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Male circumcision

What is the Male circumcision?

Male circumcision is the surgical removal of some or the entire foreskin (prepuce) from the penis.

Circumcision is used therapeutically, as one of the treatment options for a number of penile conditions; in addition, non-therapeutic circumcisions are commonly performed for social, cultural, religious, or prophylactic reasons.

What is the procedure?

If anesthesia is to be used, there are several options: local anesthetic cream can be applied to the end of the penis 60–90 minutes prior to the procedure; local anesthetic can be injected at the base of the penis to block the dorsal penile nerve; local anesthetic can be injected in a ring around the middle of the penis It is also possible to use general anesthetics in the case of adult surgery, though it is not a common practice.

The circumcision procedure is relatively simple. The foreskin is removed with a scalpel, scissors or a surgical clamp. Any bleeding is cauterized (closed using heat), and the remaining edges of skin are stitched together using dissolvable stitches.

What kind of result can you expect?

Circumcision reduces the risk of developing urinary tract infection (such as a bladder infection), the risk of getting some types of sexually transmitted infections (such as HIV) and the risk of developing cancer of the penis.

Recovery period and recommendations

After circumcision, there may be some pain and swelling, and the penis will be easily irritated until it heals. As circumcision is a painful procedure, painkillers will need to be taken for at least the first three days after the operation.

After a child has been circumcised, make sure that he does not ride a bike or use other sit-on toys until the swelling has completely gone down.

The tip of the penis should not get wet for 48 hours after a circumcision, after which it is important to keep it clean with showers or baths once or twice a day. Do not use scented products and leave the penis to dry naturally.

For adults, the surgeon will give advice about sexual activity. Usually, sex should be avoided until the wound has healed, to avoid it reopening.

Possible side effects and complications

Complications are rare when circumcision is performed for medical reasons, but there are some risks which should be considered.

Bleeding and infection are the most common problems associated with circumcision. Other complications can include: a decrease in sensation in the penis, particularly during sex; damage to the tube that carries urine inside the penis (urethra), causing it to narrow and making it hard to pass urine; accidental amputation of the head of the penis, which is very rare; a blood infection or blood poisoning (septicemia).

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