Fever after circumcision in a child and other complications in children
Cicatricial phimosis in boys often causes parental anxiety. However, this developmental anomaly in most cases itself goes away by seven years.
Otherwise, in order to avoid unpleasant consequences, it is best to circumcise the boy. It differs from the usual one in that with it the foreskin becomes denser.
The ring is becoming narrower, and is the reason that the head does not open.
In many cases, it turns out that phimosis is not a disease, but an abnormality in the intrauterine growth of the male genital organs. This pathology, if present, can be diagnosed immediately after the birth of a newborn baby boy. The boy does not feel any pain.
In this case, cicatricial phimosis usually heals itself as the boy grows. In adolescence, most of those with this anomaly enter with a healthy penis. But if a boy becomes a young man, and cicatricial phimosis is not cured, specific therapy is necessary. As in cases when symptoms develop against the background of inflammatory processes.
Cicatricial phimosis develops in two ways: as a variant of the physiological norm, and as a pathological deviation. Physiological phimosis is manifested by the fact that the head does not open in the boy after birth.
After looking at the photo on this topic, you can see that there are two forms of its development:
- Hypertrophy of the foreskin. The skin completely covers the head. It is this species that is commonly found in boys,
- Atrophy of the head. The skin is pressed into the head and does not allow it to open. This impairs the circulation of the head, and may cause health problems in the future. In boys under seven years of age is rare, but in this case it is especially recommended to visit a doctor.
Cicatricial phimosis develops in several stages:
- There is no pain. When you try to open the head, you feel weak, but uncomfortable sensations. Over time, they intensify, and it’s harder to move the foreskin,
- Trying to open the head causes severe pain. However, this is still possible to do,
- The foreskin completely adheres to the mucous membrane. Pain can occur even without trying to open the penis - at the time of urination.
Medical experts still do not have a consensus on why boys develop cicatricial phimosis from birth. Usually they talk only about the factor of heredity.
Opinions are also expressed that a congenital anomaly may be associated with the individual characteristics of the body. So, this includes the growth of bones and muscles, blood vessels.
Often among the reasons are called insufficiently elastic skin of the fetus.
But the disease can occur in a boy and after birth against the background of:
- Traumatic damage to the penis,
- Inflammation (balanoposthitis),
- Not enough elastic connective tissue. This can happen against the background of the boy’s active growth,
- Violations of the secretion of the sebaceous glands,
- Failure to comply with hygiene recommendations, dirt accumulation.
Cicatricial phimosis may exhibit the following concomitant symptoms:
- Pus discharge
- Swelling of the lymph nodes,
- Difficulty in normal urination, weakness of the stream,
- Swelling, redness of the foreskin,
- Allocations and white clusters of smegma from under the clamped head.
Perhaps all the symptoms will disappear with age, and the boy’s head will reveal itself. However, parents should still be aware of the symptoms and not forget about the problem.
After all, if a boy enters the age of a teenager with phimosis, he will not always tell his parents about his complications. And then the disease can have unpleasant consequences for the rest of your life.
From the photo on the topic of consequences, you can understand that treatment is better to start earlier.
If phimosis cannot be cured in childhood, the following health problems will be observed in an adult male:
- Premature ejaculation
- Difficult erection
- Penis injury
- Higher risk of infectious diseases.
Historically, cicatricial phimosis was treated only by circumcision (another name for the operation is circumcision). Including circumcision was used as a preventive measure against this disease in children in eastern countries. Subsequently, circumcision even became a certain fashion in Europe and America, it was widely promoted by doctors.
If your child is a boy and he suffers from phimosis, do not be afraid to send him for circumcision. In modern conditions, the operation is performed under anesthesia, and the rehabilitation period is quite short.
The intervention is so simple in its essence that the surgeon’s mistakes are almost impossible. The risk of complications is minimal, phimosis in the future is completely excluded. In addition, when the boy becomes a man, he will significantly reduce the risk of STDs and other problems in the intimate sphere.
The following cropping methods are used:
- Classical circumcision. A hollow tube is inserted between the skin of the penis and the head. The head is clamped with a flagellum so that the boy loses less blood. Then the foreskin is cut off along the tube line. That is, it is not possible that surgical instruments will damage the mucous membrane of the penis. From the photo on the theme of classical circumcision, it’s easy to understand
- Incomplete circumcision. Only the front of the foreskin is cut off. Suitable as a temporary measure if the boy has difficulty urinating due to a skin barrier. Also required as a primary operation, if there is no possibility to pull back the foreskin,
- Laser cutting This opportunity is provided in modern clinics. The least traumatic, but the most expensive option. Blood loss is minimal.
In accordance with the standards, the procedure is carried out with local painkillers. As a rule, there are enough of them so that during the operation the boy does not feel any discomfort. In some cases, parents insist on general anesthesia, as they fear for the boy’s health. But it’s better not to do this, because drugs for general anesthesia may have negative consequences in the future.
Elevated temperature after circumcision in a child
A slight increase in body temperature after circumcision is normal. So the baby’s body responds to surgery.
Typically, the temperature returns to normal within a few days. Attempts to bring down the temperature will not benefit the boy’s health.
If the temperature exceeds 37.5 ° C lasts more than three consecutive days, you should consult a doctor. Another warning sign is temperatures above 38 ° C.
It is usually accompanied by symptoms such as pallor of the skin, drowsiness, or anxiety. Lowering body temperature is another symptom of a complication.
The first two to three days after circumcision, the baby needs to put a thermometer at least twice a day. Boys under three months of age require special attention.
If the body temperature does not rise above 37.5 ° C, and there is no other reason for concern, the child's recovery after surgery is normal.
Circumcision very rarely has any negative consequences. However, after it requires some care for the penis.
The rehabilitation period usually lasts from 2 weeks to 2 months. After this, the penis will completely heal, and will be protected from cicatricial phimosis forever.
It is preferable to perform circumcision in childhood precisely because young tissues heal faster.
During the first week after the intervention, carefully monitor the condition of the boy. If healing does not occur, the head becomes red and swollen, the general temperature has risen - call an ambulance. It is not worth worrying even in this case. The cause of inflammation is not enough good care, and antibiotics quickly stop the infection process.
Observe the following recommendations so that the postoperative period passes without any problems:
- In case of dryness and slight irritation on the head, use the external agent Levomekol,
- It’s better not to do the dressings yourself - because the skin of the penis is very delicate. It is better to spend time every time to get to the clinic. Then the child receives professional nursing care,
- If the doctor gave permission to parents to do the dressing, monitor the sterility of bandages and cotton wool. Carefully follow all medical recommendations for the dressing technique. The dressing should not press, otherwise blood circulation will deteriorate, which can lead to complications. Watch photos and videos about dressing to make it more correct,
- The first few days the boy will need painkillers. In order not to harm the child, give only the dose that is allowed by the instructions and the attending physician,
- Salt a little water when you bathe the boy. Salt is a good antiseptic, which also helps to heal the area of surgery faster,
- With the permission of a doctor, it is advisable to use Furacilin solution for disinfection. Use 2 tablets in half a glass of hot water. Then cool the solution to a slightly warm temperature, and treat the penis,
- Modern seams usually resolve themselves. If, in your case, stitches requiring removal are used, do not do it yourself. A healthcare professional will make this much easier, with less soreness and no risk of damaging the skin.
Treatment without surgery
The traditional treatment of phimosis, including scarring, is, of course, circumcision. However, if you do not want to expose your boy to him, you can try to cure phimosis conservatively.
An important point - conservative treatment is unacceptable if there are complications and other negative symptoms, except for a hidden head. In addition, you will have to subject the boy to circumcision if conservative therapy for a long time does not bring a tangible effect.
The doctor using special tools is trying to pull the foreskin. Pre-accumulated on the head discharge is partially dissolved by external medical means. Sometimes even one such procedure is enough to save the boy from phimosis.
However, treatment without surgery is more painful than circumcision, which takes place under anesthesia. And it does not become a preventive measure against cicatricial phimosis, other genital health problems.
Swelling of the foreskin in a child after circumcision
Hello, my son is 5 years old. 04/17/2015 after lunch they circumcised the foreskin. Today is the 3rd day, the edema does not subside and redness has appeared, with touching it is very painful. In the morning and in the evening I made baths from a weak solution of potassium permanganate, and then streptocide was sprinkled on the seams.
She informed the doctor who carried out the operation by telephone about this, he recommended rinsing with saline and lubricating with Levomekol ointment - she did so, but I am very worried anyway. Sometimes the temperature rises 37.1-37.4, but rarely. Is this a normal condition in a child after circumcision? Below I enclose a photo.
Thank you very much in advance.
After surgery, the baby's penis usually looks intimidating. In the area of the head, pronounced swelling is visible, a yellowish liquid is released from the wound.
Gradually, blood circulation in the penis is restored and the swelling disappears.
The unusual color of the head should not be cause for excitement. During the first year of a baby’s life, the shade of the head can change: it becomes either bluish or burgundy. Gradually, the skin acquires a natural color.
After circumcision, urination may be temporarily impaired in the baby. Urine does not flow out, but a fountain - it is sprayed in different directions.
This is due to edema of the external opening of the urethra. When he is completely gone, urination will resume.
If the boy’s penis turns blue, it is most likely a bandage that tightens the swollen organ too tightly. In this case, a bath with miramistin or chlorhexidine will help. A tight dressing needs to be soaked and removed.
Within 3-5 days after circumcision, puffiness and redness around the glans penis should decrease. If swelling and redness become stronger - this is a sign of an inflammatory process.
Persistent swelling suggests that the penis head has been infringed. The boy needs to be shown to the doctor.
Minor edema after circumcision in children can last for a month. The penis will slowly return to its normal state.
To speed up this process, you need to often keep the wound in the open air, use antiseptic and healing agents.
Attention! If severe edema after circumcision in children does not go away for more than five days, a course of antibiotic therapy may be required.
Hygienic care after the procedure
After she has slept, treat the skin around the wound with Levomekol ointment. This must be done at least four times a day..
Sometimes the bandage sticks to the genitals and does not fall off on its own. On the fourth day after the procedure, it should be removed by first wetting with boiled water or an antiseptic liquid.
During the healing period of the wound, you need to pay maximum attention to the hygiene of the baby. Change diapers and diapers as they become dirty, avoiding prolonged contact of the penis head with a dirty cloth.
It is impossible to bathe the baby in the first days after the operation. Running chlorinated water and bath products should not come into contact with the wound.
Doctors usually recommend potassium permanganate baths after circumcision.. After the bath, you need to sprinkle the area of the wound with streptocide.
When you see light discharge at the circumcision, do not be alarmed. This fibrin is a substance that promotes wound healing. It does not need to be washed off. Fibrin will disappear within two to four weeks.
Slight bleeding is also no reason to panic. If you notice spotting on your baby’s penis, take a clean napkin and lightly press on the site of bleeding. If you can’t stop the blood, you should show the child to the doctor.
Important! During the first week, you may notice traces of blood on the diaper. If blood stains do not exceed 2-3 cm in diameter, everything is in order with the baby.
In which cases, you should immediately consult a doctor:
- heavy bleeding
- the child’s lack of urination for 6 hours or more,
- yellow discharge around the head of the penis a week after surgery,
- Plastibell (plastic ring) does not go away for 10 or more days.
Another important point is the baby’s underwear and clothing. It is unacceptable to swaddle a baby who has recently been circumcised. The tissue should not adhere to the penis. If sticking does occur, do not tear off the fabric, but soak it with warm boiled water. During the healing period, dress your child in loose cotton clothing.
Other complications after circumcision in children
The following symptoms indicate it.:
- temperature above 37.5,
- severe swelling and redness of the penis,
- red stripes on the penis,
- copious yellowish discharge.
Sometimes after circumcision, the baby begins to bleed heavily. In this case, the surgeon can help him by laying additional seams on the head area.
After this procedure, life-threatening conditions rarely occur. The worst that can happen to a baby is septic shock.
It occurs when an infection enters the baby’s blood. Blood pressure in this condition can be significantly reduced, organs do not receive the right amount of oxygen.
What ailments in a boy should alert parents:
- temperatures above 38 ° C or below 36 ° C,
- pallor of the skin
- digestive upset
Attention! In a severe case of sepsis, the child may die, therefore it is unacceptable to engage in home treatment. Sepsis is eliminated with antibiotics, heavy drinking and medications that restore blood pressure.
The most common complications after circumcision in a child:
- wound infection
- penile edema,
- hematomas in the wound area,
- allergy to pain medication.
Edema after circumcision in a child, redness, slight bleeding of the baby's genital organ are natural phenomena that indicate that there is an intensive healing process of the wound.
Subject to all hygiene rules, the boy will fully recover after the circumcision procedure for a month. If the child does not feel well or the appearance of his genitals seems unusual to parents, you should immediately show it to your doctor.
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Male circumcision is usually performed for cultural or religious reasons. In this case, the operation is carried out, as a rule, in the first days of the baby's life.
However, in some cases, circumcision is required for medical reasons (for example, phimosis) or for prophylactic purposes. So, it is believed that this will reduce the risk of developing infections of the genitourinary system, HIV, etc.
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At the same time, urologists claim that such a procedure before reaching puberty can lead to serious injuries:
- retraction of the penis
- the appearance of adhesions,
That is why choosing a clinic in which your child will undergo the procedure, if it is really necessary, should be especially careful.
Preparing for circumcision in children
Circumcision is performed only after a thorough examination. The doctor can send blood and urine tests to make sure that the child is healthy, there are no contraindications for the procedure.
In addition, preliminary tests of biological materials allow you to choose the best anesthetic agent, on the components of which the patient will not have undesirable allergic reactions.
Before the circumcision procedure, it is important to ensure that there are no complications in the future.
If circumcision is done to the baby up to two months, anesthesia is not used. Children under the age of twelve are shown a procedure under general anesthesia.
In the evening and the night before the procedure, if the child is given general anesthesia, try not to feed or drink it.
How to circumcise boys
How to circumcise boys is of interest to many parents. Especially if the procedure is performed for medical reasons. As a rule, the operation is done on an outpatient basis. In this case, the patient does not stay in the clinic for a long time.
After anesthesia begins to act, the specialist pushes the foreskin. Clipping occurs at the place where the foreskin of the penis grows to the head. For the operation, a scalpel (including a laser) is used.
In order for the operation to take place with minimal hemorrhage, the doctor does not touch the area of the frenum of the penis, since it is here that many vessels are concentrated.
Sometimes for cutting use special clamps. They are selected in accordance with the circumference of the child's genital organ.Such devices perform, inter alia, a protective function: the head of the penis is thus protected from accidental cuts during the procedure.
The incision site is sutured, using self-absorbable sutures. This avoids additional joint removal procedures. For the period of the rehabilitation period, which can last about two weeks or a month, a bandage is applied to the penis, it is periodically changed.
Another issue that may bother the child’s parents is how long the operation takes. On average, circumcision in boys takes about sixty minutes. If the procedure is carried out by the baby during the first days of life, then it takes about ten minutes.
How to care for a child after surgery?
In the postoperative period, the penis of the child may swell, slightly thicken, expand. Healing should occur on the seventh to tenth day after surgery.
Since the procedure is performed on an outpatient basis, your son will spend the rehabilitation period at home. Therefore, it is important to follow all care recommendations. First of all, ensure that the penis is always clean.
In order for the recovery to take place quickly and without complications, it should be remembered that the member must always be in a bandaged state.
Replace the bandage will be required after hygiene procedures. By the way, it will be possible to wash the child in about two days. When the bandage is removed from the penis, the organ should be washed with warm soapy water.
It is necessary to provide the most comfortable conditions. Choose underwear with a tightening effect. According to the recommendations of a specialist, ointment with an antibiotic or petroleum jelly can be applied to the area of surgical intervention.
This will relieve soreness and swelling, prevent suppuration and the appearance of an infectious and inflammatory process.
After circumcision at home - how to care after surgery
Circumcision is a surgical procedure in which the foreskin on the reproductive organ is removed. Most often, manipulation is carried out due to medical indications or religious customs.
For complete healing of the wound surface after circumcision, special care is required - dressings with antibacterial drugs are done.
The operation itself is quite simple, but the risk of complications is not excluded, therefore, in the postoperative period, it is necessary to carefully monitor the condition of the genitals. Find out how to care after circumcision in boys and men?
Child circumcision, like any surgical procedure, is associated with certain risks. Although complications are rare, parents should learn about them before taking their son to the clinic. Among the possible consequences of the procedure, the following are distinguished:
- infection by infection
- heavy bleeding
- unsatisfactory reaction to anesthetic agent,
- unwanted cosmetic defect (too short or, on the contrary, insufficiently trimmed foreskin),
- the healing process of the foreskin is too long,
- reduction in penis sensitivity (it will matter later when the child grows up and becomes a man),
- injury to the head of the penis.
Factors such as genetic bleeding disorders and the presence of chronic diseases in close relatives of the child increase the risk of complications. In this case, a thorough consultation with a specialist is required before performing surgical procedures.
Is it possible to do circumcision at home?
Many men are interested in how to do circumcision at home, and is it possible to carry out such a procedure on their own? Consider this issue from a theoretical and practical point of view.
If in theory, then the manipulation does not present any difficulties, so it is quite possible to carry out circumcision at home.The operation is not intracavitary, therefore, opening the cavity is not required.
Performing the procedure yourself is easy.
This information is confirmed by numerous reviews on thematic sites on the Internet. But whether you need to do this yourself, the question is different. If you think about it, there is a certain risk of complications after the procedure, which was carried out by the doctor. Therefore, to say that a man, not having a medical education, will do everything right, at least, is pointless.
From a practical point of view, circumcision at home can be done, but the procedure is quite complicated and time-consuming.
She will not consider cases when the manipulation at home is carried out by a highly qualified surgeon, despite the fact that technically it is also the removal of the foreskin of the house.
Consider the picture when a man himself or with the help of a supporter who is not a doctor does circumcision.
To do circumcision at home, the following conditions must be met:
- Sterility. Any medical procedure involves a violation of the integrity of the skin, and pathogenic microorganisms, viruses and infections easily penetrate the wound surface.
- Expendable materials. For manipulation you will need disposable gloves, bandages, cotton wool, antiseptic drugs.
- Instruments for surgical intervention. During the operation, special clamps, scissors, threads and needles for seams are used.
Of course, another condition is the courage of a man. Nowhere without her. Anesthesia is also required. If the procedure is performed without pain relief, the likelihood of pain shock and poor outcome increases significantly.
Circumcision at home is carried out by the following method:
- You should boil the entire medical instrument, put on latex gloves, and treat the work surface with an antiseptic. The reproductive organ is also treated, anesthesia is performed. It can be an injection with lidocaine or ultracaine,
- Then the cut line is conditionally marked. In this case, the foreskin must be pulled so that the line is located behind the head of the reproductive organ,
- Trim the foreskin, after pouring the entire surface with hydrogen peroxide, apply a tight bandage,
- If something went wrong during home circumcision, you don’t need to pull it, you need to immediately call a team of medical specialists.
It is impossible to guarantee a favorable outcome of home manipulation. Something can always go wrong, as a result of which problems will have to be treated for a long period of time. In order to avoid harmful consequences, it is recommended to seek medical advice.
Circumcision in children is associated with various risks and complications. In this regard, the control of a specialist after the procedure is mandatory.
If you follow all the recommendations of a doctor, a member of the child heals normally, you do not need to contact a specialist. However, the following symptoms are alarming signals indicating that immediate consultation is required:
- the penis or specifically the place where the manipulation was performed, turned red and swollen,
- the temperature of the organ increased (when probing it is hot),
- suppuration appeared, from the opening of the urethra went yellow discharge,
- fever in a child,
- pain continues even after taking painkillers,
- the head of the penis has turned black or blue.
- Given all the information about the features of circumcision in boys, parents must weigh the pros and cons before making a decision.
- Even if you are going to do the procedure, for example, for religious reasons, first clarify that your baby has no contraindications, the risk of complications is reduced to zero.
Edema After circumcision in a child:. surgery issues and treatment tips
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I have now received the results of a second trimester screening of hCG inflated. Girls who had this?
Hello girls! Congratulations to all on such a wonderful period! I got the results of the first trimester screening, and to the doctor for an appointment already on 19.03. I want to make sure that everything is in order.
But I read that MoM should be from 0.6 to 2, and for me on hCG - 3.45. But the schedule seems to be fine. In general, completely confused.
Save, pliz, from unnecessary nerves, and tell me, is it worth it to worry? Thank you in advance!
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Girls! I appeal to everyone who sheds tears about the poor results of screening for 1 trimester! Maybe my story will help you save time and nerves.
The first time I did a screening in the Hemotest for a period of 10 weeks and 1 day (there was a question about hospitalization due to the threat, and in the ZhK - the doctor who does the screening got sick) The result in the Hemotest is the probability of Down syndrome 1:50! Very tall…
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Well, today I received the results of the first trimester screening. As always written there so that I do not understand.
Can someone better understand these medical phrases? In general, according to Down Syndrome it is written: Results of analyzes (or something like that, shorter by blood) - 1/259 Results of age data: 1/10 000 Summary: Research result 1 / 259, which is below the cut-off threshold, ...
Well, today I received the results of the first trimester screening. As always written there so that I do not understand.
Can someone better understand these medical phrases? In general, according to Down Syndrome it is written: Results of analyzes (or something like that, shorter by blood) - 1/259 Results of age data: 1/10 000 Summary: Research result 1 / 259, which is below the cut-off threshold, ...
I received the results of a second trimester screening, to the doctor in the next week (How to find out if everything is okay? ACE -26.8Mom - 0.7HGCH 17724Estriol 4.25 Does anyone understand?
Now I learned the results of the first trimester screening. The doctor said that everything is fine, all other tests are also good. Fuf, you can relax until January 5th))
The results of the 2-trimester screening came, I passed it at exactly 16 weeks, everything is normal except for AFP, it is lowered (((what is this? Who faced? To the doctor only at the end of January, but I'll run earlier (
The results of the first trimester screening came, who has already done, who will help to decrypt it.it’s not soon to the doctor: hCG 26 ng / ml, age-related risk 1: 787, biochemical risk 1: 10000, combined risk for trisomy 21 1: 10000, trisomy 13/18 1: 10000, RAPP-A 3.15 IU / I 1.58MoM, fb-hCG 0.50
Girls, tell me, if something is wrong with the results of the first trimester screening, do they call? Or do you learn all the news only at the reception of a gynecologist?
Girls, got through to the honey center of her now. They said that you will come on May 10 (the next appearance) and we will tell you everything, there is nothing terrible there.
I got scared ... I ask - what screening? She said screening is good! Thanked and said goodbye ten times! The doctor seems to be smiling.
So everything is fine with us, right? 🙂 If it were bad, then the turnout would have been appointed after all? I understand correctly? 🙂
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Screening of the first trimester, decoding Screening examinations help to identify the risk of chromosomal diseases in the baby before birth. In the first trimester of pregnancy, an ultrasound scan and a biochemical blood test for hCG and PAPP-A are performed. Changes in these indicators may indicate an increased risk of Down syndrome in the unborn child. Let's see what the results of these analyzes mean. On which ...
The article was taken from the site http://mygynecologist.ru/content/skrining-pervogo-trimestra-beremennosti Screening examinations help to identify the risk of chromosomal diseases in a child before his birth. In the first trimester of pregnancy, an ultrasound scan and a biochemical blood test for hCG and PAPP-A are performed. Changes in these indicators may indicate an increased risk of Down syndrome in the unborn child. We will see,…
From the most part I found this article for girls who have 1 prenatal screening and those who are just interested! Screening tests help identify the risk of chromosomal diseases in a baby before they are born. In the first trimester of pregnancy, an ultrasound scan and a biochemical blood test for hCG and PAPP-A are performed. Changes in these indicators may indicate an increased risk of Down syndrome in the future ...
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The diagnostic value of the test when ...
Second screening, screening of the second trimester - terms, details, results Second screening: description The second screening (screening of the second trimester) is carried out for a period of 16-20 weeks, the optimal period is 16-17 weeks. Screening of the second trimester includes: 1. Expanded ultrasound examination 2. Biochemical examination (blood test), three hormones are examined. Second screening: ...
The first screening, screening of the first trimester - terms, details, results The first screening: description The first screening (screening of the first trimester) is carried out for a period of 11-14 weeks, with an ideal period of 12-13 weeks. Screening of the first trimester includes: 1. Ultrasound examination (moreover, many laboratories request the results of ultrasound without fail, without them the calculations would not ...
Screening (from the English "screening" - sifting) is the general name of the methods of special mass screenings used in medicine to detect hidden diseases and risk factors for the development of a particular pathology. For screening studies, as a rule, the most affordable methods are selected that allow you to get a reliable answer quickly and with minimal cost. In obstetrics this is ...
For many women, the very expression “first trimester screening” is terrifying.
Meanwhile, this term implies only a comprehensive examination at a gestational age of 11-13 weeks, which determines the probability of having a baby with congenital malformations (CMD).
The first trimester combined screening includes ultrasound and a pregnant woman’s blood test to identify changes, ...
Good day to all! Tell me, please, the results of the 1st and 2nd screening with a low hCG. I give the detailed results below. 1st trimester screening (12 weeks): b-hCG 32.0 ng / ml (reference limits: 62.8 - 87.1), PAAPP-A 14.0 mkg / ml (11.03 - 17 , 99). Age: 32, weight: 61, ultrasound data of TBP - 2 mm concentration of PAPP-A (MoM) - 0.98, Free B-hCG (MoM) 0.43, TVP (MoM) 1.23, RARP-A risks: ...
How to properly handle seams after circumcision?
So how to handle boys after circumcision? No need to wait for the wound surface to heal on its own.
The waiting process can drag on for a long time, which leads to health problems - the wound will bleed for a long time, may fester, because pathogenic microorganisms have penetrated into it.
The wound will heal faster if it is treated in a timely manner.
The first treatment is carried out on the second day after surgery. It is performed slowly and carefully so as not to bring to painful sensations. First of all, you should moisten the bandages that the doctor put on at the end of the medical manipulation.
Wet with hydrogen peroxide. This is necessary so that the outermost layer of the dressing, which is adjacent to the flesh of the penis, painlessly moves away from the wound, without disturbing the sutures.
After removing the bandages, you need to carefully examine the joints of the seams and the adjacent skin. If dried blood or crusts are observed, then they are washed with any antiseptic. It promotes surface disinfection, removes contaminated dirt.
To speed up recovery after circumcision, the doctor may recommend an adult male or child baths based on potassium permanganate or Furacilin.
Several warm potassium permanganate crystals or one tablet of furatsilin are added to warm water; they are thoroughly kneaded. Lower the penis into the solution with the medicine, rinse the seams.
It is necessary to gently press on them to exclude the process of pus formation. After manipulation, wet the penis with a dry towel.
What to smear after circumcision? To speed up the healing process, use antiseptic creams or ointments with antibiotics:
- Tetracycline ointment,
It is necessary to change the dressing 3-6 times a day. The multiplicity is due to the state of the wound surface in men. Each replacement involves a full wound treatment. Procedures are carried out within 7-10 days after the intervention. Over time, you can reduce to one dressing change per day, if there are no signs of the inflammatory process and reproductive organ edema.
Hypospadias (questions and answers)
Do all children with hypospadias have a foreskin in the form of a hood?
Due to the peculiarities of the embryological development of the penis and urethra, the skin of the foreskin in almost all boys with hypospadias remains not completely closed on the lower surface. In rare cases of hypospadias with a large external opening of the urethra (megameatal hypospadias) there is an unchanged foreskin, and the diagnosis is usually made during circumcision.
How common is hypospadias?
According to the frequency of occurrence, this is the second disease after cryptorchidism in boys. The incidence of hypospadias varies from 5.2-8.2 per 1000 newborn boys, or about 1 case per 200 newborns.
What causes hypospadias?
Hypospadias occurs due to incomplete development of the urethra. The exact cause is unknown. In some cases, the development of hypospadias is due to a genetic factor, but in most patients a hereditary history is not burdened.
If the newborn has hypospadias, then the risk of having a second child with hypospadias is 12% with an uncomplicated family history.
It rises to 19% if another family member has hypospadias, such as a cousin or uncle, and up to 26% if father and brother have hypospadias.
Do boys with hypospadias require a urological examination to identify other abnormalities?
Only boys with severe hypospadias and an unclear sex who have testicular malformations (e.g. cryptorchidism) need to be examined.
Up to 25% of these patients have an enlarged prostatic uterus or other female formations.
A routine examination with other forms of hypospadias is not required, since the frequency of malformations in them approximately corresponds to that in the entire population as a whole.
What problems can arise as a result of hypospadias?
- Hypospadias can cause urine to deviate when urinating your son, especially when standing, which causes some difficulties
- Cosmetic / psychological problems: the unusual appearance of the penis can have a negative effect, in particular on relationships with peers. In adulthood, there may be problems with the sex life.
- Penile curvature during erection can adversely affect or limit sexual function
Can hypospadias be cured?
Yes. In this situation, there is no medicine and your child will not “outgrow” hypospadias. Hypospadias correction is performed only surgically.
Provided that the operation is performed by a urologist with experience in genital reconstruction, the result of the operation is usually successful. We prefer to perform these operations between the ages of 6 and 18 months of life.
In most cases, the operation is performed in stage 1 and lasts from 1 to 4 hours (depending on the severity of hypospadias). In some severe cases, the operation is performed in 2 stages.
What age is considered optimal for performing hypospadias surgery?
When determining the optimal age for surgical treatment, it is necessary to take into account the emotional aspects, both in relation to the child and in relation to the family.
It is believed that the ideal age falls between 6 and 15 months, when the factors of sexual awareness are clarified, caution is observed in determining sex, the technical aspects of the operation are determined, and it is easier to carry out activities in the postoperative period.
The fact is that patient care at this age is greatly simplified compared to the age of 2-4 years. Secondly, the size of the penis from 1 year to 3 years is practically unchanged.
Thirdly, the urine is removed from the baby by a tube (catheter) between 2 diapers, in connection with which, the child is not fixed, not attached, etc. And most importantly, a child under 15-18 months of age does not remember events related to the operation, etc.
How to perform hypospadias surgery for a small penis?
Sometimes testosterone is used to induce penile growth. Most often these are severe forms of hypospadias, where there is a small penis. Testosterone is prescribed 1.5-2 months before surgery in the form of a gel or injection. The hypospadias operation itself contributes to an increase in the length of the penis.
What is a hypospadias invalid?
“Hypospadias invalid” is an old term used to refer to a boy or man who has undergone numerous operations aimed at eliminating a hypospadias defect. Previously, such cases were quite common, but recently the number of such patients has significantly decreased, which is associated with an improvement in the technique of operations and a better understanding of the essence of the disease.
Wondering why my boyfriend doesn't call me by name.
What is the principle of hypospadias surgery?
Reconstruction can conditionally be divided into 3 key stages:
- Create a direct penis (orthoplasty)
- Reconstruction of the missing part of the urethra (urethroplasty)
- Penile head and external urethral plastic surgery (meatoglanuloplasty)
The operation is performed under general anesthesia.After surgery, the penis will look like a normal penis (as after circumcision). In some cases (at the request of the parents), we recreate the foreskin (prepuceoplasty). After surgery, a catheter (tube made of 100% silicone) is usually inserted into the bladder, which removes urine for 7-10 days.
If hypospadias operations were performed several times and they were unsuccessful, what else can be done?
A failed operation for hypospadias is most often reproached to the surgeon, since all the difficulty in subsequent treatment consists in severe scarring of the penis and a lack of skin for plastics.
Often, a skin transplant is required to create the urethra. Despite the fact that previously used skin flaps, at present they prefer to use other tissues, such as the mucous membrane of the cheek.
This allows you to achieve better results, both in the near and distant periods.
List the most important technical factors for the success of hypospadias surgery.
- Use of well-circulated tissues
- Delicate tissue manipulation
- Anastomosis application (suturing tissue) without tension
- Suture avoidance of tissue during suturing
- Thorough hemostasis
- Thin, absorbable suture material
- Adequate urine diversion
What are the complications of hypospadias surgery?
A range of complications, ranging from cosmetic to the complete discrepancy of tissues in the area of surgery. These include the formation of urethral fistula, stricture of the urethra, stenosis of the external opening of the urethra, diverticulum of the urethra, excess or deficiency of the skin, persistent curvature and hypospadias.
Is urinalysis required during hypospadias surgery?
In most cases, urinary diversion is a desirable component of treatment. It allows tissue healing and reduces the risk of urethral-skin fistula formation.
Despite the fact that some authors propose not to use urine diversion in operations for distal hypospadias, urine diversion provides advantages and, theoretically, contributes to a lower incidence of complications, especially in complex reconstructive operations.
The use of a retaining urethral stent replaced the suprapubic cystostomy tube even in severe cases. Suprapubic urinary diversion in some cases may have some advantage (especially with repeated operations and in adolescents).
The duration of urine diversion is approximately 1 to 12-14 days (an average of 5-7 days, depending on the form of hypospadias).
What is the best surgery for hypospadias?
There is not one single best method for surgical treatment of hypospadias. More than 150 types of operations are described. Currently, the most commonly used surgeries are Snodgrass (TIP), urethral advancement, onlay, Bracka, and reconstructions using free grafts of the cheek mucosa.
After Hypospadias Surgery
- Usually, antibiotics are prescribed for the child while the urinary catheter is standing
- Analgesics are prescribed to prevent pain in the postoperative period.
- Sometimes, due to the standing of the catheter, your child may experience so-called bladder cramps (usually at night). In these cases, the drug Driptan (oxybutynin hydrochloride) is prescribed. These cramps are not as dangerous for the child as they are uncomfortable. After removal of the catheter, driptan is canceled
- During the operation, we carry out the so-called “penile blockade” (penile nerve block) with Markain (Bupivacaine) to prevent pain in the early postoperative period. This block lasts 4-6 hours
- After surgery, we apply a special bandage to the penis, which is removed 3-5 days after surgery
Today, in our clinic, hypospadias correction is performed according to the most modern standards and techniques adopted in Europe and North America (operations Snodgrass, Mathieu, Bracka (using the mucous membrane of the cheek), surgery to promote the urethra, etc., using grafts (grafts) with Extremely severe penile curvature We use suture material and instruments from leading manufacturers in the world, optical magnification (magnifiers, microscope).
Postoperative head and suture care
How long does male circumcision heal? The duration of rehabilitation is determined by the individual characteristics of the body. For example, in an adult, complete healing is observed within 3-8 weeks. In childhood, everything heals a little faster - usually within one month.
If after manipulation there is a strong pain syndrome, then the use of pain medication is allowed. You can take:
In addition, it is necessary to use creams of analgesic and anti-inflammatory properties - they relieve pain, level discomfort in the head and sutures, and prevent the development of the inflammatory process. Recommended use of funds:
If the patient has itching and burning of the penis, then you can make baths based on oak bark and pharmacy chamomile. But such manipulations are permissible only in the late rehabilitation period - from two weeks or more.
Surgery for phimosis in a child, postoperative period (care)
Is it necessary for a child to have surgery for phimosis? How is the surgical treatment? What should be the care of the child in the postoperative period? Let's talk about it.
By phimosis, they mean a decrease in the diameter of the foreskin, which prevents the opening of the head of the penis. Physiological phimosis is observed in almost all newborn boys. Of course, many parents panic about this and begin to wonder if the child needs to undergo surgery for physiological phimosis.
Many people opt for surgery, but this is not always justified. Phimosis is physiological up to three years - six years of age, as a boy grows up he passes. Natural narrowing of the foreskin does not require treatment, and especially surgery.
Surgical intervention is relevant if phimosis has become a pathology.
In most cases, phimosis, which does not go away for a long period, can be treated with medication and with the help of special exercises. The operation is recommended for complications. Only a doctor can determine the effective treatment in each case.
The operation is indicated for the child with cicatricial phimosis, when it is impossible to bring the head out due to swelling of the foreskin. Cicatricial phimosis can be recognized by inflamed flesh, the appearance of scars on it.
This type of phimosis is a disease requiring surgical intervention.
If the boy who was diagnosed with cicatricial phimosis does not have surgery on time, then there may be serious complications.
How is the operation in children diagnosed with pathological phimosis? This question is of interest to all parents whose children are shown surgical treatment of phimosis, because the very word "operation" is worrying. In fact, there is nothing wrong with this procedure.
By surgical intervention is meant a complete or partial excision of the foreskin. With cicatricial phimosis, only those areas that are damaged by scars are removed.
If the disease is not started, then the operation (circumcision) does not require hospitalization of the boy, it is performed under general anesthesia and lasts from 20 to 40 minutes.For a certain time, the child should be under medical supervision, then they will let him go home.
After surgery, the baby should be regularly taken to the hospital for examination and dressing changes, which will help to rule out any complications.
Surgery in boys after eleven years can be performed under local anesthesia, as in adults. However, the child must be psychologically prepared for the procedure.
Pros and cons of circumcision
If you put into the background the religious and cultural aspects of circumcision, then you can give quite objective reasons for this procedure - treatment of phimosis, a decrease in the risk of cancer, and an increase in the duration of sexual contact.
The benefits of the procedure are as follows:
- Excision of the foreskin helps prevent cancer in men.
- An increase in the duration of sexual intercourse. This aspect is based on the fact that the skin on the head of the penis loses a certain amount of sensitivity, as a result of which, during frictions, a man can restrain ejaculation longer.
- Circumcision is an effective AIDS treatment. It is proved that the virus primarily penetrates the foreskin, and then spreads throughout the body. At the same time, statistics note that most infected men are uncircumcised.
Another advantage of medical manipulation is its aesthetic appearance. However, this plus is a subjective opinion. There are people who, due to a certain upbringing, are embarrassed or repelled by the wrinkled skin of the foreskin.
Less procedure a bit. First of all, it is a severe pain shock.
In the process of manipulation, the patient is hurt, because anesthesia is not always used, for example, if excision of the foreskin is carried out for religious reasons. Another disadvantage is hygiene issues.
The foreskin of the penis helps cleanse the head of the organ. After the manipulation, you need to take care of the head yourself, as this can lead to infectious and bacterial diseases.
Circumcision should be performed in a specialized clinic, since home experiments can end in tragic consequences, up to head necrosis. During the rehabilitation period, it is necessary to carefully process the seams, take all the drugs that the doctor recommended.
After surgery, excluding phimosis, the boy needs special care, the child’s first urination will be accompanied by painful sensations, in the first days the head of the penis will be swollen, reddened. In older children, the postoperative period after the elimination of phimosis is often accompanied by psychological discomfort, so you should support your son and surround him with maximum care.
After surgery, a sterile dressing is applied to the genital area. It will either disappear after 48 hours, or the doctor will remove it. This point is worth discussing with the surgeon.
It is strictly forbidden to remove the dressing yourself, because blood can go from an unhealed postoperative wound.
In the first two days after surgery, the child can not be bathed, hygiene is carried out by wiping with a towel, which is pre-moistened in warm water. After 48 hours, you can bathe the boy by dipping a member in the water.
Parents are wondering how to treat a wound after phimosis surgery so as not to cause complications in the child. The surgeon will tell you about what ointments can be used.
Usually, special antibacterial gels and ointments are prescribed, which accelerate the healing process, prevent the occurrence of inflammatory processes.
Dressings with ointment can be changed at home, but if you are afraid to carry out such a procedure, it is better to take the baby to the hospital
After surgery, phimosis in children disappears, further treatment is not required.In order to exclude the occurrence of complications, you need to carefully monitor the baby in the postoperative period.
A day after surgery, the child should have normalized body temperature.
If redness spreads to the base of the penis or abdomen, discharge appears from the urethra, the child is sluggish, refuses food and water, then an urgent surgeon should be consulted.
See a doctor immediately
if you have one of the following symptoms:
- The seam diverges and the distance between the stitched areas of the skin increases
- Body temperature rose above 38.5
- Severe pain that the prescribed painkillers do not relieve
- Can't pee
if there are signs of infection:
- Redness around the seam intensifies and spreads
- Purulent discharge from the wound
- Swelling and pain is increasing and increasing. The penis should not swell so much that the skin on it becomes taut and hard.
To understand the age at which boys are circumcised, you need to understand what caused this. The rite itself, for the most part, is carried out for religious reasons and only in 10% of cases - for medical reasons.
The first mention of circumcision in children dates back more than 2000 BC, evidence of which was found in ancient Egypt. Currently, the ritual remains relevant in Jewish (mool in the context of the Old Testament with Abraham in Genesis 17: 9-14) and Islamic folk traditions.
Also, this practice has found distribution in the Far Eastern countries. In Islam, circumcision of the foreskin in children is called "chitan", being part of the Sunna of the prophet Muhammad. The rite is not explicitly mentioned in the Qur'an, but certain Muslim communities believe that it is implied in the 124th verse of Sura al-Bakar.
Although the Judeo-Christians tried to maintain the ritual of circumcising the boys, arguing that Jesus himself was subjected to the procedure, at present he is not practicing. It is believed that the Apostle Paul argued that involvement in the Divine is based on internal changes, and "not with a knife and not with the letter of the Law" (New Testament).
If you move a little away from the mystical-religious premises, in the modern world there are other reasons for the operation. Circumcision to the child can be performed in the following situations:
- congenital or acquired phimosis - the inability to expose the glans penis,
- traumatic damage to the foreskin with the formation of gross scars,
- cosmetic defect
- massive damage to the skin fold by papillomas (viral infection) - is rare in children,
- violation of urination
- recurrent balanoposthitis,
- personal prejudices of the parents or guardian.
It's important to know! In recent years, there has been a reassessment of views on the advisability of prophylactic circumcision in boys. Therefore, all supposedly positive effects (cancer prevention, reducing the risk of HIV incidence) are considered unproven.
Optimum age for circumcision
The time required to complete the procedure depends on the direct evidence or personal reasons. Even strict religious communities understand that it is safer to provide this matter to qualified professionals in medical facilities.
|Selective circumcision in boys||All were subject||Only within individual castes|
|Age of the ceremony||8th day after birth||More often in adult conscious years|
|Value||The proximity of the people to God||Initiation ritual, hygiene.|
It's important to know! There is an opinion that circumcision should be done in boys before 3-4 and after 10 years. But in the absence of problems with the functioning of the genitourinary system, urologists recommend waiting for puberty or a conscious adult in general.
Special preparatory measures before the operation are not required. The patient undergoes a medical examination in the standard manner, the parents collect the necessary list of documents and pay for the procedure.
Of course, it is important to exclude any possible contraindications. Often, the doctor has the right to install them yourself after consulting an anesthetist, pediatrician and urologist. The procedure is absolutely prohibited in such cases:
- severe condition of the child: prematurity, distress syndrome, hemolytic disease,
- acute inflammatory diseases of the genitourinary organs and other systems, including respiratory,
- severe anemia and cancer of the blood,
- congenital heart defects,
- febrile period (fever, chills, intoxication).
It's important to know! After hospitalization in the inpatient department, the medical staff will take care of preparing the child for the operation, and the attending physician will explain the details to the parents. On this day, the boy should not be given food and drink.
Different clinics and surgical schools use their own approaches to performing circumcision. It is carried out either in the classical sharp way (scalpel), or with the help of a laser in the shown volume (full or partial circumcision).
With any of the options, the operation does not take more than 30 minutes. Depending on the age of the child, doctors may recommend general anesthesia (Sevoran is the safest) or local anesthesia to avoid severe blood loss, emotional factor (the calmer the patient, the better the doctor works) and pain.
After this, cosmetic sutures are applied to the wound - only a barely visible scar remains, but it can also be removed in the future. The child is observed for 1-2 days to avoid the development of early postoperative complications.
Any wound is a potential gateway for infection. Therefore, the correct behavior in the postoperative period eliminates most of the undesirable consequences.
You should adhere to such recommendations for care after circumcision in boys:
- Provide your child with a favorable emotional background. He should feel comfortable and calm.
- If possible, older children try to honestly talk about the essence of the procedure and its purpose.
- The first few weeks excluded heavy physical activity and a hot bath, as well as wearing tight underwear.
- Given the localization of the postoperative wound, dressing and surface treatment should be frequent - at least 6 times a day. The first days the doctor will do this, so it makes sense for parents to learn the correct sequence of actions.
- Before changing the dressing, wash your hands thoroughly with soap and clean medical gloves. After that, the bandage is removed (if it fits snugly, soak), the wound is washed with an antiseptic (Miramistin, Chlorhexidine). If necessary, apply the ointments shown by the doctor that accelerate the healing process (Levomekol).
The stitches are removed after a week, but some surgeons use completely absorbable material (but on the 7-10th day you still need to show the boy to the doctor). Further, parents will be required to explain the rules of intimate hygiene and monitor their compliance.
What are the normal symptoms after circumcision?
At the end of the operation, the doctor fastens the tissue with surgical sutures, treats the sutures with an antiseptic and applies a sterile dressing. Usually they use self-absorbable suture material, which should not be pulled and attempted to be pulled out during home care.
The foreskin is equipped with many vessels, therefore, when it is damaged, blood or a bloodline is released. This is normal and with proper care, the wound will heal without a trace. In some patients, the temperature after circumcision may increase in the first day.Inevitable side effects are also:
- swelling of the penis
- painful sensation
- cyanotic or crimson color of the penis,
- separation from the wound surface of a colorless or yellowish liquid.
Important! If the head is covered with a blood crust or scab, it cannot be removed, otherwise the wound may bleed.
How much does the penis heal after circumcision
In children, recovery after circumcision takes 2-5 weeks. But another 2 months it is necessary to monitor the condition of the genitals, to conduct hygiene more scrupulously.
In infants, wound healing is faster because they have a thin skin fold and a small suture. The main thing is not to rub the penis if feces get on it, and exclude the possibility of the child tugging at the seam.
In men, rehabilitation takes up to six months. 2 months requires sexual rest, then it is imperative to use a condom until complete recovery.
The postoperative period lasts an average of 7 days. At this time, it is necessary to monitor the condition of the penis in time to treat wounds and prevent moisture from getting on fresh sutures.
To facilitate recovery after circumcision, it is necessary to follow simple rules for treating wounds after circumcision of the foreskin, which are carried out from three to five, and in some cases up to six times a day.
When is it worth doing?
Scientists believe that the most favorable moment for circumcision is the age of 8 to 9 weeks. At this time, the child still does not understand the essence of what is happening, so the operation is easier for him to carry.
For an older child, such an intervention can leave a negative impression on his whole future life. In addition, the child may have an insult to the parents for making such a decision for him.
Sometimes in the case of physiological phimosis, doctors postpone surgery in infancy, since as the child grows older, the problem may disappear on its own. Only with cicatricial form of phimosis, the operation should be carried out immediately.
The operation is recommended in early childhood and because the nerve receptors of the genital organ are not yet so sensitive. In adolescence, the operation will cause serious discomfort, therefore, it is performed only under general anesthesia. Also, a similar procedure can lead to the development of psychological trauma in a young man.
The question of what circumcision is done for boys often arises. Often this is influenced by the aesthetic ideas of parents. Opinions on how the penis should look differ in society.
Some parents consider the uncircumcised penis to be indicators of brutality, others perceive the foreskin as the “extra part”, which may cause the appearance of urological diseases. Much depends on the country of residence: in the USA, a penis deprived of the foreskin is considered more aesthetic (for historical reasons).
Religious views of parents. All boys in Muslim countries, as well as Israel, are required to be circumcised.
Why circumcise the boys in this case? All male representatives should undergo this procedure, otherwise the family of the child will be rejected by society.
In Persian families, this rite of passage (initiation) is performed at the age of three to four years, Turkey - from 8 to 14 years, and in Israel - on the eighth day after birth (prescribed by the Talmud).
According to scientific sources, the requirements of religious structures that oblige circumcision have developed for completely “mundane” reasons.
Excision of the foreskin prevents the development of inflammation in the inguinal region, which is prone to men living in hot and humid climates.
Why circumcise boys in other countries:
- In Africa, circumcision is an occasion to confirm courage, determination and masculinity.
- In ancient Greece, the foreskin was considered a modified female labia, so this sign of femininity needed to be eliminated.
- In Europe, the circumcision rate is extremely low due to the lack of significant influence of religious doctrines.
- In China, religion does not prescribe circumcision, including because of the weak severity of the prepuce sac in Asians.
Traditions accepted in the family. In countries with a predominance of English, the circumcision procedure was introduced as a measure to prevent masturbation among adolescents in the 19th century, but circumcision was most popular in the early 20th century.
IMPORTANT! Subsequently, it was found that the method did not affect the decrease in the boys' tendency to masturbate, therefore, after the 50s, this procedure was canceled as a must.
However, the traditions of truncating the foreskin have been preserved, so the percentage of operated men in these countries is still high (data for 2006): USA - about 55%, Canada - 20%, Australia - 10%.
Despite the right of parents to consent to the operation for a child, many human rights organizations, mainly American ones, are increasingly carrying out actions against forced circumcision.
The essence of the presentations is to allow children themselves to decide at a later age about the advisability of circumcision. Violation of this right is considered an inhuman manifestation contrary to ethical standards.
Fact. The vast majority of African countries perform mandatory circumcision (in more than 80% of men).
There is no strictly defined age for the procedure: circumcision can be done for a newborn and an adult man. So, among Jews, this rite is recommended to be performed on the eighth day after the birth of the baby.
If you are not a representative of this nationality, the foreskin should be removed before the boy reaches the age of three - the sooner the better.
Important! When a child grows up, such an operation can cause him strong fear, stress and anxiety, because he does not fully understand what is happening. He is able to survive a real psychological trauma associated with the separation of a body part from him.
Parents who did not have time to circumcise a child under the age of three are advised to postpone this procedure until at least 8 years old. If the cause of the operation is physiological phimosis, it is best to wait until puberty is over: very often this condition goes away on its own.
How to do a dressing after circumcision
The healing process directly depends on proper care. Exceptional factors of negative consequences are the individual characteristics of the body.
First of all, regular dressings are needed.
Wound treatment takes place at home, but proper sterility must be ensured. Bandaging is easy. It is only necessary to prepare the necessary materials and medicines in advance, observe the sequence:
- Wash hands with soap, treat them with an antiseptic. Chlorhexidine will do.
- Soak the previous dressing so as not to hurt or injure the operated tissues. For this purpose, you can use 3% hydrogen peroxide, a decoction of chamomile or oak bark. The potassium permanganate solution is not recommended because it dries the skin. The dried peel should completely soak, only then you should carefully remove the bandage.
- Treat the wound. On the seams after circumcision, you can apply a liquid antiseptic, an antibacterial ointment. For this purpose, it is better to use a tight gauze swab so that the cotton fibers do not remain on the penis and do not get into the wound.
- Make the application of the bandage in several layers and fix it with a regular bandage, wrapping it around the penis. The dressing should not be crushing or too loose.
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Instruction for children
Caring for a child after circumcision requires constant presence nearby and a careful examination of the wound. The baby needs to do a dressing when changing the diaper, that is, every 4-6 hours, immediately after a bowel movement or with severe wetting.
- Wash and sanitize hands before each procedure.
- Soak the bandage with a slightly warm broth of chamomile or 1% Betadine solution, carefully remove.
- Hygiene of the penis with wet wipes in the direction from the head to the navel.
- Treat the wound with an antiseptic.
- Apply the application of a sterile bandage soaked in antibacterial and healing ointment.
- Bandage the penis, not tight and not weak. If there are no contraindications, you can use the sterile dressing Kaltostat.
How to wash
A child can be bathed two days after circumcision. The first week it is better not to use any cosmetics, then only use children's hypoallergenic products. After the procedure, be sure to treat the wound.
An adult for two days should use wet wipes or take water procedures so that the penis is not affected. Before complete healing of the joints, do not immerse yourself in the bath.
Earlier 10-12 days after surgery, it is not recommended to wet the incision site. If necessary, we advise you to take a shower after closing the penis with waterproof material (for example, a bag or a condom).
If you are an undisciplined patient and do not follow the doctor’s testimony, for example, treat a wound poorly or untimely, do not follow personal hygiene standards (do not wash your hands before treatment), then swelling may persist for a longer period.
Edema may persist even if the operation is not performed correctly. Therefore, if you notice a change in head color, pain in the penis and head, as well as swelling and pain in the scrotum, you should immediately consult a doctor. Symptoms for treatment may be the following complications after circumcision:
- Severe inflammation and swelling,
- Discharge from the wound, greenish yellow with an unpleasant odor,
- Blue spots on the penis
- Swollen testicle.
Remember that postponing a call to a doctor and trying to self-medicate can aggravate a failed circumcision and lead to serious complications.
There are no unequivocal recommendations about at what age to circumcise. From a physiological point of view, it can be carried out both in a newborn and in an old man. But in childhood there are periods when it is better not to circumcise boys because of the risk of psychological trauma.
It is best to circumcise a newborn when he is not aware of the situation. The older the child, the greater the risk that the circumcision procedure will be perceived with fear, with the experience of losing a part of the body. All these emotions are the essence of psychological trauma.
If circumcision is not done before three years, then it is recommended to postpone it until the age of 8, when the child can fully understand what is happening and understand that circumcision does not deprive him of something important, but helps to maintain health.
If circumcision is indicated due to physiological phimosis, then it makes sense to postpone it until puberty is over. Why wait? The fact is that this form of the disease is often cured on its own.
Statistics confirm: physiological phimosis is diagnosed in half of boys from birth to one year, by three years - in 10%, after puberty - in less than 1%. But if cicatricial phimosis is detected, an independent cure will not occur.
In Islam and Judaism, the age at which boys should be circumcised is determined by religious precepts. For example, Muslims do this procedure on the 7th day of a child’s life.
The use of anesthesia for circumcision is determined by the age at which the child was on the operating table: babies under 8 weeks of age are not anesthetized, general anesthesia is used under the age of 14, and local ones are administered to adults.
Then the foreskin is stretched and fixed with clamps. The doctor cuts it and removes in a circle, sutures. The second way to perform the procedure: the drawn foreskin is cut off by a device similar to the guillotine according to the principle of operation.
The whole procedure takes no longer than 15 minutes, then you can immediately go home, a hospital stay is not required. Sutures are removed 9-10 days after surgery, when the tissues are fused. Prior to removal, the dressing must be changed daily. Why do this? To minimize the risk of complications.
The time of complete healing of wounds and postoperative suture depends on the individual characteristics of the body, its regenerative potential. If the care is of good quality, they will heal in 3-5 weeks.
The procedure for circumcision of the foreskin in a medical institution requires preparation. First of all, a young patient is examined, blood and urine tests are taken to determine the general condition of the body.
These measures are necessary to select the appropriate anesthesia, as well as to exclude possible contraindications for surgery. Sometimes, after such an examination, the intervention is postponed to a later date. Be sure to check the reaction of the child's body to pain medication and anesthetics.
In medicine, there are several types of manipulation:
- minimal removal of the foreskin when the skin is cut off only around the head of the penis,
- partial resection - exposes the genitals to the third part,
- free removal - there is only a fold at the base of the bridle,
- medium resection - the head always remains open,
- complete removal - the penis becomes smaller.
In most clinics, now you can independently choose the type of operation method: laser or strip. The first is much faster and easier, and also almost completely eliminates the possibility of complications. The only disadvantage is the high cost of the procedure, unlike the second option.
The following main stages of the operation can be distinguished:
- The process of anesthesia.
- Marking the cut line.
- The process of surgical removal of the skin of the penis.
Intervention takes no more than half an hour. After a successful operation, the patient is immediately sent home, stay and observation in the hospital is not required. After about a week, you need to return to the hospital to remove the stitches. Throughout the entire rehabilitation process, the wound should be taken care of to ensure rapid healing of the genital organ.
The circumcision procedure has contraindications. The operation should be postponed or not carried out at all if the child suffers from autoimmune pathologies, hemophilia or diabetes mellitus. Before the intervention itself, it is necessary to conduct a blood test to assess the degree of coagulability.
Parents are worried that a medical error will be made and the boy will be injured, or serious complications will arise. In the case when there are no clear medical indications, such concern would be justified. It makes no sense to interfere in natural processes if they go their own way and do not interfere with life.
However, phimosis does not apply to natural processes, as well as its following symptoms:
- A swelling of the foreskin while the boy is urinating
- Pain and discomfort during urination,
- Too thin stream of urine
- Pus from the foreskin
- Redness and swelling of the head.
These phimosis symptoms will only progress over time. The condition can worsen so much that the mucous membrane of the head and foreskin become one.In this case, the operation will become quite traumatic.
Given the prognosis, it is advisable to circumcise the boy as early as possible. It makes no sense to worry about complications with such unpleasant and serious symptoms. Better circumcision now than later resorting to this operation at a later, conscious age of the boy. Nevertheless, it is undesirable to resort to circumcision before the boy is two years old.
Do boys need circumcision? The reasons for circumcision for medical reasons are diseases that are localized in the head of the penis.
- prolonged inflammation of the head and preputial sac (balanoposthitis),
- difficulty or inability to remove the head (phimosis),
- closure of the urethral canal (synechia),
- the appearance of outgrowths on the surface of the flesh (multiple condylomatosis),
- inflammation of the urethra (cystitis and urethritis).
In the latter case, damage to the urinary canal occurs due to an infectious factor that occurs due to inflammation of the inner lobe of the foreskin and the surface of the head.
In the presence of phimosis, surgery is not necessary: surgery is indicated only if it is impossible to remove the head from under the foreskin - relative phimosis, in which extraction is possible, the operation is often not performed.
You still have the question: "Circumcision in boys, why is it even necessary?" 95% of boys have congenital phimosis, spontaneously passing between the ages of 3 to 14 years. If the foreskin ring does not release the head after this period, then in such a situation the operation is shown in the planned order. As mentioned above, circumcision with phimosis in a child is done, but not in all cases.
The occurrence of prostate cancer in uncircumcised men is 45% higher, and they also fall into the risk group, which often develops penile cancer (compared to circumcised men). A similar trend is equally associated with the exclusion of local inflammation in the inguinal region. Why circumcise a child in this case? To avoid negative consequences.
Fact. The most dangerous condition requiring urgent circumcision is paraphimosis, which, with prolonged pinching of the penis, leads to penis gangrene.
With the question of why circumcision should be done, the boys figured out, then about the pros and cons of the procedure.
Proper care of the wound and sutures after circumcision in boys will accelerate healing and prevent the development of complications.
Dressing should be done 3–6 times a day with hands thoroughly washed with soap. In order to remove the bandage without injuring the wound, it is better to soak it in hydrogen peroxide. You can treat the seam with a weak solution of potassium permanganate.
If blood or anemia is secreted, an antiseptic ointment, for example, Levomekol or Actovegin, should be applied with a thin layer. After 10 days, you can stop dressing. The need for medication is determined by the doctor, Methyluracil is often prescribed, which accelerates healing.
After the intervention of the boy’s genitals
Circumcision has absolutely no effect on the size of the penis, since only the foreskin is truncated, which does not affect the growth processes of the penis. To enlarge the penis, men undergo a special procedure called ligamentotomy.
However, there is a slight nuance: after surgery, in one case, a slight visual enlargement of the penis is possible.
Men with a large head of the penis, which becomes visible after removal of the preputial sac, get an advantage - their genitals seem larger. Does circumcision for the boy just for this? Controversial moment. After all, why do boys need circumcision? To avoid the negative effects of all kinds of infections and diseases.
To avoid various complications after surgery, it is worth providing the patient comfort and peace, as well as wound care. The surface should be treated every day at least 6 times a day.
Before manipulation, you must always wash your hands thoroughly and put on sterile medical gloves, and moisten the bandage with hydrogen peroxide. The wound itself is recommended to be washed with a solution of potassium permanganate. Levomekol or Tetracycline ointment will help speed up member healing.
Together with drug exposure, special underwear will help speed up the patient’s recovery. It can be bought at the pharmacy. These are underpants that have a dense frame insert that protects the genital organ from infection or injury. Also, underwear does not allow the child to touch the seams. Panties are made from cotton fabric. When buying, pay attention to the size of the goods.
Bathing during rehabilitation should be replaced by wiping the affected area with wet wipes with an antibacterial effect. This treatment is necessary after each urination.
With a favorable outcome of the operation and proper wound care during the rehabilitation period, the child's sutures are removed already for 7-10 days. By this time, the dressing process ends. Further treatment tactics are determined by the attending physician. But the main condition for a quick recovery and recovery is still genital hygiene.
Male circumcision has a long tradition that gradually becomes less significant.
ATTENTION! Authoritative urologists are of the opinion that circumcision should be performed only for medical reasons, for example, circumcision with phimosis in children, and cultural and religious motives should be of secondary importance.
Now you know why children are circumcised, but whether or not a child is circumcised, each parent will have to decide.
Recovery after circumcision
Circumcision or circumcision considered a simple and relatively safe operation. However, the operation remains an operation. Complications are possible, and without proper care during the rehabilitation period, the risk of adverse effects increases several times. What needs to be done so that the rehabilitation process is as quick and painless as possible?
Although circumcision is considered simple, complications can occur.
Parents should especially closely monitor their child in the first 2-3 weeks from the time of surgery. The following simple recommendations are observed:
- It is necessary to regularly change the dressing (1-2 times a day) in order to prevent the development of pathological infectious and inflammatory processes. Children do not have an erection, so care after surgery is simple
- Two to three times a day, you need to wash the postoperative wound and suture with running water.
- It is necessary to abandon the use of tight diapers. A moist and warm environment is ideal for the propagation of pathogenic microorganisms. The result may be suppuration of the wound and require another operation.
- Once every 1-2 days, it is necessary that the child takes light baths with a weak solution of potassium permanganate. Proportion - a small pinch of three liters of water. It must be remembered that potassium permanganate must be bred in two vessels: first, a strong solution is created, which, in turn, is added to the bath. This is necessary so that insoluble small crystals do not get on the skin, causing a chemical burn.
Since in most cases an erection is not observed in children, recovery is limited to this.
In adult patients
The rehabilitation process in older patients is somewhat more complicated. Regenerative processes do not flow so fast, the development of severe complications is possible. It is important to adhere to such rules:
- In the first day, the bandage can not be removed at all.
- Take a shower twice a day, but in no case take a steam bath in saunas, bathrooms, saunas - seams may diverge.
- In the postoperative period, all the recommendations of the doctor are observed. Treat the wound and regularly change the dressings. This can be done both independently and with the help of a surgeon from the clinic at the place of residence.
- It is important to refuse to wear tight and dense underwear. Firstly, the head of the penis after circumcision becomes hypersensitive, which can lead to considerable discomfort. Secondly, wearing dense synthetic underwear, a man risks getting problems of infectious origin (the mechanism here is about the same as when wearing tight diapers in children).
- It is necessary to take antibiotics prescribed by your doctor. As a rule, the administration is carried out orally, in strictly prescribed dosages. Antibacterial ointments can also be used.
- It is necessary to refrain from sexual intercourse for a month. After a month, sexual practices are permissible. Otherwise, there is a high probability of divergence of the seams.
- It is necessary to restrain potency. This is not so simple, given that morning and night erections are almost always found.
- It is important to touch the penis as little as possible, especially with dirty hands.
- After each visit to the toilet, it is recommended to wash the wound and treat it with an antiseptic solution, for example, Miramistin.
How long is the recovery period?
The duration of the recovery period is individual: the rehabilitation period varies from 2 weeks to 2 months. The average period is 1 month. In young patients, this period is even shorter due to active regenerative processes: the younger the patient, the faster the wound heals. On day 10, the wound partially heals and dressings can be changed 1 time per day.
What to do to alleviate the condition?
For pain in the postoperative period, painkillers are taken
Pain after surgery can be quite intense - this is normal. To stop the discomfort, you can take 1 or more painkillers. Fit:
In order to alleviate itching and burning, you can treat the wound with a decoction of oak bark, chamomile. However, this can only be done in the late rehabilitation period (from 2 weeks or more). It is imperative to follow all the doctor's recommendations and take the prescribed drugs. So the effect will be maximum, and the rehabilitation period will be minimal.
Complications of the operation
Numerous. Many of them are dangerous for the reproductive system, and some for health in general. Among the characteristic complications:
- Varicose veins of the genital organ. It is considered normal in the first 2 weeks. Then, a similar state usually goes away. Otherwise, you need to go to the doctor for the selection of specific therapy.
- Retraction of the penis into the body. Usually observed in boys. Requires urgent surgical correction.
- The appearance of adhesions. Changes the nature of the skin of the penis, can provoke a secondary curvature of the penis. In all cases, you can not do without consulting a doctor.
- For complications after surgery, you should immediately consult a doctor Loss of sensitivity of the head. This is a normal phenomenon that does not require specialized medical manipulations. Over time, sensitivity will recover.
- Bleeding. Intense and low intensity. With intense bleeding, consult a specialist.
- The appearance of a fistula in the penis. It develops extremely rarely. It requires urgent surgical correction, so you can not do without visiting a doctor.
- Thrombosis of the main veins and arteries of the penis. It is rare. It requires urgent surgical correction and the use of specialized medicines (venotonics, thrombolytics and others).
- Penile deformity. A special case of secondary curvature of the genital organ.
- Cyanosis, swelling of the penis. Also considered normal. Passes 2-3 days after surgery.
It is also likely that the part of the glans penis will die if the operation is not performed correctly.
Recovery after circumcision requires a lot of effort and perseverance on the part of the patient or his parents. It is necessary to carefully monitor the health during the rehabilitation period and, at the first problems, consult your doctor for advice.
Phimosis after surgery: wound treatment, reduction of edema, care
In medicine, cases of diseases that are associated with a narrowing of the folds of the skin that protects the glans penis are increasingly observed. This type of ailment is called phimosis. If it proceeds in an acute form or is in a neglected state, then surgical intervention is necessary.
Features of surgical treatment of phimosis
Circumcision is one of the small operations to excise the foreskin of the penis. Men rarely resort to such a radical method of treatment. This usually happens if other therapies have been found to be ineffective for phimosis or for religious reasons (Jews).
The circumcision process is accompanied by pain and requires the use of anesthesia. Surgical sutures are applied in a circle and are prone to long healing. After circumcision, a bandage is applied to the penis disinfected with an antiseptic.
The duration of the process of exposing the glans penis takes no more than an hour. But after it, proper care, which consists in the daily processing of stitches, is required.
The restoration of the foreskin is also carried out using laser technology, which belongs to one of the new methods of modern medicine, and causes a minimal risk of complications after phimosis surgery. But after any operations, men often have a sore head of the penis. Pain can be removed with special medical devices.
In the case of evasion of the surgical method, when it is absolutely necessary for a man, serious consequences and complications arise in the functioning of the whole organism.
Circulumia is performed in any medical institution, but is divided into various types:
- Excision of a small part of the flesh of the penis,
- Keeping the openings of the urethra open - selective removal,
- Adjustable excision of the flesh - carry out the formation of an open state of the head,
- Tight removal - completely folds the skin that protects the penis.
Fighting edema after circumcision
Before and after circumcision, the edema can form, which manifests itself in the form of a swollen state of the head. The accumulation of fluid in the tissues, which causes swelling, does not play in favor of health. You can eliminate it by resorting to anti-inflammatory drugs. The cause of edema after circumcision can be:
- Untimely performed dressings,
- Violation of hygiene rules
- Careless treatment of a wound in the foreskin.
If the edema does not go away for a long time and you cannot overcome it yourself, resorting to anti-inflammatory drugs, then contact the clinic. They will provide quality assistance in this matter.
Duration of wound healing after surgery
The elimination of the consequences acquired with phimosis usually occurs within thirty days. To achieve the complete disappearance of scars, abstinence from sexual acts is required. This period takes about 40-45 days. The rehabilitation period for each man is different and depends largely on the body's ability to restore its activity.
Statistics show that the scars last for 15-40 days, and the final rehabilitation occurs after four months. Before and after circumcision, we strongly recommend that you carry out only protected sexual intercourse.
Swelling after circumcision
Quite often, men face serious urological problems that can only be solved surgically. The circumcision operation is called circumcision. In almost all cases, complications appear after such surgery. One of them is swelling after circumcision.
The main methods of circumcision
Depending on the severity of the disease and which particular symptom is most pronounced, there are several basic methods of circumcision:
- minimum method
- partial circumcision
- taut and moderate type
- free circumcision,
- high and low circumcision.
In each individual case, the doctor himself chooses the technique for the operation in men and prescribes subsequent rehabilitation treatment.
Prevention of complications after surgery
After the operation to circumcise the foreskin in a child, the following preventive measures must be observed:
- do not remove the bandage in the first day,
- on the second day the bandage is removed, a warm bath with a solution of potassium permanganate is taken, after which a new gauze bandage is made,
- erythromycin or tetracycline ointment is applied directly to the wound without rubbing it along the wound surface,
- in the following days, the bandage is applied to the child only when leaving the house.
In men, treatment and prevention after circumcision include such measures:
- if the wound is very painful, you can take an anesthetic
- bed rest for the next two days after surgery,
- thorough hygienic treatment of the wound,
- application of a special antiseptic ointment to the wound surface,
- avoid sexual intercourse until the wound is completely healed,
- with a painful erection, it is recommended to apply ice to the penis to relieve pain.
In any case, if you notice at least some symptom of inflammation or swelling after the operation, you do not need to self-medicate. It is necessary to consult your doctor as soon as possible, who will quickly and most adequately take all necessary measures for the treatment and prevention of further complications. Be attentive to yourself and take care of your manhood.
Baths after circumcision
Additional procedures after circumcision are optional. Baths are recommended if there are side effects. In addition, they can accelerate healing and reduce discomfort:
- A cold procedure relieves stress and erection. For disinfection, add furatsilin to the water.
- Phyto-baths with chamomile, sage, oak bark have a beneficial effect, if edema persists for a long time after circumcision, inflammation and suppuration have appeared. The filtered broth should be cooled to a temperature slightly above room temperature, pour into a container to fit the entire penis. The procedure is carried out 3 times a day for 5 minutes.
Using special laundry
To avoid injuring the penis, combing the wounds for children, it is recommended to purchase special panties. They have a rigid insert and reliably protect the operated area from external influences.
In such underwear, the baby will not be able to break the bandage and hurt himself after circumcision. You can buy panties in a pharmacy, online store, some clinics provide such a gift when performing the operation.
For adults, there are also special models that securely fix the penis and provide additional protection. Underwear should be purchased for a more comfortable recovery.