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Circumcision is the removal of the foreskin (or prepuce) that covers the glans (head) of the penis by surgical means.
The procedure is pain free because it is carried out under local anaesthesia. The surgery can be performed using any of the methods mentioned below depending upon the clinical indication of each individual patient.
Ring method (Plastibell)
Plastibell Method (Ring Method) is the most popular and common method of circumcision and only takes few minutes to perform. It is highly recommended and suitable for infants and young boys unless indicated otherwise.
A plastic ring (Plastibell) is placed between the glans and foreskin of the penis and a strong thread is tightened around it. This thread severs off the blood supply of the foreskin which eventually dies. It then falls off generally with the ring (Plastibell) within 3 to 14 days leaving a clean healed cut at the tie-line. No stitching or dressing is necessary. Chemical (Silver nitrate) or electro-cautery (diathermy) is used to control minor bleeding during the procedure.
An advice sheet which provides the details of after care of the procedure is given out at the end of the procedure to the parents/patients.
Complications : The recognised but rare risks of the procedure are: bleeding, infection, ring displacement and retention and residual excess skin remaining.
Sleeve Resection Method
It is quite a common method of circumcision and only takes around half an hour to perform. It is appropriate for infants, young boys and adults though it is more suitable for young boys and adults.
This method involves incisions made with a scalpel or scissor in both the outer and mucosal surfaces of the foreskin. The foreskin is removed as a ring of tissue. Electro-cautery (diathermy) is used to control minor bleeding during the procedure. The procedure is completed with suture closure of the incision with fine, absorbable (or self-dissolving) stitches. The needle utilised for skin stitching is an atraumatic cosmetic surgery one.
An advice sheet which provides the details of after care of the procedure is given out at the end of the procedure to the parents/patients.
Complications : The recognised but rare risks of the procedure are: bleeding, infection, and residual excess skin remaining. |
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