Circumcision of Babies and Boys

Circumcision of Babies and Boys

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All male babies are born with phimosis on their virile member, which means that they have skin that covers and protects the glans, which is the head of the penis, which will gradually unfold until, between 3 and 5 years of age. age, the glans will be fully revealed thanks to a natural retraction of the skin. Circumcision of babies and boys consists of cutting the skin of the foreskin to clear the glans.

In 90 percent of children, according to data from the Spanish Association of Pediatrics (AEP), the glans is shed normally at 5 years of age. The rest, that is, those who have not succeeded, can still wait until adolescence to do so. And it is that when they reach adolescence only 1 percent of male children have difficulties to see their glans, since the appearance at puberty of smegma, a whitish discharge with a strong characteristic odor that only uncircled males produce. and women, contributes to the definitive separation of the skin.

Circumcision is recommended for medical reasons in cases of phimosis, which is an alteration, sometimes congenital, that prevents the glans from emerging normally. The skin that covers it, the foreskin, does not retract normally and the tip of the penis does not appear as it should. In adulthood it causes difficulties in having sexual intercourse and can cause painful urination, although the latter is rare in children.

Circumcision surgery is simple, simple and fast. It lasts just an hour and has very limited risks. Besides circumcision, it is also called postectomy. During this intervention in the operating room, the foreskin, which is the piece of skin that normally covers the glans, is cut and removed. There are various techniques to perform this operation, and in all cases the result is that the glans is permanently exposed. This surgery is done with local anesthesia in adults, and with general anesthesia in children, and the discharge is usually done the same day, that is, the procedure is outpatient and does not require hospitalization, unless there are complications with general anesthesia in children.

Some specialists recommend that children be taught to retract their skin when bathing because water and moisture can gradually loosen skin adhesions. However, it must be noted that it must be done very carefully, without pulling or forcing, because if the skin is detached in a traumatic way, the wound that causes it will stick it back to the glans when it heals and the remedy is worse than the disease.

Circumcision is medically necessary for:

1. Recurrent balanitis. This infection or inflammation of the skin overlying the glans penis is caused by poor hygiene.

2. Phimosis. It occurs when the 'fibrous ring' that covers the glans prevents it from being retracted and uncovered, which can lead to infections under the excess foreskin.

3. Penile condylomatosis. Sexually transmitted disease, caused by the human papillomavirus (HPV). When warts that may appear on the glans and foreskin are widespread, surgery is necessary.

4. Penile cancer. It is recommended as part of the treatment of these cancers, depending on their location and extent.

In general, it is recommended when there are frequent infections in the penis, and in the urine; when there is pain and difficulty urinating; when there is pain during sexual intercourse and when there is the presence of paraphimosis (a urological emergency caused by the inflammation of the ring that forms the retracted foreskin. It can choke it to the point of causing the loss of the glans).

Among the advantages of circumcision in men, numerous studies have revealed that circumcised men suffer less cancer of the penis and are less likely to contract sexually transmitted infections, from syphilis and gonorrhea to the AIDS virus itself.

The fact that the glans is always in the air facilitates better hygiene, which also contributes to the fact that 10 percent fewer cases of infections are registered in the circumcised than in the uncircumcised. Another added advantage for men operated on is that the risk of paraphimosis is reduced to zero.

Among its drawbacks, the most striking is the loss of sensitivity of the glans in operated men. An aspect that is noticeable in sexual intercourse and that is attributed to the constant friction of the skin of the glans with the underwear.

Marisol New.

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Video: Surgical Techniques for Neonatal Circumcision I (May 2022).