Circumcision at Cosmo Aid Clinic Kolkata by Dr. Anand Nagwani

Circumcision



Circumcision is the surgical removal of the foreskin, which is the skin covering the tip of the penis. It's common in India. The procedure is typically done on a child, but it also done in older children and adults. In healthy child, there is no medical need for circumcision. However, families may choose to have their sons circumcised a number of reasons (for personal or religious reasons). One of the most common reasons is religious tradition. The religious laws of both Judaism and Islam require that child boys be circumcised. Other reasons to circumcise, for older children or adults to treat several conditions include:

Indications -

  • Balanoprosthitis (inflammation of the tip and foreskin of the penis)
  • Phimosis (inability to retract the foreskin)
  • Paraphimosis (when the foreskin is retracted and can't be returned to its original position)
  • Ritual for religious reasons.
  • Personal reasons/ personal choice
  • Resulting lowered risk of some conditions
  • Some fathers want to have their sons look alike.
  • Aesthetic preferance


There are health-related reasons to circumcise child males. Most of them aren't factors until young adulthood, however. Circumcision is a decision best left to parents. Doctors can help parents better understand the benefits and risks. Circumcision has no effect on a man's fertility, and there are mixed results of the few studies of how circumcision affects sexual pleasure. Some found no effect, while others found increased sensitivity.

Benefits of Circumcision

  1. Decreases risk of urinary tract infections in infancy
  2. The benefits to health of circumcision are so widely known that in 1998 the U.S. Department of Health decided to recommend circumcision in order to reduce urinary infections and the incidence of cancer
  3. Decreases risk of penile cancer
  4. Decreases risk of sexually transmitted diseases, including female-to-male transmission of HIV
  5. Decreases risk of cervical cancer and some infections in female partners
  6. Prevents balanitis, phimosis, and paraphimosis
  7. Provides easier genital hygiene.


Complications of Circumcision - are very few

  1. Some of patients look as disfigurement
  2. Initially may cause mild pain, medications are administered to reduce pain
  3. It has few immediate health benefits, but long-term benefits are present.
  4. Other rare complications are cutting the foreskin too long or too short, poor healing, bleeding, or infection.


Preparation

Circumcision is often done inchild. For older children and adults, the procedure is usually performed in a hospital or surgery centre on an outpatient basis. This means that you would go home on the same day. Proper consent is also needed.

Procedure

Circumcisions are usually done by a Paediatric surgeon, Plastic surgeon or urologist.

During the child circumcision, anaesthetist will give general anaesthesia in a very secured way. An anaesthetic some time also give local block anaesthesia, is given via injection or cream to base the penis. There are several techniques for performing circumcision. The choice of which technique is used depends on the physician's preference and experience. The three major methods of circumcision are the Gomco Clamp the Plastibell Device, and the Mogen Clamp. Each one works by cutting off circulation to the foreskin to prevent bleeding when the doctor cuts the foreskin.

The procedure takes about 30 to 45 minutes.

Follow-up

After the procedure, your baby may be fussy. The doctor or nurse will provide instructions to decrease any discomfort. Healing time for a child's circumcision is about 7 to 10 days.

It's normal for the penis to be slightly red or bruised for a few days after the circumcision. You can wash the penis and change the dressings or if everything is alright after 2 days than, it can be left open.

Recovery in adults

Your doctor will give you specific instructions on how to care for your incision and lessen your pain.

In general, you should return to work and daily activities when you feel comfortable. Avoid strenuous exercise, such as jogging or weight lifting, for the first four weeks of your recovery or until your doctor gives their approval. Walking is the best way to exercise during your recovery. Try to walk a little more than usual each day.

You should avoid sexual activity for six weeks after the procedure

Call your doctor if you have any of the following:

  • Increased pain
  • Trouble urinating
  • Bleeding
  • Signs of infection, including fever, increased redness, swelling, or drainage

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