Genital warts condylomata can become quite large and unresponsive to topical medications, and if located on the foreskin, may be best treated with circumcision. Penile cancer, if caught early enough, may be treated with circumcision interestingly, penile cancer virtually never occurs in circumcised men. Finally, many men ultimately request circumcision for cosmetic reasons only; they and their partners seem to prefer the appearance of the circumcised penis.
Undergoing a circumcision as an adult can be intimidating, but it is generally safe. The procedure is usually performed under general anesthesia, but it can also be performed under local. Healing can potentially be complicated by nocturnal erections, which put pressure on the incision and can cause bleeding this is usually self-limiting, but can create swelling and bruising. Diabetics have a greater risk of postoperative infection, which is generally a low risk after this surgery.
A circumcision can affect penile sensitivity and sexual stimulation. The most sensitive area of the penile skin is the frenulum, the area just below the head of the penis on its underside. Even with efforts to preserve as much of this skin as possible, some men notice less sexual satisfaction after circumcision. All that having been said, urologists successfully perform many medically necessary -- and cosmetic -- circumcisions in men every year. Because problems are often seen in adults, some urologists are admittedly biased toward neonatal circumcision.
Generally, pediatricians or family physicians perform circumcisions during the newborn period. The most recent statement on circumcision from the American Academy of Pediatrics March asserts: "There are potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision," but adds, "It is legitimate for the parents to take into account cultural, religious, and ethnic traditions, in addition to medical factors, when making this choice.
They will resolve on their own after a few days. Be sure to discuss any concerns with your healthcare provider before the procedure. Make sure your healthcare provider fully explains the procedure, so you are comfortable with it.
If your baby is born prematurely or has other medical concerns, he may not be circumcised until he is ready to leave the hospital. If your baby has a physical abnormality of the penis, he may not be circumcised at all. Often, this foreskin is used in a future surgical procedure. Not everyone uses anesthetic for a circumcision. The American Academy of Pediatrics recommends it.
If you decide to have your baby circumcised, the procedure is usually done in the hospital. These are the typical steps in a circumcision:. Your baby will be taken to a special surgical area and any clothing will be removed for the procedure. The baby will likely be placed in a restraining device. This will keep him from wiggling around or moving during the procedure.
The healthcare provider may give your baby a pacifier dipped in sugar water to soothe him while the procedure is happening. The healthcare provider will usually give your baby 1 of 2 types of local anesthesia. Choices are a topical cream that numbs the penis or an injected anesthetic that works much more quickly. In some cases, the healthcare provider will place a surgical drape over the baby with just the penis exposed. This will help keep the area sterile free of germs during the procedure.
Circumcision doesn't affect fertility, nor is circumcision generally thought to enhance or detract from sexual pleasure for men or their partners. The most common complications associated with circumcision are bleeding and infection. Side effects related to anesthesia are possible as well. Before circumcision, the doctor will explain the risks and benefits of the procedure. Whether you're planning to have your son circumcised or you're pursuing circumcision for yourself, you'll likely need to provide written consent for the procedure.
For newborn circumcision, your son will lie on his back with his arms and legs restrained. After the penis and surrounding area are cleansed, an anesthetic will be injected into the base of the penis or applied to the penis as a cream. A special clamp or plastic ring will be attached to the penis, and the foreskin will be removed. Afterward, the penis will be covered with an ointment, such as a topical antibiotic or petroleum jelly, and wrapped loosely with gauze.
The procedure generally takes about 10 minutes. Circumcision is similar for older boys and adults. However, the procedure might need to be done under general anesthesia, recovery might take longer and the risk of complications might be greater when done later in life.
It usually takes seven to 10 days for the penis to heal. The tip of the penis is likely to be sore at first, and the penis might look red, swollen or bruised. You might notice a small amount of yellow fluid on the tip of the penis as well. If your newborn is fussy as the anesthetic wears off, hold him gently — being careful to avoid putting pressure on the penis. It's OK to wash the penis as it heals. For newborns, change the bandage with each diaper change, and apply a dab of petroleum jelly to the tip of the penis to keep it from sticking to the diaper.
Change your baby's diaper often, and make sure the diaper is loosely fastened. If there's a plastic ring instead of a bandage, it will drop off on its own — usually within about a week.
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