The circumcision process

Nowadays, many men will undergo surgery to remove the foreskin when they find that it is too long. Before and after the operation, you must do a good job of psychological preparation, especially before the operation. The patient must relax. Before the operation, you must be careful not to eat irritating foods. After the operation, some discomfort will occur, which will cause mental disorders.

1. Posture

Flat lying position.

2. Cleaning and disinfection

Wash the area with soapy water and saline, and disinfect with 1:1000 gentil. For those with phimosis, connect the syringe to the vein, cut the needle, and inject gentil into the foreskin sac for disinfection. Use hemostats to clamp the dorsal foreskin, and use a grooved probe to peel off the foreskin adhesions.

3. Separation of adhesion

For patients with narrow foreskin opening and adhesion between foreskin and glans penis, first use hemostats to dilate the foreskin opening, then use two hemostats to clamp the middle part of the dorsal edge (the two clamps are 0.2cm apart). Use a grooved probe to separate the adhesion until the glans penis is completely separated from the foreskin. Then use sterile saline to clean the foreskin sac and glans penis.

4. Design the cutout

Use a hemostatic forceps to clamp the frenulum of the foreskin to lift the foreskin. Use the tip of the knife to make a cut in the outer plate of the foreskin 0.5 cm distal to the edge of the coronal sulcus to prepare for the circumcision incision, and avoid over-cutting.

5. Dorsal incision

Use scissors to cut the inner and outer foreskin along the groove of the probe. The inner foreskin should also be cut to about 0.5cm away from the edge of the coronal sulcus. Cut the foreskin along the groove of the probe (⑷) Circumcision 0.5cm away from the coronal sulcus

6. Circumcision

Align the inner and outer plates of the foreskin, pull outwards and open the hemostats clamped on the back of the foreskin and the frenulum, and then recheck whether the incision of the outer plate of the foreskin is appropriate as the circumcision incision. If appropriate, use curved scissors to cut off the right side skin flap along the incision about 0.5cm away from the coronal sulcus, and then cut the left side. The inner and outer plates at the frenulum of the foreskin can be left intact, or some can be retained.

7. Stop bleeding

Pull the penis skin upwards to reveal the bleeding point and stop the bleeding. Pay special attention to ligating the superficial dorsal penile vein in the middle of the dorsal side of the penis. The foreskin at the frenulum should be retained as much as possible. (6) Ligate the superficial dorsal penile vein to stop bleeding.

8. Sewing

Use fine silk thread to suture one stitch each on the back, abdomen, left and right sides of the circular incision. Do not tie it too tightly to avoid damaging the skin when the tissue is edematous. Do not cut the suture short and save it for fixing the dressing. Then suture 1 to 2 stitches between every two sutures. The suture needle should be passed close to the incision edge.

9. Bandage

Place a strip of Vaseline gauze (with the raw edges folded inside) around the foreskin incision, secure it with long sutures, and then bandage it with several layers of gauze.