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REASONS FOR TREATMENT (indications)
The indications for circumcision usually include narrowness of the foreskin (phimosis) which often causes repeated inflammation of the glans penis skin and inflammation of the internal foreskin region. The indications for treatment may also include tight foreskin that has remained lodged behind the glans penis and does not come over the glans penis easily, i.e. the so-called “Spanish collar".The indications for treatment may also be hygienic and cosmetic reasons.
It is always necessary to talk with the doctor of the clinic. The doctor introduces to you circumcision and the course thereof, the follow-up treatment and possible risks. The doctor also collects information on your state of health. Do not forget to mention any of the problems related to your health. If everything is all right, the time for the planned surgery can be fixed.
ON THE DAY OF SURGERY
The surgeon offers you an overview on circumcision. The surgery is performed under local anesthesia.
But, we will check the sensitivity of the patient before choosing a method of anaesthesia. The physician-anaesthesiologist in our clinic will determine the most suitable method during your pre-surgery interview.
The following is required for submission to the anaesthesiologist:
In the event of general anaesthetic: ECG, venous blood and urine test results
In the event of special anaesthetic: results of urine test and blood test taken from the fingertip
If necessary, the tests will be organised by our clinic.
Your stomach must be empty when general anesthesia or combined anesthesia is applied. It is prohibited to eat at least six hours and to drink at least four hours before general surgery. Chewing gum fills the stomach with secretions and is therefore prohibited less than two hours before the start of surgery. Do not eat and drink at least three until four hours if local anesthesia is applied.
After the effect of local anesthesia has begun, the excess part of the foreskin is removed; the cut is stitched using the usual self-dissolving threads (see the figure).
The surgery is performed under local anesthesia; therefore you may go home the same day.
Keep the cut dry for some days; thereafter, you may moisten and dry the cut.
The stitches need not be removed, as they are self-dissolving.
RISKS AND COMPLICATIONS
Each surgery is also accompanied by risks. The risks and possible complications of circumcision are minimal. Complications following surgeries performed by a surgery group of doctors and nurses who have received high-level training are very rare. However, in case of every surgery there exists a possibility of bleeding, inflammation and creation of scar tissue following the surgery.
After the surgery there is always swelling in the surgical area and on the genitals. The swelling disappears within some weeks.
A hemorrhage (bruise) is usual in case of circumcision. A bruise is a blood mass formed in your body, in this case under the skin and in the area of the surgical cut. Blood mass is usually formed soon after the surgery. Small masses of blood often disappear all by themselves.
Inflammation may occur in case of any surgery. Following circumcision an antibiotic cure is prescribed in order to prevent inflammation. In private surgeries built for cosmetic surgery the risk of so-called hospital infection is practically nil. In general hospitals and other large surgery blocks the threat of hospital infection is manifold. Always check out where your surgery is performed, so you can avoid a severe hospital infection.
Circumcision does not cause impotence in men.
Swelling and bruises disappear in some weeks. However, the final result can be seen only when three-four months have passed from the surgery. Redness of the scars disappears within approximately half a year.