is carried out from religious beliefs, it is better to carry out the procedure at a young age. However, medical indications appear regardless of age or religious beliefs. It is important to approach the issue correctly, especially since modern medicine offers a safe laser method of circumcision.

Execution technique

It is believed that laser circumcision is virtually painless, so you can do without anesthesia. But doctors are of the opinion that after all, children are best given a safe anesthetic (usually Sevoran). As a result, the pain and emotional factors on the part of the small patient are completely excluded, and the doctor, meanwhile, can quickly and efficiently perform the operation.

Adult men prefer local anesthesia (Novocain, Ultracain), after which the penis is fixed and laser cutting is performed. The thermal component allows you to immediately coagulate the vessels in the incision itself, preventing bleeding. Cosmetic sutures are applied to the excised tissue, after which the scar is hardly noticeable.

Disadvantages and possible complications

Full recovery occurs within 2-3 weeks. It is in this period that the most common complications associated with failure to comply with the recommendations of the doctor. The patient must exclude sexual contact, masturbation and the fact of arousal, as well as heavy physical activity and mating (tight underwear, sauna, bath, hot bath).

Otherwise, undesirable consequences are possible. Laser cutting has the following negative aspects:

  • during the rehabilitation period, the person will still experience discomfort, discomfort or soreness,
  • the risk of bleeding and infection remains,
  • the human factor cannot be ruled out (errors on the part of the doctor or medical staff),
  • it is often more difficult for men to reach orgasm.

Among the most rare complications, there is an erectile dysfunction (partial or complete). Therefore, it makes sense to strictly adhere to all medical instructions, and in case of problems - immediately seek help.

The operation can not be carried out in the acute inflammatory process of the genitourinary organs, as well as fever of an infectious origin (viral and bacterial diseases). If there are neoplasms in the area of ​​the head or foreskin, the question is decided exclusively by the doctor, in other cases, the choice is yours.

Techniques for the operation and its consequences

Depending on how much circumcision is necessary for a man, there are such intervention methods:

  1. Minimum excision. With it, a small part of the foreskin is removed. Basically, men decide on a similar procedure if they want to eliminate a cosmetic defect: a scar or scar obtained as a result of an injury.
  2. Partial excision, which is performed for medical reasons. Here the head remains covered, but the opening of the urethra is freed.
  3. Free (thin) circumcision, involving the removal of two-thirds of the foreskin, as a result of which the head is always in the open state. This type of excision is practiced most often, and for any purpose.
  4. Moderate (medium) excision, in which the head of the penis remains constantly naked.
  5. Complete circumcision, which is carried out with phimosis, paraphimosis, bruises, injuries of the foreskin, balanoposthitis. In this operation, the inner layer of the foreskin is shortened, leaving the head exposed.

Cutting with the traditional method using a scalpel requires a long recovery period. In this case, the risk of injury to the genital organ is extremely high. Some patients still have scars and scars, and during the healing process all men are worried about severe pain, swelling and discomfort. Laser cutting completely excludes such consequences.

Where to do and the cost of the operation

Before you decide on laser circumcision need to find outwhere do operation. The clinic in which it will be held should have good reviews from patients, qualified doctors and modern high-quality equipment. There are many such institutions in post-Soviet countries.

If we talk about the cost of the service, then in Russia it is about 20,000 rubles. The price does not depend on how much foreskin needs to be removed. Also, one should not forget about the doctor’s consultation and diagnostic measures, which must be passed before the procedure. All this will additionally cost 1000–2000 rubles.

Reviews of men and doctors

Patients respond favorably to laser cutting. Basically, they note a quick recovery and the absence of problems after it. Already on the second day, pain, discomfort, swelling are reduced, and on 3-4 days the man feels normal.

  1. Circumcision was recommended to me because of phimosis. I learned that it can be done with a radio wave scalpel, and that you practically do not feel pain. I saved up money, passed all the tests. They did not give me general anesthesia, they did local. It still hurt, but bearable. I recovered quickly, and I do not regret anything. Ivan
  2. This operation is not as simple as many people think and write. But if there is a problem, then it is better not to delay it. About an hour lying on the operating table under general anesthesia. Then a week I could not normally go to the toilet. Spikes healed for a long time, which was a little annoying. But then everything returned to normal - and there was no trace of them. The only minus after circumcision is the reduced sensitivity of the head and difficulties with masturbation. Michael.

Experts believe that laser excision of the foreskin is the best solution to the problems of men who need appropriate treatment or want to have surgery for other reasons (religion, culture, aesthetic appearance, hygiene). Of the advantages, they note the absence of injuries, scars and bleeding, a minimal damage zone, quick rehabilitation, and a minimal risk of complications. After the procedure, the penis will look larger, neater and more attractive.

Watch a video about laser cutting of the foreskin in men:

Watch the video: Vasectomy: No Needles, No Scalpels, No Discomfort (February 2020).

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