Circumcision is a surgical procedure in which the foreskin also known as the prepuce is cut from the penis. Male circumcision is not performed routinely for any medical conditions. However, there are a number of conditions affecting the genitals of adult men which circumcision is sometimes used to treat. Conditions which circumcision might be used to treat. Phimosis is a condition where the foreskin is constricted and cannot be pulled back over the head of the penis glans.
Children with urological conditions may suffer from renal insufficiency and associated co-morbidities e. The use of irrigation fluid can make it more difficult to estimate blood loss and increases the risk of perioperative hypothermia. Antibacterial prophylaxis is frequently required for patients with obstructive problems and urinary infections. Many urological procedures are performed in the lithotomy position that can lead to nerve injuries if careful attention is not paid to patient positioning. Children with congenital urological abnormalities are at increased risk of developing latex allergy. Paediatric urological surgery encompasses a wide spectrum of procedures ranging from simple day-case operations such as circumcision to complex cases such as correction of bladder exstrophy undertaken in specialist centres. The anaesthetic techniques used vary according to age, requirements of the surgeon, and medical status of the patient. The majority of urological problems in children are congenital and therefore distinct from those in adults.
Circumcision is the surgical removal of foreskin. Foreskin covers the head of a flaccid penis. When the penis is erect, the foreskin pulls back to reveal the penis. During a circumcision , a doctor cuts away a portion of the foreskin and reattaches the section that remains to create a shorter section of skin. Circumcision in infancy is performed for several reasons , including religious, social, medical, and cultural purposes.
E-mail: moc. The author of this paper has described in detail the surgical technique of combining dorsal slit and the sleeve methods of circumcision as a single procedure of circumcision of choice in their center. The author was able to show also that the complication rate of the procedure is comparable with complication rate reported for other methods employed in the male circumcision. With the current body of evidence in the literature showing the public health benefits of male circumcision,[ 3 , 4 , 5 ] one can say that the dorsal slit-sleeve technique would be a useful and handy procedure to offer patients, especially the older children and adults desirous of circumcision. It is in these categories of patients that the already known methods of circumcision have done relatively poorly as regards complications rates. In our practice however, we have found the caudal epidural anesthesia particularly useful in the neonates for control of both procedural and immediate post-operative pain. This may be anesthesia of choice for those surgeons who like working on an untampered tissue which may not be attainable with field block of the penis as described by the author of this article. Sir, permit us to congratulate the author on the presentation of this simple yet invaluable technique of male circumcision. National Center for Biotechnology Information , U. J Surg Tech Case Rep.