Phimosis Treatment

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• Beschneidung

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Treatment Plan and Doctor’s Opinion:
By our Assist. Prof. Vahit GÜZELBURÇ MD. in the Urology department was give the information follows:
The patient is suitable for a circumcision. It is a one-day operation under general anaesthetic. If he comes early in the morning on an empty stomach, we can do the operation.
1 week after the surgery, he should come for a check-up.
Circumcision
Male circumcision is the surgical removal of the foreskin. The foreskin is the roll of skin that covers the end of the penis. Medical reasons for a boy to have a circumcision
It's rare for circumcision to be recommended for medical reasons in boys. This is because other less invasive and less risky treatments are usually available.
The following conditions affect the penis and, in rare cases, may require a circumcision:
Tight foreskin (phimosis) – where the foreskin is too tight to be pulled back over the head of the penis. This can sometimes cause pain when the penis is erect and, in rare cases, passing urine may be difficult.
Recurrent infection (balanitis) – where the foreskin and head of the penis become inflamed and infected.
OUTPATIENT / INPATIENT INFORMATION FORM
TEM Avrupa Otoyolu Göztepe Çıkışı No: D:1, 34214
Bağcılar/İstanbul
Document No: 30801
Date: 09.06.2023
2
Paraphimosis – where the foreskin cannot be returned to its original position after being pulled back, causing the head of the penis to become swollen and painful. Immediate treatment is needed to avoid serious complications, such as restricted blood flow to the penis.
Balanitis xerotica obliterans – a condition that causes a tight foreskin and, in some cases, also affects the head of the penis, which can become scarred and inflamed.
How the foreskin develops
It's normal for a baby boy's foreskin not to pull back (retract) for the first few years of life.
Around the age of 3 – or later, in some cases – the foreskin should start to separate naturally from the head of the penis (glans). Full separation occurs in most boys by the age of 5 years.
For some boys, the foreskin can take longer to separate, but this does not mean there's a problem and it will usually just detach at a later stage.
As the foreskin starts to separate from the head of the penis, you may see the foreskin "ballooning out" when you passes urine. This can occasionally lead to infection (balanitis), but this ballooning usually settles down with time.
Never try to force your foreskin back, as it may be painful and damage the foreskin.
The procedure
Circumcision is usually carried out on a day patient basis. This means you will be admitted to hospital on the same day you have surgery and will not need to stay overnight.
You will not be able to eat or drink before having surgery.
After being admitted to hospital, you will be seen by the surgeon who will carry out the procedure. They'll explain the operation in more detail, discuss any concerns and answer any questions you have.
They'll also ask you to sign a consent form, giving your permission for the operation.
The anaesthetist will also visit you before the operation. You will usually have a general anaesthetic, so he'll be asleep throughout the procedure and unable to feel any pain or discomfort.
Circumcision is a relatively simple procedure. The foreskin is removed just behind the head of the penis using a scalpel or surgical scissors.
Any bleeding can be stopped using heat (cauterised). The remaining edges of skin are stitched together using dissolvable stitches. It will take up to 6 weeks for your penis to fully heal.

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