Circular preputiotomy (Circumcision)

Circumcision, or the surgical removal of the foreskin, is a fairly common procedure for both newborns and adults. It is important to understand when it is necessary to seek medical assistance. At Dobrobut Medical Center, experienced doctors utilize modern equipment and intervention techniques.

When to Consult a Doctor

Symptoms indicating that circumcision may be needed include:

Frequent urinary tract infections or inflammation under the foreskin.
Phimosis — a condition where the foreskin cannot be easily retracted over the glans of the penis, leading to discomfort, pain during urination, or issues with hygiene.
Paraphimosis — a condition that may require urgent intervention. Retracted foreskin does not return to its original position, causing swelling and pain.
Pain and discomfort during urination or sexual activity, significantly affecting quality of life.

In all of these cases, it is essential to consult a specialist to determine the cause of the condition and to find the optimal treatment method.

Indications and Contraindications for Circumcision

Indications for Circumcision in Men:

Circumcision may be recommended in various situations:

Medical necessity: presence of phimosis, paraphimosis, recurrent infections, or balanitis (inflammation of the glans).
Hygiene requirements: the procedure helps maintain hygiene, particularly for men who find it difficult to keep the penis clean due to a tight or non-retractable foreskin.
Cultural or religious customs: many cultures and religions include circumcision in their traditions, making this procedure common.

Contraindications:

Circumcision is not performed if the patient has bleeding disorders, severe skin diseases affecting the genital area, or acute infections.

Preparation for the Procedure

Before circumcision, an initial consultation and necessary diagnostic evaluations are conducted to identify any potential contraindications.

How the Procedure is Performed

Circumcision is usually performed on an outpatient basis and includes the following steps:

Local or general anesthesia.
Surgical removal: The surgeon carefully removes the foreskin using sterile instruments. Various techniques may be applied depending on the situation.
The incision site is closed with absorbable sutures.

Recovery After Circumcision

For successful recovery, proper postoperative care and adherence to the surgeon's recommendations are important, including taking prescribed medications, monitoring the wound, and being alert for signs of possible infectious complications. Most complications can be avoided or easily managed with timely medical attention.

Prevention

To help prevent conditions that may lead to the need for circumcision, the following measures are recommended:

Adhering to hygiene practices: Regular washing of the genital area is important to prevent inflammatory processes and infections.
Using condoms to protect against sexually transmitted infections (STIs) that could cause complications.
Seeking medical attention promptly if any symptoms of illness arise.
Undergoing regular medical check-ups.

Circumcision of the foreskin is a fairly common procedure. Timely consultation with a doctor can help avoid complications and ensure the procedure is performed as effectively as possible.