Tuesday, April 18, 2023

Circumcision (purification): how should it be done and how to avoid complications?



Reasons for circumcision:

People are very willing to circumcise their children, and according to the World Health Organization, 30 percent of males in the world have undergone circumcision, or about 2 billion and 250 million people.
Circumcision is possible for religious reasons, as is the case in the Islamic and Jewish religions, or for medical reasons, with a rate of 30 percent.
And circumcision (purification) is basically a surgical operation, and therefore it must be performed by a surgeon, and it is recommended that he be in the specialty of pediatric surgery, urology, or general surgery.
And it is not an urgent process, so it requires a doctor’s visit before it is performed, in order to conduct a clinical examination, due to the difference in the circumcision process from one person to another.


Clinical examination:

Through the clinical examination, a number of data related to the child are seen, including age, weight, and the quality of the child’s penis, as the circumcision process may encounter some problems, such as the absence of a urination hole in the usual place for some children, and the penis taking opposite forms, such as taking the circular shape or Adhesion to the testicles, in addition to problems in the testicles as well, or many other problems that require a plastic surgery with circumcision.
In addition to other analyzes about the breathing process, allergic diseases, and heart rate rhythm, to take the necessary precautions when anesthetizing the child.
It is desirable that the doctor's office be 3 or 4 days before the circumcision date, and the operation should not be performed if the child is sick.


The relationship between the child and the surgeon:

It is recommended that the child meets the doctor who will perform the circumcision before the day of the operation, in order to avoid the psychological stress and tension that will affect the child as a result of the fear of the circumcision process.
It is necessary for the child to like the doctor and feel reassured that the operation will pass successfully.

family function:

There is a great fear on the part of the family from the circumcision process, especially from the anesthesia process, so there must be psychological preparation for the parents so that their feelings of fear and anxiety do not spread to the child.

circumcision process:

The circumcision process does not deserve medical examinations, but it is necessary to have anemia tests and tests that prove the extent of bleeding control in case of injury, especially in children under walking age.
As for the walking age, the family will be more aware of the matter, due to the child’s exposure to falls and injuries many times

anesthesia:

Parents usually ask about the type of anesthesia that will be given to the child during the circumcision, is it topical or general?
Local anesthesia is acceptable for children up to 6 months. After this age, the anesthesia is supposed to be general, which is light anesthesia in addition to a local anesthetic so that the child does not feel pain when waking up after the circumcision.
G The circumcision process requires that the child be fasting at a rate of approximately 6 hours before the date of circumcision, noting that the operation lasts approximately between 15 and 20 minutes.

After circumcision:

It is recommended to avoid dressings on the child's wound and to wear diapers or undergarments.

treatment:

The most important stage in the treatment is cleaning, using ointments for the purification process, as prescribed by the doctor, and wearing clothes normally.
The doctor also prescribes some anti-inflammatory medications at a rate of 3 times a day, because the circumcision process can cause some swelling, which is normal, and these medications are given starting from the age of 3 months.

The period required for wound healing:

The wound healing process depends on the type of skin of the child and the level of interest in the treatment. The healing period lasts between 3 and 5 days.

The appropriate age for circumcision:

There is no specific age at which circumcision is performed for all children of the same age, as the operation is carried out according to each case and according to the medical examination that is conducted for the child, as it is considered the main determinant of the period in which the circumcision must be performed.
It can be considered that the appropriate age for circumcision is between the age of one year and one and a half years, because a child at this age can be treated when changing diapers, for example, but at an advanced age it becomes difficult.

Circumcision and sea water:

Sea water is medically recommended, but it should be applied to the wound 3 or 4 days after the circumcision, but in the first days it may cause some risks, such as infections and putrefaction, which may result in difficult treatment.

Circumcision and health complications:

Like any surgical operation, the circumcision process may expose the child to some health complications, and to reduce them, the operation must take place in a sanatorium, by a qualified surgeon, and in appropriate conditions that respond to health safety standards (sterile and clean place) and that the anesthesia process be performed by He is a specialist and has experience in dealing with children, which is what makes most circumcisions in Tunisia successful, with a rate of 99.9 percent

Among the health complications, we mention bleeding as a result of non-fusion of one of the veins, as well as putrefaction in the wound, which requires taking some antibiotics.
One of the serious health complications is cutting off the head of the penis, and because the operation is performed, especially at home, by people who are not qualified to perform the circumcision process, so it must be avoided, in addition to anesthesia operations that are carried out by unqualified people, which may sometimes lead to death.