Is circumcision a simple procedure?
Since circumcision is a surgical procedure, it is not a procedure that can be taken lightly. If it is not done by specialist physicians, it may cause serious problems that may affect your child for the rest of his life. Circumcision complications are quite high in circumcisions performed by non-expert hands.
Does the white secretion on the penis under the foreskin need to be cleaned?
The white physiological secretion that allows the foreskin to slide over the glans penis (tip of the penis) with growth is called Smegma. It is an unnecessary and harmful procedure for the parents to pull the foreskin back and clean this secretion. Cleaning the smegma secretion during circumcision surgery is a sufficient procedure.
Which age range is not suitable for my child's circumcision?
The 4-6 age period is a critical period for the psychological-sexual development of boys. It would be appropriate to avoid circumcision surgery in this period unless there is a medically necessary reason so that the child can complete his psychological-sexual development without being injured.
Can I circumcise my child while he is in diapers?
Nowadays, with the concern about the possible psychological effects of circumcision, It is generally seen that the desire of educated parents to undergo circumcision in the newborn period or in the early years increases. Since it has been found that diapered babies are easily followed up after the circumcision procedure, we recommend circumcision surgery at this age.
Is a specialist physician's examination necessary before circumcision surgery?
Specialist examination before the circumcision procedure is very important. Because during genital examinations, we can detect additional genital anomalies of the inguinal region such as hypospadias, undescended testicle, inguinal hernia, buried penis and varicocele. Depending on the presence of these additional problems, the time of surgery may be postponed or circumcision surgery may be performed along with additional pathologies. Thus, your child will be saved from additional pathologies with a single anesthesia.
What kind of problems can we encounter if we have circumcision done in non-expert hands?
There is no chance of timely treatment of the additional pathologies listed above. In addition, depending on the circumcision method used, the tip of the penis, which we call the glans penis, Those who have problems with the skin of the abdomen or penis; You may encounter problems due to insufficient circumcision (Picture-3) and prolonged exposure of the penile mucosa. Your child may need a second operation. For these reasons, you should prefer surgery to be performed by specialist physicians.
Can I circumcise my child at home with local anesthesia?
It is not possible for the child circumcised under local anesthesia not to feel pain. Moreover, children older than 1 year experience intense anxiety and fear. Moreover, if the person who is affected by the child's anxiety, crying and reactions tries to make the attempt in a hurry, it increases the risk of mistakes and complications.
What is the most suitable environment for my child's circumcision?
The circumcision is not performed under appropriate conditions and by experienced people. This may cause permanent damage to the penis and even life-threatening effects. In order to reduce the risk of infection after the circumcision procedure, the circumcision operation should be performed in the operating room environment in accordance with the basic surgical principles.
Is anesthesia required during the circumcision procedure?
Appropriate anesthesia and analgesia (pain relief) should be used throughout the circumcision procedure. ) is very important to ensure. While pediatric surgeons generally prefer to perform circumcision under general anesthesia, some surgeons use local anesthesia. Since babies' movements are easily controlled in the first 3 months, circumcision can also be performed with local anesthesia. After 3 months, surgery should be performed under general anesthesia.
There are many methods for circumcision. Which one should I choose?
Guillotine (flying) method: Although it is not recommended because it causes glans incisions, it is a method frequently preferred, especially by non-experts, as it is easy and fast for the person performing it.
Dorsal Slit and Excision: In this technique, a dorsal incision is made at the 12 o'clock position, and then the preputium is excised all around. Since the procedure is performed by seeing the glans, there are no glans injuries. The resulting mucosa and skin lips are sutured with absorbable stitches. This is the method used by pediatric surgeons.
Is there anything we need to pay attention to on the day of the operation?
Be at the hospital at the appointment time. your child's opera It is important not to consume food or drink at least 4 hours before the time of the procedure.
What kind of experience awaits us during and after the circumcision procedure?
After the patient is admitted to the clinic, vascular access is opened. At the operating room door, your child is taken to the operating room after intravenous dormicum (sedative medicine) is given to prevent the child from fearing separation from the family. After the anesthesia team puts the patient to sleep with a mask, the procedure begins with local anesthesia for a painless post-operative process. The whole process of circumcision is done by seeing. Since the tissues are cut with a scalpel and tissue scissors, circumcision is performed safely. Vein ends are burned with bipolar cautery. After the dressing is done, the patient is woken up and taken to the ward where they are sleeping with the family. Feeding is started 1-2 hours after the operation. The patient is discharged on the same day.
Do I need to dress at home?
Since the work is done under sterile conditions, post-circumcision dressing is not necessary. The patient's existing dressing is removed 2 days later, after taking a warm water bath at home. It is sufficient to care for the wound with an antibiotic ointment.
For babies with diapers, after the bandage is removed, a paper cup will be used to prevent the diaper from touching the circumcised area.
When should we come for a check-up?
If there is no problem with the home follow-ups, a check-up is appropriate after 10-15 days to see if the patient has recovered.
There is something I should pay attention to after the check-up. Is there any?
Due to the excess fat tissue around the penis in babies, after circumcision, the penis may be buried in the surrounding fatty tissue. To prevent unwanted adhesions, while changing the diaper once a day, it is appropriate to press the fatty tissue on both sides of the penis with your finger to deliver the entire diaper and clean the area around it.
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