Post Date April, 15 2023
Male foreskin protects the penis under normal conditions, but if it is too long, it will affect the patient's sexual life. Therefore, patients with long foreskin generally need to be treated by surgery. Next, we will introduce the process of male circumcision for you to understand the process of circumcision.
1 Cleaning and disinfection
Wash the part with soapy water and salt water, and disinfect with 1 ∶ 1000 bromogeramine solution; The phimosis patient injected bromogeramide solution into the prepuce sac for disinfection with a syringe and a venous incision needle.
2 Separation adhesion
For those with narrow prepuce mouth and adhesion between prepuce and penis head, first use hemostatic forceps to expand the prepuce mouth, and then use two hemostatic forceps to clamp up the middle part of the dorsal edge (the distance between the two forceps is 0.2cm). Use the slotted probe to separate the adhesion until the penis head is completely separated from the foreskin. Then clean the foreskin sac and penis with sterile saline.
3 Design cut
Use a pair of hemostatic forceps to clamp the laceration of the foreskin to lift the foreskin. Use the tip of the knife to make all marks at the place 0.5 cm away from the distal edge of the coronary groove on the outer plate of the prepuce, and prepare it as a circumcision incision to prevent excessive excision.
4 Dorsal incision
Cut the inner and outer prepuce plates along the probe slot with scissors, and the inner prepuce plate should also be cut to about 0.5cm from the edge of the coronary groove.
5 Excision of prepuce
Align the inner and outer plates of the prepuce, pull out the hemostatic forceps clamped at the back of the prepuce and at the laceration, and recheck whether the cut marks of the outer plate of the prepuce are appropriate as the circumcision cut. If appropriate, cut the right skin flap along the incision about 0.5cm from the coronary groove with a curved shear, and then cut the left side. The inner and outer plates of the prepuce laceration can be left uncut or more reserved.
6 Hemostasis
Shrink the skin of the penis upward and stop bleeding after exposing the bleeding point. Pay special attention to ligating the superficial dorsal vein of the penis in the middle of the dorsal side of the penis.
7 Suture
Use fine thread to sew a needle at the back, abdomen, left and right of the circular incision, and the ligation should not be too tight to prevent the skin from being damaged when tissue edema occurs. The suture shall not be cut short, and shall be reserved for fixed dressing. Then stitch 1~2 stitches between every two stitches, and the stitches should go out close to the cutting edge.
8 Binding
Wrap a piece of Vaseline gauze (the raw edge is folded inside) around the incision of the foreskin, fix it with a long suture, and then wrap it with several layers of gauze.
Friendly tips: Too long foreskin not only hinders the normal development of the penis, but also affects the harmony of sexual life. Too long foreskin is a hotbed of bacteria, and is more likely to cause urogenital infection, and even cause infertility in severe cases. Experts suggest that if the foreskin is too long, we should go to a professional male hospital for minimally invasive surgery as soon as possible.
