Circumcision: Treatment, Benefits, Recovery | Dr. Tepeler

Circumcision is a religious practice in our country.

Circumcision, which has been done since the past, is now performed in a sterile hospital environment thanks to modern medicine.

Thus, the risks such as the development of complications and faulty circumcision are reduced to almost zero. Today, many families prefer to have their children circumcised in the postnatal hospital. So what is circumcision and how is it done?


What is circumcision?

It is the most common surgical procedure in the world, in which the piece of skin covering the head of the penis (glans) is removed. In addition to being a surgical procedure, it is a condition that attaches importance to religious, cultural and social aspects and is now clearly shown to have many benefits in terms of health.

Therefore, it is widely recommended and practiced not only in Muslim societies, but also in Europe and America.

Circumcision is an operation performed by removing the excess skin covering the head of the penis, that is, surgery. There are many scientific studies on circumcision, and it is known that circumcision has many health benefits.

For this reason, circumcision is an operation that is recommended to be applied in terms of health not only in Muslim societies but also around the world.

. In circumcision, the excess foreskin that covers the urine exit hole is cut and removed. Since this procedure is usually done at a young age, it can become traumatic for children. For this reason, circumcision should be performed by expert hands in a reliable and meticulous manner. Otherwise, various psychological and sexual problems may be observed in the child in advanced ages.

When should circumcision be done?

Although circumcision is a procedure that can be done at any age, it is generally recommended to be done in childhood. According to the studies, it has been shown that the circumcision performed during the phallic period of the child affects the child more negatively. The anesthesia method used can also affect the psychology of the child. For this reason, the ideal age range for circumcision has been determined as 0-2 to 6-7 age groups. In other words, circumcision in the phallic period between the ages of 2-6 is not recommended. In children for whom circumcision is recommended from a medical point of view, age may not be observed. For example, circumcision is recommended for boys with bladder-kidney leakage (vesico-ureteral reflux).

Circumcision under local anesthesia is recommended in many countries in the newborn period when recovery is rapid. Again, circumcision with local anesthesia is recommended within the first month or within 6 months. In my personal experience, circumcision in this period requires more experience. Since the fat tissue in the pubic area at the root of the penis is excessive in the first 6 months in children, circumcision should be performed by carefully taking the foreskin size. Again, in this period, after circumcision, adipose tissue may cover the penis and prepare the ground for adhesions. Families should prevent adhesion formation on the penis by stretching and cleaning the skin.

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What are the Medical Requirements of Circumcision?

Circumcision should be performed without delay if the foreskin completely or almost completely covers the penis of the child and prevents him from urinating, if there is a urinary tract infection, if there is an anomaly in the congenital urinary bladder or kidneys.

At What Age Range Should Circumcision Be Performed?

In fact, if there is a medical necessity for circumcision, it can be done at any age. However, if there is no medical necessity, this surgical procedure should be performed at the most appropriate time and condition for the child. Circumcision under local anesthesia is not recommended for children, especially between the ages of 2-6, as it will negatively affect them psychologically. If it will be done in this age range, general anesthesia should be preferred.The early newborn period, that is, between 1 month and 6 months, is the period when recovery is rapid. Circumcision can be performed under local anesthesia until the age of 2 years. Since the root of the penis is oily in male babies, the penis remains buried in this fatty tissue, and it takes experience to adjust the size of the foreskin and perform the circumcision in these children.

As a result, circumcision can be performed under general anesthesia if possible between the ages of 2-4, and under local or general anesthesia at other ages. Families generally prefer local anesthesia because they are afraid of general anesthesia. For these families, I recommend circumcision to be performed by experienced physicians during periods when the child will not be adversely affected.

Benefits of Circumcision

Circumcision is protective against urinary tract infections and sexually transmitted diseases. Since the virus called HPV is seen less frequently in circumcised men, circumcision protects men from penile cancer caused by HPV, and the spouses of these men from cervical cancer. It has also been shown that HIV infection, ie AIDS, is less common in circumcised men.

Circumcision is a method that has been used since primitive times due to the benefits it provides in terms of health, and in today's modern world, the circumcision procedure performed in hospitals is applied in many countries. The main benefits of circumcision are:

  • It is easier to clean the circumcised penis, thus preventing the development of fungus and infection due to the accumulation of dirt and filth in the penis. In uncircumcised penises, the part under the foreskin should also be cleaned regularly.
  • It has been proven that the rate of urinary tract infection in circumcised children is reduced up to 10 times. Such infections, which develop at an early age in children, may progress and cause kidney problems. Therefore, circumcision may be preferred as a precaution.
  • Uncircumcised people tend to get more infections during sexual intercourse. The incidence of sexual diseases such as HIV and gonorrhea in circumcised men is much lower than in uncircumcised men.
  • Circumcision also prevents various penile problems. There is a possibility of problems such as skin pulling on the uncircumcised penis. In addition, problems such as inflammation of the foreskin may occur. With circumcision, the risk of problem formation is eliminated since this skin is removed.
  • Circumcision is known to reduce the risk of penile cancer. This significantly reduces the risk of cervical cancer in the partner during sexual intercourse.

There are many advantages of circumcision to newborns. These advantages are:

  • It can be applied with local anesthesia.
  • It is easy to care for and the subsequent treatment process.
  • There is no risk of psychological effects.
  • It is effective in preventing urinary tract infections.

How is circumcision done?

Circumcision is the process of cutting and removing the foreskin covering the glans penis. This process can be applied in different ways. However, it is often performed surgically to minimize side effects.

In the surgical method, unlike the classical method, the foreskin is surgically cut and the ends are stitched together. This process takes place with aesthetic and dissolving stitches, so it does not require stitches or dressings afterwards. In the surgical circumcision procedure, the foreskin is removed exactly at the required level, which helps the penis to develop in a healthier and ideal way in the future.

The method called laser or cautery is the process of cutting the circumcision course with an electric tool. However, this operation is extremely risky. Since the risk of bleeding is low, it can be applied by experienced physicians with a tool called a soldering iron, especially in patients with blood disease.

Another method, called the bell method, is a common procedure for newborn babies. In this procedure, the foreskin is compressed between two metal or plastic plates and the outer part is cut off. Bleeding does not occur in this method. This method should be done by experienced specialists.

Healing Process After Circumcision

The recovery period of the penis after circumcision takes about 3 to 7 days. At the end of this period, it is possible to return to daily habits. After most circumcision procedures, no additional conditions such as bandages are required, in some cases, even a small bandage can be used and opened after a day. Medication can be used for pain in the first 2 days after circumcision. It is normal to have a slight swelling at the tip of the penis. This situation is expected to disappear within a maximum of 2 weeks.

In order to avoid complications after circumcision and to ensure rapid recovery, circumcision should be performed by reliable specialists in a meticulous and hygienic hospital environment. Otherwise, circumcision may not be performed correctly and serious damage may occur to the child. Considering the psychological factors, it has been determined that the best circumcision practice is done under the control of a doctor.

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