How to get circumcised? Circumcision surgery details

Normally, the male foreskin protects the male reproductive organs, but if the male foreskin is too long, it will not only affect the sexual life of the couple, but may also cause bacterial infection and inflammation. Therefore, if the male foreskin is too long, surgery can be chosen. So how is circumcision surgery performed?

1: Cleaning and disinfection: Clean the area with soapy water and saline, and disinfect with 1:1000 gentamicin. For patients with phimosis, connect the syringe to the venous incision needle and inject gentamicin into the foreskin sac for disinfection.

2: Separation of adhesions 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.

3: Design the incision 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 on the outer plate of the foreskin 0.5 cm away from the edge of the coronal sulcus to prepare for the circumcision incision. Avoid over-resection.

4: Remove the foreskin. 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 check 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 skin flap along the incision about 0.5cm away from the coronal sulcus, and then cut the left side. The inner and outer plates of the frenulum of the foreskin can be left intact, or some can be retained.

5: Stop bleeding by pulling the penis skin upwards to expose the bleeding point and then stop the bleeding. Pay special attention to ligating the superficial dorsal penile vein in the middle of the dorsal side of the penis.

6: Use fine silk thread to suture the dorsal, ventral, 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.

7: Bandage: Wrap 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.

It protects the penis, but if it is too long it will affect the patient's sexual life. Therefore, patients with prepuce that is too long are generally treated with surgery.