When is circumcision needed? – VnExpress

Men should only remove the foreskin in necessary cases to avoid dangerous complications, even death.

According to Master – Doctor Ta Ngoc Thach, Department of Urology, Tam Anh General Hospital, Hanoi, circumcision has been performed since ancient times and still exists to this day. Whether or not this procedure should be performed and when is still a matter of debate. Around 80% of the world’s men are uncircumcised. The rate of performing this procedure in infancy is high or low depending on factors such as religion, ethnicity, social status, economic ability, and attitudes of parents and physicians.

In Vietnam, for many reasons, circumcision is considered a minor procedure and should be performed in the operating room and discharged the same day. In reality, however, complications have arisen.

Studies show that the rate of complications in neonates is 1.5-10%, the most common are infection, bleeding, brake ulcer, inflammation or narrowing of the urethral opening, adhesions, and capsular stenosis. Recurrence of the foreskin… Some other complications are less common but very serious including tetanus, tuberculosis of the penis, hepatitis B, hepatitis C, glomerulonephritis, genital infections… even possibly death from sepsis.

Doctor Ngoc Thach (center) during a circumcision surgery. Image: Tam Anh General Hospital.

Therefore, Dr. Ngoc Thach recommends that men should only remove the foreskin in cases where it is absolutely necessary, when health is affected such as:

Pathological stenosis of the foreskin: This condition usually occurs in men aged 17-31 years, rarely in children under 5 years old. With pathological stenosis, the treatment with corticosteroids did not achieve the desired effect, so the patient was prescribed circumcision.

Partial stenosis of the foreskin with recurrent strangulation.

Balanitis, balanitis – recurrent foreskin: These two inflammations can occur separately but cause damage at the same time. Characteristic symptoms are swelling of the glans and pus discharge. The main cause of inflammation is E.Coli, Protéus vulgaris, urea-degrading bacteria in urine… Balanitis – foreskin accounts for 3% of the total number of uncircumcised boys. , one third of them will have recurrent inflammation and the most common age is 5-11 years old. In uncircumcised adults, the rate of balanitis is 5 times higher.

Foreskin bulging: The foreskin is split unevenly after cutting, it will swell, especially when urinating. Men are prone to cystitis, urethritis narrowing the urethra, sticking the foreskin to the glans, if not re-operated.

Doctor Ngoc Thach said that from a medical perspective, circumcision in case of pathology is a procedure that should be done as soon as possible. Besides, the doctor can perform a number of alternate treatments such as topical corticosteroid application, dorsal foreskin incision and shaping for necessary cases. When men have problems with the health of the genital organs, they should go to a specialized hospital for specific examination and advice by doctors, to avoid dangerous complications and improve their quality of life.

Circumstances that are not circumcised include: premature babies and newborns; people with blood clotting disorders, prone to bleeding; Angle deformity at the back of the penis, children with low urinary tract, high deviation, small or propeller-shaped penis, too long foreskin…

Han Thai


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