Friday, January 2, 2009

Circumcision: Necessary or Not?

For some people think that circumcision maybe related to any religious or cultural matter. In a very simple definition circumcision means, a minor surgery of penis' foreskin removal (Macquarie Dictionary, 2nd Edition, 1991).

For some reasons, circumcision has been the obligation for many religions: Islam and Judaism. WHO (World Health Organization) noted that 30% of all males, are circumcised (Male circumcision: "Global trends and determinants of prevalence, safety and acceptability", World Health Organization 2007, Retrieved on 2008-08-20).

The benefits of circumcision has been acknowledged since a very long time ago. Circumcised penis is more likely cleaner than uncircumcised one, thus the circumcised penis doesn't have skin that covered the glans anymore. The American Academy of Pediatrics (1999) stated: "Circumcision has been suggested as an effective method of maintaining penile hygiene since the time of the Egyptian dynasties, but there is little evidence to affirm the association between circumcision status and optimal penile hygiene. Some studies showed that uncircumcised male are riskier to many diseases - STD (sexual transmitted diseases).


(Picture = Circumcised penis in both flaccid and erection state, Source = http://en.wikipedia.org/wiki/Circumcision)


(Picture = Uncircumcised penis in both flaccid and erection state, Source = http://en.wikipedia.org/wiki/Circumcision)

The steps of circumcision procedure:
1. Examination
The patient must be examined first trough a proper health inspection. Circumcision can't be made for: hemophilia, hypospadia, and many blood diseases. Indication could be absolutely needed for: paraphimosis, inflammation, and my infection diseases.

2. Antiseptic / Antisepsis
Patient that is allowed to continue on circumcision usually be prepared with antiseptic / antisepsis procedure. Usually the penis and around be applied with Jodium or such.

3. Anesthesia
Before going into circumcision surgery, the patient could chose whether he wants to be local anesthesia or even general one. Though circumcision is minor surgery, but anesthesia is absolutely needed to avoid pain.

4. Foreskin measurement
This procedure needs to be done so the surgeons could ensure that they would cut the foreskin properly. Usually this procedure needs a clamp as they do with Guillotine Style.


(Picture: The measurement of penis' foreskin with clamp, Courtesy of M. Caesario & L. Nursanty)

5. Foreskin removal
Surgeons usually use the best tool to remove the foreskin, they could use started from scalpel, scissors, even a monopolar cauter.


(Picture: A complete circumcises penis as clamping the source of the bleeding, Courtesy of M. Caesario & L. Nursanty)

6. Wound stitching
A circumcised penis needs to be stitched as to stop the bleeding.


(Picture: Stitching process, Courtesy of M. Caesario & L. Nursanty)

7. Finishing
As the stitching completed, nowadays surgeons usually to take it opened than wrapped with gauze. The opened wound care of the circumcised penis needs extra care, so it wouldn't be applied with water as bathing.


(Picture: A complete stitched circumcised penis, Courtesy of M. Caesario & L. Nursanty)

7 comments:

  1. Do you put a bandage post circumscision Doc?

    ReplyDelete
  2. Hello doctor, thanks for coming to my blog. Nowadays doctors usually prefer open-wound-care than closed-wound-care with such bandage closure as the wound would heal rapidly according to the journal I read [*]

    As the circumcision done by general anesthesia which is so easy to detect and close the bleeding, open-wound-care maybe effective to be chosen for the post operation treatment. My sister herself usually applies some topical antibiotic for the open-wound-care treatment after operation.

    [*]
    1. Woodside, J.R.: Necrotising fasciitis after neonatal cir-
    cumcision. Am J Dis Child 1980, 134:301.
    2. Cleary, T.G. and Kohl. S.: Overwhelming infection with
    group B B-hemolytic streptococcus associated with cir-
    cumcision. Pediatrics 1979, 64:301.
    3. Drescher, E.: Observations on the conservative treats
    ment of exomphalos. Arch Dis Child 1963, 38:135.
    4. Martin, E.W.: Remington's Pharmaceutical Sciences.
    Mack Publishing Company,Pennsylvania, 1965, pp 1237.
    5. Gairdner, D.: The fate of the foreskin. A study of cir-
    cumcision. Brit Med J 1949, 2:1433.
    6. Parks, D.H., Carvajal, H.F. and Larson, D.L.: Manage-
    ment of burns. Surg Clin N Am 1977, 57:875.
    7. Brooke, B.N. and Walker, F.C.: Circumcision without
    catgut. Brit J Urol 1964, 36:106.
    8. Mouzas,G.L. and Pompa, P.: The use of Dexon and plain
    catgut in circumcision. Brit J Surg 1974, 61:313.
    9. Datta, N.S.: Simplecircumcision dressing. Urology 1976,
    5:495.

    ReplyDelete
  3. Circumcision is a sick Jewish custom originally implemented for Jewish women to be able to distinguish Gentile men from Jewish men. A custom born in prejudice, not to mention that it deprives men of a great deal of sexual pleasure. It is child abuse when done on babies and youngsters under the age of consent.

    Don't want increased risk of infections or STDs? Practice proper hygiene and be faithful to your romantic partner. Simple, really.

    Learn more at Stormfront.org

    ReplyDelete
  4. Circumcision is obligatory is ISLAM!!!!!!!

    ReplyDelete
  5. Chore. Tak zgodne z naturÄ… jak pedalstwo.

    ReplyDelete
  6. Circumcision is highly beneficial - hygienically, comfort-wise and most of all - sexually. It would be far more widely practised if the benefits were better known. I am circumcised and would not wish to be any other way!

    ReplyDelete
  7. How does it feel to be circumcisized

    ReplyDelete