Circumcisions

Circumcisions

Removal of the foreskin of the penis is done for both religious and medical reasons. Male circumcision is the removal of the foreskin from the human penis Medical evidence supports the fact that male circumcision reduces the risk of HIV infection among heterosexual men . Circumcision in general is associated with reduced rates of cancer causing forms of HPV viruses and also reduces the risk of both Urinary Tract Infections and cancer of the penis. Circumcision does not appear to have a negative impact on sexual function .

INDICATIONS FOR CIRCUMCISION :-:

• Tight foreskin (Phimosis) – when the foreskin is too tight to be pulled back over the head of the penis (glans); this can sometimes cause pain when the penis is erect and, in rare cases,even passing urine may be difficult
• Recurrent Balanoposthitis :- – where the foreskin and head of the penis become inflamed and infected
• Paraphimosis – where the foreskin cannot be returned to its original position after being pulled back, causing the head of the penis to become swollen and painful, in which case immediate treatment is needed to avoid serious complications, such as restricted blood flow to the penis
• Balanitis xerotica obliterans – a medical condition that causes phimosis and, in some cases, also affects the head of the penis, which can become scarred and inflamed
• Cancer of the prepuce – a very rare type of cancer that can occur in adult men, where a red patch, wart-like growth, or ulcer appears on the end of penis or under the foreskin

THE PROCEDURE
This can be done in both adults as well as in children. In most cases it will require only a local anaesthesia for adults, Children may sometime need General Anaesthesia . Circumcision is a relatively simple procedure. The foreskin is removed, just behind the head of the penis using a scalpel or surgical scissors. Any bleeding can be cauterised and the remaining edges of skin will be sutured together using dissolvable stitches. Patients can go back home the same day.

RECOVERY
When you’re discharged from hospital, you’ll be given advice about your activitiesand recovery time, including when you can drive, return to work and have sex.

It will take at least 10 days for the penis to heal after circumcision. You are advised to take at least one week off work to recover. You should avoid having sex for at least four weeks after circumcision.

For about three to four days after your operation, you are likely to experience some discomfort and swelling around the head of the penis.You will be given a course of Antibiotics and pain killers after the procedure.

Applying antiseptic ointment around the tip of your penis will stop it sticking to your underwear. Wearing light, loose-fitting clothes for a few days after your operation will also help to avoid irritation to your penis while it heals.

You should not feel any pain or discomfort while passing urine.