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Circumcision is the surgical removal of the foreskin, the tissue covering the rounded head (glans) of the penis. This form of surgery is usually done in male infants, but also in older boys and men, for the following reasons:
For newborn circumcision, the baby will be positioned to lie on his back, with his arms and legs restrained. After the penis and surrounding area are cleansed, a local anesthetic, e.g. lidocaine or xylocaine, will be injected into the base of the penis or applied to the penis as a cream. A plastic ring (clamp) will be attached to the penis, and the foreskin will be pushed back and removed. After the procedure has been done, the penis will be covered with an ointment (topical antibiotic or petroleum jelly) and wrapped loosely with gauze. The procedure generally takes about 10 minutes.
Circumcision for older boys and adults is slightly different. The doctor must always take informed consent, giving all the information about possible adverse effects and complications. The procedure in adults may need to be performed under general anesthesia instead of local anesthesia so that the patient undergoing the procedure does not feel pain. General anesthetics include propofol, etomidate, isoflurane, benzodiazepines and barbiturates, et cetera. The procedure is commonly performed using either the dorsal slit or the sleeve technique. The dorsal slit is especially useful in patients who have phimosis. The sleeve technique may provide better control of bleeding in patients with large subcutaneous veins. A dorsal penile nerve block, with or without a circumferential penile block, provides adequate anesthesia. Informed consent must be obtained. is removed with a scalpel, and it takes around 1 hour.
leave the same day as the surgery. However, it is important to have regular check-ups with the surgeon during recovery.
You should plan to stay in Johannesburg for at least 2 to 3 days after your surgery, this will allow for the initial recovery and follow-up check-ups and etc.
The doctor uses small absorbable stitches during the procedure which do not require removal. However, follow-up care is necessary for your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. Be aware that you will need to stay within the area until you get the go-ahead from your surgeon that you can travel back home.
Circumcision is a safe and preventive procedure to protect. There is compelling evidence that male circumcision reduces the risk of heterosexually acquired HIV infection in men by approximately 60%. Recovery might take longer and the risk of complications might be greater when done later in life.
Circumcision is an optional procedure done in male infants. The procedure is done usually due to religious and cultural reasons and depends completely on the parents' decision. It is not compulsory to get a baby circumcised.
Later in life, a man can choose for himself to be circumcised, or if a medical condition occurs, the doctor can advise a patient to be circumcised.
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