Men are understandably nervous at the thought of this procedure. However, the procedure is not as bad as many patients would imagine. In our healthcare facility, this procedure is done often and has become a common process. Patients praise the results and speak positively about the procedure.
FROM CONSIDERATIONS TO POST OPERATIVE EXPERIENCE
The patient comes to the clinic often shy and with uncertainty, whether to undergo the procedure, in the process of his decision-making, fear and worry play a big role. From the experience of several patients, we can confirm that the tolerability of surgery is very good and there is no need to worry about it, even though logic says we can’t simply discard your concerns.
WHAT IS PHIMOSIS AND CIRCUMCISION?
Phimosis when the foreskin is tight and won’t pull back (retract). Surgical operation of phimosis is called circumcision. This is a partial or complete removal of the foreskin of the penis.
WHY DO MEN UNDERGO CIRCUMCISION?
There are several reasons why men choose to undergo this procedure.
- Health reasons for a man. The foreskin can be narrowed and practically cannot be stretched. The foreskin may be unusually narrow so that it causes a problem in urinating. Pulling back the foreskin can be painful. According to the latest research, HIV infection can also be reduced.
- Health reasons for a woman. Circumcision can potentially help prevent cancer in both men and women. According to statistics, in Israel, doctors come across cervical cancer less frequently, as a circumcised man offers his partner higher standard of hygiene, since his penis does not have skin folds in where pathogenic bacteria, fungi and viruses are cumulated. The procedure helps to prevent female sexually transmitted infections.
- Aesthetic reasons. Narrowed foreskin doesn’t cause medical problems to all men. They do not feel pain in the area, nor are they limited in any way, but they are troubled by their aesthetic appearance consisting of an excessive amount of foreskin or the resulting feeling that the penis is relatively smaller.
WHAT ARE THE BENEFITS OF THE PROCEDURE?
Circumcision does not reduce the ability to achieve an erection, or reduce sexual pleasure, nor does it affect potency, but rather has a positive effect on sexual life. Many women consider the male penis to be very hygienic and “sexy” after circumcision.
Preparation before surgery: No special preoperative examination or preparation is required before surgery. You can eat and drink, alcohol is not allowed.
During the procedure: Male circumcision is performed at an outpatients clinic under local anaesthesia. The procedure takes about 60 minutes. The treated area is numbed by the application of local anaesthetic to the penis root, thereby providing the patient with painless treatment. In surgical wounds we use absorbable sutures, which means that patient doesn’t need to come back to have stitches removed. After the procedure you leave for home care accompanied by another person.
Post-operative care: The surgeon will explain to you how to properly treat the wound and follow these instructions. Strict bed rest and therefore a sick note is recommended for about 7 days after the procedure, when the possibility of complications are at their highest.
- Follow increased hygiene care. Shower daily but avoid long soaking of wound in water. Long bathing may cause the sutures to fall out, inflammation and eventual disintegration of the wound.
- Restrict sports activities.
- Restrict sexual intercourse until the wound is healed, at least until the stitches are dissolved, we recommend approx. 5-6 weeks.
Post-operative complications: After the procedure, a minor or larger swelling, possibly a “bruise” may occur, but it will eventually disappear.
FACTS FROM AROUND THE WORLD
World Health Organization (WHO) research has shown that circumcision allows up to 65% protection against HIV.
According to research carried out by South African scientists and presented at the International AIDS Conference in Rio de Janeiro, they argued that circumcision could be an effective means of combating this disease, even comparing it to an effective vaccine. Based on the research, French professor Bertrand Auvert of the French National Aid Office said: “There is a strong protective effect against HIV in six out of seven cases.” World Health Organization (WHO) experts have shown that circumcised men have a significantly lower risk HIV infection than other individuals. The risk increase in uncircumcised men is because the foreskin is covered with cells that are easily infected by the virus. Several studies have concluded that up to 2 million people infected with HIV and up to 300,000 deaths could be prevented by this surgery.