Adenoid surgery in otolaryngology, circumcision surgery in urology, scoliosis surgery in orthopedics, refractive errors in ophthalmology, orthodontics and orthodontics are all popular directions for medical treatment in the summer vacation. It is understood that the winter and summer vacations are the peak period for circumcision, and more than 500 cases of pediatric circumcision are done in the second hospital of the city every summer. After entering the summer vacation, many parents choose to take their children for circumcision-related consultation and treatment during the vacation. So does a little boy need to be circumcised? When is the right time to cut? Huang Wen, director of the Department of Pediatric Surgery for Thyroid Hernia and Vascular Surgery of the Second People's Hospital of Foshan City, introduced, "First of all, we must check whether the child meets the indications for surgery, and we must show the doctor the development situation. "
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"The first case is pathological phimosis. Before the age of 3, it is normal for the foreskin to not be able to turn up, which is physiological phimosis, and it is recommended that parents turn the child's foreskin every time they bathe the child. If it cannot be turned up after the age of 3, it is pathological phimosis, and surgery is recommended. Huang Wen introduced that the second situation is incarceration, which is mostly seen in the narrow opening of the foreskin, after the foreskin is opened, the narrow opening of the foreskin forms a tight narrow ring, tightly clamping the body of the penis. In this case, it is necessary to send to the hospital in time, and if it is not treated in time, there is a possibility of ischemia and necrosis of the glans penis. The third condition is recurrent infection. If the foreskin is red and swollen, and the glans penis is repeatedly infected and inflamed, even if you are under the age of 3, you must be circumcised as soon as possible. The fourth condition is that the foreskin is scarred. These scars are actually caused by repeated infections and inflammation, so it is recommended to have surgery as soon as possible. "The specific situation is still to take the child to the hospital first, because some inflammation may be caused by diabetes, and some inflammation may be caused by narrow external foreskin and repeated infections, and it is necessary to let the doctor carefully examine and evaluate before deciding whether to operate."
In fact, almost every male baby is born with phimosis, which is called physiological phimosis. According to domestic statistics, 5~6-year-old babies still have nearly half of the phimosis, and some late-growing male babies can be completely separated from the foreskin and penis head until they are about 10 years old. If the baby is within this age range and has no other discomfort manifestations, then physiological phimosis is generally no problem, and there is no need to rush to surgery, but if it is pathological phimosis, the foreskin is red and swollen, and the glans is repeatedly infected and inflamed, surgery should be considered, and it is up to the doctor's professional judgment.
As for what age circumcision is appropriate, in fact, circumcision is not related to age, only depends on whether there is an indication for surgery. "I especially remind everyone not to believe in the saying that the sooner the cut, the better, no matter how old or young, if there is an indication for surgery, you can operate. In general, most boys don't have to think about it until the age of 5; After the age of 5, if the foreskin opening is still narrow and cannot be opened to reveal the glans, surgery may be considered; After entering puberty, if you still can't turn it over, or even have a painful erection, then surgery is necessary. Adults with long foreskin surgery can make an appointment at the hospital at any time. Dr. Huang introduced, "There is not much difference between the older children and the younger children, the small children can do it with hoops and staplers, and the older children can either use a stapler or use traditional manual sutures, which is relatively more complicated and painful, and it is relatively simple to do when it has not yet developed." ”
Experts remind that for children of appropriate age, surgery is generally recommended between the ages of 7-12, because the foreskin of children at this age is thinner and easy to recover, and the child has begun to be sensible, and the surgical process is relatively smooth. When it comes to choosing the timing of surgery, it is generally recommended to have surgery during the summer and winter holidays, so that the child can rest at home for a week without the distractions of school and outdoor activities.
On July 19, in the inpatient area of the Department of Urology of the Second Hospital of Foshan City, the reporter met several children and parents who had just undergone surgery. Two 6-year-old "patients" patronized and played Ultraman, and they didn't feel too much pain for the time being. Aunt Fan, a family member of the patient, said that her grandson had just passed 6 years old, and last year she said that the foreskin was too long, and she also took him to the doctor.
Miss Huang, a family member of the patient, said that since her son went to kindergarten, he came back from a physical examination every year and said that it was phimosis for three or four years. Before, the child was also worried about the operation and resisted, but then he was slowly persuaded to be willing. "I said I would take him to the doctor, and he cried, and persuaded him to come for three days. Now it's still very easy to see the operation, you see that he is fine, it doesn't seem to hurt, I asked him if it hurts, and he said a little bit. At present, the Second Municipal Hospital adopts a "painless" method of sedation and local anesthesia to complete the foreskin surgery for inpatient children. Generally, you can be discharged from the hospital on the same day of circumcision, but you should take more time to rest after surgery. Some parents arrange for their children to have surgery first during the holiday, and then travel abroad, and the doctor reminds them to minimize exercise within 5 days of surgery to avoid bleeding from the wound. It will take three weeks for a full recovery after surgery, and it will be safer to arrange for an outing after that.
Text, photo/Foshan News and Media Center Huang Baien
Video/Foshan News and Media Center Huang Kuixiang