Urology treats urinary tract diseases in all genders and male reproductive issues, covering the kidneys, bladder, prostate, urethra, from infections to complex cancers.
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The treatment phase of circumcision at Liv Hospital is defined by surgical precision, sterility, and the prioritization of patient comfort. While the outcome—removal of the foreskin—is consistent, the methodologies employed vary based on the patient’s age, anatomy, and the specific indication for the surgery. The procedure is performed in a hospital setting, adhering to the highest standards of asepsis to minimize infection risks. Whether utilizing device-assisted techniques for infants or free-hand surgical resection for adults, the goal is to achieve a hemostatic, cosmetically superior result with minimal tissue trauma.
Understanding the “Treatment” involves recognizing the different surgical approaches and the anesthesia protocols that facilitate them. It also encompasses the immediate peri-operative care provided by the nursing and medical team to ensure a smooth transition from the operating room to the recovery phase.
Pain management is a cornerstone of the procedure. The notion that neonates do not feel pain is scientifically obsolete; adequate analgesia is mandatory for all ages.
General Anesthesia: For children between infancy and adolescence, or for adults with complex anatomy (e.g., buried penis, revision surgery), general anesthesia is the standard. This ensures total immobility, which is crucial for the precise placement of sutures.
There are several validated techniques employed, selected based on the patient’s profile:
Regardless of the specific technique, the fundamental steps remain consistent:
Once the procedure is complete, the wound is typically dressed with a sterile gauze impregnated with petroleum jelly or antibiotic ointment. This prevents the raw glans or the suture line from sticking to the diaper or underwear.
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The sleeve resection technique is preferred for adults because it offers the highest level of precision. Unlike clamps, which can be unpredictable with the thicker, more vascular skin of an adult, the sleeve technique allows the surgeon to customize exactly how much skin is removed and to meticulously seal every blood vessel. This results in better cosmetic outcomes and a lower risk of bleeding complications in mature anatomy.
Absorbable sutures are used to eliminate the pain and anxiety associated with stitch removal. The genital area is highly sensitive, and removing stitches can be traumatic, especially for children. Absorbable stitches break down naturally and fall out on their own within 10 to 14 days, allowing the wound to heal without additional medical intervention.
Adhesiolysis is the separation of the foreskin from the head of the penis (glans). In babies and young boys, these two structures are naturally stuck together. Before the foreskin can be removed, the surgeon must gently separate them to ensure the glans is completely free and to prevent future skin bridges from forming. This step ensures a proper anatomical result.
Yes, modern pediatric anesthesia is extremely safe. While all anesthesia carries some risk, the risk of complications in a healthy child is very low. General anesthesia is preferred for children (post-infancy) because it prevents psychological trauma and ensures the child does not move, allowing the surgeon to perform the delicate procedure safely and accurately.
The Plastibell ring typically falls off within 5 to 10 days. If it remains attached after 12 days, or if it slips down the shaft and becomes stuck, it requires medical attention. The doctor can easily cut the string or remove the ring in the office. Leaving it on too long can cause infection or tissue erosion, so parents are advised to monitor the timeline.
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