Circumcision

The first step to confidence starts with hygiene

Is circumcision necessary?

Circumcision is a surgery that involves removing the foreskin that covers the tip of the male genitalia.

The overall average circumcision rate in our country is about 60%, which is significantly higher compared to international cases. Furthermore, the frequency of circumcision is gradually increasing, with about 90% of individuals under the age of 18 undergoing the procedure.

Circumcision is not absolutely necessary, but it helps reduce odor, making hygiene management of the genitalia easier. It also aids in the prevention of various diseases such as sexually transmitted infections and urinary tract infections, and affects the sensitivity of the genitalia, which contributes to smoother sexual intercourse.

Circumcision

Hygienic advantages

By removing the foreskin, the tip of the penis is always exposed, making it easier to wash away bacteria, sweat, and oils that can accumulate under the foreskin. This facilitates hygiene management and reduces the risk of infection and inflammation.

Health benefits

Studies have shown that circumcision can reduce the risk of HIV infection and urethral infections by up to 50%. Additionally, research indicates that it may reduce the risk of prostate cancer by up to 60%.

Smooth sexual intercourse

If the foreskin is too tight or excessively long, it can cause discomfort or pain during intercourse, making circumcision necessary for smooth sexual relations. Additionally, the foreskin can make the penis more sensitive to sexual stimuli, so circumcision can help regulate the sensitivity of the genital area.

Types of circumcision

There are several methods of circumcision, and each surgical technique may vary depending on the patient's condition and the purpose of the surgery. The typical circumcision methods are as follows:

Dorsal Slit Incision

The dorsal slit incision is a procedure that does not completely remove the foreskin but instead makes an incision on the dorsal side, then sutures it in the opposite direction to widen the opening of the skin covering the glans.

This procedure is recommended for adults who experience soreness or minor bleeding due to delicate skin during sexual intercourse, as well as for children who have a fear of pain.

Since this procedure is intended to treat delicate skin, after suturing, the foreskin is placed back to its original position. Therefore, the appearance of the penis after the surgery is similar to its pre-surgery state, which distinguishes it from a complete circumcision.

Circumcision

Circumcision is the most widely used method, in which the foreskin covering the tip of the penis is completely removed in a circular manner.

This surgery is usually performed under local anesthesia, but general anesthesia may be used for children.

The shape of the foreskin to be removed is designed by adjusting the degree of glans exposure, then the marked line is followed to separate the subcutaneous tissue and excise only the skin.
The two ends of the excised foreskin are sutured together to create a clean and aesthetically pleasing appearance.

What is paraphimosis?

Paraphimosis is an emergency situation where the foreskin is retracted behind the glans and cannot return to its original position, causing severe pain by compressing the penis. If not treated immediately, the swelling of the foreskin can block blood flow to the tip of the penis.

The main causes of paraphimosis are as follows.

  • 1

    It can occur when the foreskin is excessively retracted during sexual intercourse or masturbation.

  • 2
    If the foreskin is tight and it is forcibly retracted to expose the glans, it will not return to its original position.
  • 3
    If there is inflammation or a wound under the foreskin, it may not return to its original position.
Gandon Whaling

Circumcision is a choice for hygiene and health!

Tips for circumcision

Studies have shown that circumcision can significantly reduce the risk of sexually transmitted infections. The risk of genital herpes infection is reduced by 25%, the risk of human papillomavirus (HPV) infection by 35%, and the risk of HIV infection by approximately 65%.

Optimal Timing for Circumcision

  • The optimal time for circumcision is typically from the upper grades of elementary school to middle school. If the penis size is too small, the surgery may be difficult, and the ability to withstand pain may be lower.

  • Newborns can also sense some level of pain, which may affect their emotional development.

When Circumcision is Necessary

  • When the foreskin tightly covers the glans

  • When balanoposthitis or adhesion of the foreskin to the glans occurs frequently

  • When the foreskin is retracted and tightly constricts the penis, known as paraphimosis

  • When there are pathogens such as genital warts

Post-surgery precautions

  • There is no disruption to daily life after the surgery.

  • You can shower after 2 days, and taking a bath is possible after about 1 week.

  • Exercise, alcohol consumption, and sexual activity can be resumed approximately 2 to 3 weeks after the surgery.

Circumcision is not a mandatory procedure, but it can be helpful for hygiene reasons as well as for preventing inflammation and sexually transmitted infections.

Generally, sexual intercourse can be resumed 2-3 weeks after circumcision, but it is recommended to wait until the wound is fully healed before engaging in sexual activity.