Introduction to circumcision surgery

Foreskin hyperplasia can be treated by circumcision, foreskin ligation and other methods. Excessive foreskin may be related to genetics, local inflammatory stimulation and other factors, and usually manifests as symptoms such as inability to evert the foreskin and repeated infections.

1. Circumcision

Circumcision is a traditional surgical method to remove excess foreskin and is suitable for patients with stenosis of the foreskin orifice or recurrent balanitis. Local anesthesia is used during the operation. The wound needs to be kept dry and clean after the operation, and iodophor disinfectant is used to prevent infection. Mild pain and edema may occur after surgery, and recovery usually takes 1-2 weeks. This surgery can effectively solve the hygiene problems and sexual dysfunction caused by foreskin.

2. Foreskin ligation

Foreskin ligation is a method of ligating the foreskin with a special instrument so that it can fall off naturally, with less trauma and less bleeding. It is suitable for adult patients with simple foreskin. Postoperative care is simple but the removal process takes 7-10 days. It should be noted that the ligation ring may cause discomfort, and strenuous exercise should be avoided during the removal period. This method is not suitable for patients with severe foreskin thickening or acute infection.

3. Laser circumcision surgery

Laser circumcision uses laser to precisely cut the foreskin and stop bleeding, which has the advantages of less bleeding and faster healing. It is suitable for patients who have high aesthetic requirements. Post-operative scars are less obvious than traditional surgeries. However, the equipment requirements are high and the cost is relatively high. Erythromycin ointment needs to be used after surgery to prevent infection. The recovery period of laser surgery is about 5-7 days, during which time you need to avoid penile erection.

4. Conservative treatment

For those with mild foreskin without complications, it can be improved through daily cleaning and care. Clean smegma every day, rinse with mild saline, and keep the area dry. If redness, swelling and itching occur, topical mupirocin ointment can be used to control the infection. Conservative treatment requires long-term persistence and cannot solve structural problems such as foreskin stenosis.

5. Postoperative care

After surgery, you need to wear loose underwear to reduce friction and avoid showering for 48 hours. Take cefaclor dispersible tablets orally as directed by your doctor to prevent infection. If the pain is severe, you can take ibuprofen sustained-release capsules. No sexual intercourse is allowed for 1 month after surgery, and regular check-ups are required to observe the healing status. Eat a light diet and consume more vegetables and fruits rich in vitamin C to promote wound repair.

Patients with prepuce should avoid spicy and irritating foods after surgery and keep the perineum clean and dry. Choose pure cotton breathable underwear to avoid wound dehiscence caused by strenuous exercise. Use iodophor to disinfect the wound every day for 2 weeks after the operation. If you find abnormal exudation or fever, you need to seek medical attention promptly. During the recovery period, you can engage in light activities such as walking, but swimming, cycling and other sports that may rub the wound are prohibited. Regular follow-up visits can help evaluate the effectiveness of surgery and recovery.