From: https://www.diseasewiki.com
Illustration of the laser phimosis surgery process
The circumcision surgery is the removal of excessive foreskin, which involves making a straight incision on the back of the male reproductive organ and then cutting around the unnecessary excessive foreskin. For people with phimosis or long foreskin, it is advisable to undergo surgery as soon as possible, preferably around the age of 8 to 10 for children. It should be noted that although the excessive foreskin in adults does not have a significant impact on physical and mental health, and may even be beneficial to sexual life, there may be complications such as paraphimosis or frenulum tears during sexual activity. Therefore, surgical treatment is still recommended, and it is of course possible to choose to have it done before marriage. At present, the most common method of circumcision surgery is still the traditional foreskin ring excision surgery, and the surgical process is as follows:
1, Position: Lying flat.
2, Washing and Disinfection: Wash the area with soap and salt water, disinfect with a 1:1000 novocidine solution; for those with phimosis, inject the novocidine solution into the outer surface of the foreskin with a syringe through a venipuncture needle for disinfection. ⑴ Clamp the intercostal foreskin with a hemostat ⑵ Detach the foreskin adhesions with a grooved probe.
3, Fire Evacuation of Adhesions: For those with tight foreskin or adhesions between the foreskin and the glans penis, first expand the foreskin opening with a hemostat, then use two hemostats to clamp the middle of the interosseous margin (two clamps are 0.2cm apart). Use a grooved probe for fire evacuation of adhesions until the glans penis and foreskin are completely separated. Then, clean the outer surface and glans penis with antiseptic and bactericidal saline.
4, Operation Secret Code: Clamp the prepuce frenulum with a hemostat to pull up the foreskin. Make an incision 0.5cm from the corona groove on the outer side of the foreskin with a sharp knife to prepare for the incision scar, be careful not to remove too much.
5, Intercostal Incision: Cut the foreskin inner and outer sides along the probe groove with scissors, and the inner plate of the foreskin should also be cut to about 0.5cm from the corona groove. ⑶ Cut the foreskin along the probe groove ⑷ Circumcision about 0.5cm from the corona groove
6, Circumcision: Align the inner and outer ends of the foreskin with phimosis, open the hemostat at the foreskin bone and the prepuce frenulum, and then re-examine the incision scar on the outer side of the foreskin to see if it is appropriate. If appropriate, cut the right skin flap along the scar about 0.5cm from the corona groove with a curved scissor, and then cut the left side. The inner and outer plates at the prepuce frenulum can be left uncut, preserving more of it.
7, Promoting Blood Circulation: Pull the skin of the male reproductive organ upwards to reveal blood spots and promote blood circulation, and it should be very careful to ligate the superficial dorsal venous plexus of the male reproductive organ in the middle of the interosseous space. The foreskin with phimosis should be preserved more at the prepuce frenulum. ⑸ Preserve the superficial dorsal venous plexus of the male reproductive organ for blood circulation ⑹ Ligating the superficial dorsal venous plexus of the male reproductive organ for blood circulation
8, Surgical Suturing: First, suture one needle at the back, abdomen, left, and right of the annular phimosis with a fine thread, the suture should not be too tight to prevent skin damage when the structure swells. Do not cut the suture thread, leave it as a sturdy medical dressing. Then, suture 1 to 2 more needles between every two suture threads, the suture should be close to the incision edge when it comes out. ⑺ Suture the inner and outer plates of the phimosis ⑻ Use suture thread to secure the Vaseline gauze.
9, Binding: Wrap a gauze strip of Vaseline (with bristles inward) tightly around the area of the foreskin with phimosis, secure with a suture thread left over, and then bind with multiple layers of gauze.