Reconstruction of the foreskin in children

The foreskin is the skin that surrounds the penis from the moment a baby is born and usually automatically retracts between the ages of 4 and 5. In some cases, a child reaches puberty and the foreskin has not yet retracted on its own, and surgery may be necessary.

The foreskin is the part of the skin that covers the foreskin. Before the baby is born, the foreskin and head of the penis develop as a single, adherent body. Gradually, the inner surface of the foreskin and the skin of the head of the penis begin to separate due to the shedding of cells on the surface of each layer. Foreskin stenosis is defined as a condition in which the foreskin is tight and cannot be turned completely out of the glans. This phenomenon is quite common in children. However, the incidence of narrowing decreases with age. At birth, most children have physiological narrowing of the foreskin, but as they grow older, the foreskin will separate from the glans with almost no intervention. Pediatric circumcision is the surgical removal of the skin covering the tip of the penis. This surgery can be performed on adults or children. For very young children, pediatric circumcision is usually done if the baby is healthy. In adults, circumcision is usually performed when a man has a diagnosis of balanitis, stenosis (when the foreskin does not fully retract from the glans), or strangulation of the foreskin (when the foreskin is not fully retracted). foreskin cannot be pulled down).

Reduces the possibility of infection in the head of the penis: Circumcision can reduce the amount of bacteria under the scalp of the penis, thereby reducing the risk of UTIs or inflammation of the foreskin. Reduces HIV risk: Circumcision has been shown to partially reduce the risk of HIV and other sexually transmitted infections in adults. Reduced risk of penile cancer: Circumcision in children can reduce the amount of bacteria and the possibility of infection, so the risk of cancer will be lower. Safe sex hygiene: The risk of sexually transmitted infections such as herpes, HPV is usually lower in circumcised men.

3.1 Indication Failure of conservative treatment. True stenosis of the foreskin (with an annulus). There is strangulation of the foreskin. At the request of the patient's family. 3.2 Contraindications Penile burial. Inflammation of the foreskin. Urethral stricture.

Step 1: Prepare the cutting mouth
Mark the cut off the outer edge of the foreskin about 5cm depending on the size of the penis and the length or narrowness of the foreskin. Use a hemostatic pliers to clamp on the foreskin to lift the foreskin, prepare to make the circumcision mouth
Step 2: Cut on the dorsal side
Use enamel scissors along the probe to cut the inside and outside of the foreskin , the inner surface of the foreskin must also be cut to a place about 0.5cm from the edge of the penile groove.
Step 3: Circumcision
Adjust the inside and outside of the foreskin, pull the hemostatic pliers to clamp the dorsal surface of the foreskin and the cord to the outside. Use scissors to curve along the cut mark about 0.5cm from the penile groove to cut the right skin flap. Then again cut the left side. The inside of the foreskin may be left uncut or a little more left.
Step 4: Stop bleeding
Carry out hemostasis. Push the skin of the penis upwards, exposing the bleeding cut to stop the bleeding.
Step 5: Sew up
Sew up the wound. Use surgical sutures for sutures.
Step 6: Bandage
Proceed to wrap gauze around the cut.

Today, many hospitals and clinics have applied new and modern technology to replace the traditional method, bringing advantages in pediatric circumcision, such as:
Invasion technique Minimally invasive, does not affect the surrounding areas Less painful for the baby if an anesthetic is used There may be slight swelling and bleeding after the surgery but will heal quickly. Short minor surgery time, only 15 – 30 minutes The cost of circumcision is reasonable, not too high. After completing the pediatric circumcision surgery, most children can appear immediately or just need to rest in the hospital for a few hours. for home care.