Is There A Surgery For Paraphimosis?
Despite the risks, circumcision surgery is considered safe and it is the definitive solution for paraphimosis. However, there is another alternative, a procedure called preputioplasty. This procedure requires making a couple of small nicks in the foreskin to allow it to stretch, but it is more beneficial to go with a circumcision due to the impossibility of future recurrences.
Circumcision is a surgery to remove the foreskin of the penis. The foreskin is the skin fold that covers the head of the penis (glans).
Circumcision is a simple surgery to remove the prepuce from the penis. At birth, the foreskin is always attached to the head of the penis, but gradually separates and normally, by three years of age, it can be retracted. Although circumcision is performed more frequently in infants and young children, it can also be performed on men of any age.
Circumcision could be performed for medical reasons, for example, if the foreskin is too tight and it is difficult to stretch it again on the head of the penis. This is called phimosis and is very common in males during puberty. If the foreskin is tight and you force it on the head of the penis, there is a risk that it gets stuck there. This condition is called paraphimosis and generally needs urgent medical attention.
Preparation For A Circumcision
Babies are usually given local anesthesia, by injection or application of a gel in the area. This is considered to be safer than general anesthesia for newborns. In older children and adults, paraphimosis circumcision is usually performed as outpatient surgery with general anesthesia. This means that you will be asleep during the procedure.
At the hospital, a nurse will ask about your general health. They will also measure your heart rate and blood pressure. You should inform the nurse if you have allergies or if you have a family history of bleeding problems.
The surgeon will usually ask you to sign a consent form. This document confirms that you understand the risks, benefits and possible alternatives to the procedure and that you have given permission to carry it out.
What Happens During A Circumcision?
The surgery takes between 20 and 30 minutes. The foreskin is stretched forward and trimmed. The edges of the skin are stitched with resorbable stitches and/or special glue.
It is possible to wrap the penis with a paraffin-based bandage to avoid rubbing the clothing. The bandage is usually removed between 24 and 48 hours later.
If you are given general anesthesia for paraphimosis surgery, you may also be given a local anesthetic before you wake up. This means that you may experience at maximum mild pain postsurgery.
What Should You Expect After The Surgery?
After general anesthesia, you should rest until the effects of the anesthesia have disappeared. You can go home after you have urinated. However, you must make arrangements for someone to drive you home. It is advisable that a friend or relative stay with you for the first 24 hours.
Before you go home, the nurse will give you advice on how to heal the wound and a date for a follow-up visit.
Recovery After A Circumcision
Local anesthesia will keep you pain-free for about eight hours. You may need pain relievers to relieve any discomfort you feel after the anesthetic has passed. If necessary, you can take over-the-counter pain relievers.
What Are The Risks?
There are unwanted effects, although mostly temporary, of a successful procedure; for example, feeling discomfort as a result of general anesthesia. Common side effects include pain, swelling, and bruising of the skin surrounding the penis, which may take several weeks to disappear.
Complications could occur during or after an operation. Most men are not affected. Some of the complications inherent to any surgery include unforeseeable reaction to anesthesia, severe bleeding, or secondary infection.
Bleeding usually stops with pressure. On very rare occasions, heat (diathermy) or very fine sutures are used to seal the blood vessels. You may need to spend the night in the hospital under observation. The infection is generally mild and can be easily treated with antibiotics.