That night, my 7-year-old son said something that almost sent me away on the spot:
"Mom, I'm going to cut the foreskin!"
"Why?"
"My good friends Xiaoming and Xiaobo, many classmates have been cut!"
“……”
What should come, will come later. I just didn't expect that it was my son who proposed it himself.
What the hell is going on? Do you want to take your child for circumcision?
Don't worry, listen to me in detail.
Image source: Stand Cool Helo
In fact, as early as the age of 5, we dealt with urologists.
One night, the son suddenly pointed at little Tintin and said, "It hurts here."
My father and I quickly checked and found that the little tintin was almost all wrapped in the foreskin, could not be turned over, and the head was still a little red and swollen.
"No wonder this kid has been scratching tintin lately..." His dad and I blamed ourselves and took him to the urology department of the children's hospital the next day.
After the doctor's examination, Yun said lightly: "The child is phimosis, currently a bit of foreskinitis, after the inflammation control is recommended to do 'circumcision' surgery." ”
(Source: Provided by Parents)
Without a little defense, I "clucked" in my heart, the child is only 5 years old, how can it be to the point of doing surgery?
After a patient explanation by the doctor, I checked the information myself, and the stone in my heart landed.
Popular science time:
Just as the eyelids protect the eyes, the foreskin protects the penis.
Especially in the infant and young child development period, the foreskin wraps around the head of the penis, making it difficult for the latter to be exposed, which is called "physiological phimosis".
This situation does not have to worry too much, with the growth and development, Tintin will "grow", the foreskin mouth is exposed more and more, the foreskin is gradually separated from the head of the penis, and the phimosis state is naturally corrected.
Around the age of 3 years, most children's foreskins can be retracted and rolled up. If you are still in a complete phimosis state after the age of 3, you need to pay attention to your parents [1].
Phimosis may affect the development of tintin, and the dirt in the foreskin cannot come out, causing foreskinitis, balanitis, and urinary tract infections. Phimosis before puberty is recommended to be actively treated [1].
However, the doctor also said that phimosis is a common disease in children, and about half of the children who see the doctor every day have this condition, so don't be scared.
Also, don't confuse phimosis with too long a foreskin. If the foreskin is too long, it can be cut or not, and a doctor needs to be consulted.
Phimosis: The foreskin is long and the foreskin opening is too small, and the glans and urethral opening cannot be exposed when tintin is erect or the foreskin is turned down by hand.
(Schematic diagram of phimosis.) Source: self-drawn)
Too long foreskin: The foreskin is long and covers the glans penis, but the glans and urethral opening can be exposed when tintin is erect or the foreskin is turned down by hand.
At that time, I was already planning to do surgery, but unexpectedly, my son suddenly had a cold and fever, and the operation plan was stranded.
Since he himself offered it, he would cut it directly.
(Source: soogif)
Doctors say the procedure is foreskin noose ring surgery.
Specifically, it is to put a ring-like lashing device on Tintin's head, so that the excess foreskin is pressed by the "ring" card, and then slowly ischemia, necrosis and fall off.
This procedure has little bleeding, does not require sutures, takes about 5 minutes, and can generally be removed 7 to 10 days after surgery, leaving no obvious scars [1].
(Schematic diagram of circumcision ring surgery.) Source: self-drawn)
There are three main types of foreskin surgery [2], which can be done on an outpatient basis and can be completed in 5 to 10 minutes, usually without hospitalization.
(Source: self-drawn)
The doctor told us in advance that local anesthesia would be given during the operation, that is, at the site of the Tintin surgery. Listening to my son later, it was a little painful when the anesthesia injection was given, and there was no pain during the operation.
However, postoperative recovery is not as easy as surgery.
"Mom, I hurt!"
"Ah, it hurts to take medicine!"
"Shhh, how come little Tintin is bleeding again?"
……
Postoperative recovery is the time to test the patience of parents.
Although the doctor's instructions are only a few simple dozen words: drop boric acid solution, keep local exposure, dry, avoid clothing, quilts, etc. sticking to the wound.
But for active children, these details are too difficult to be human.
The old mother's heartache will not be said more, I have sorted out a few precautions, for your reference:
1. Do I still want to wear underwear?
Don't wear it! This is the only "way out". Because residual urine, etc. are easy to stick to the panties, it will be very painful to touch the wound.
Treatment: Tell your child not to wet the wound as much as possible. You can buy a tintin protective cover and wear it when you are not taking medicine.
2. Ding Ding swollen, urinary and old pain, what to do?
This is a normal phenomenon, and parents should encourage their children to drink water and urinate normally.
Some children do not drink water or hold urine because of painful urination, which may increase the risk of urinary tract infection.
3. Do I want to take a shower after surgery?
Bear with it first, the wound does not heal, and bathing may cause infection.
My method is to twist the wet towel to 80% dry and wipe the child's body. Doctors generally recommend that you can only shower after 3 to 4 days of surgery.
Finally, I would like to remind parents:
Circumcision is a minor procedure, but any surgery can have complications. Therefore, it is essential to listen to the doctor's words and deal with it carefully and take time to accompany the child to recover. Those annual leave, don't think about saving it
By the way, listen to my son, his other good friends, next summer is also ready to go to the hospital to see...
Reviewers:
Yang Yang
Deputy Chief Physician of the Department of Urology, Beijing Children's Hospital, Capital Medical University
Yang Yang
Doctor of Reproduction and Andrology, Shanghai First Maternity and Infant Health Hospital
bibliography
Ding Xufeng,Jin Baofang,Ling Fang,Cai Yijuan,Zheng Huaping. Advances in the treatment of phimosis in children[J].Chinese Journal of Sexuality Sciences,2016,25(08):26-29.
Urological Health Promotion Branch of Chinese Medical Promotion Association, Urology Professional Committee of Chinese Association of Research Hospitals. Consensus on the safety of circumplasty[J].Modern Journal of Urology, 2020(9):771-777.
Author: Yang Wenling | Painter: Zhang Qihao
Editors: Zhang Jie, Guo Qian, Wang Fengling
Typesetting: Han Ningning | Proofreader: Wu Yihe
Operations: Li Yongmin | Coordinator: Wu Wei
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
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