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Phimosis surgery: how it's done, risks and recovery

Phimosis surgery, also called circumcision or postectomy, aims to remove excess skin from the penis and is performed not only to prevent penile cancer but also to prevent urinary infections and sexually transmitted diseases.

Phimosis surgery is carried out under general or local anesthesia and is a safe and simple method performed by a urologist or pediatric surgeon It is commonly indicated for boys between 7 and 10 years of age, but it can also be performed in adolescence, although recovery may be more painful.

Phimosis surgery: how it's done, risks and recovery

How is recovery from phimosis surgery

Recovery after surgery is relatively quick and in about 10 days there is no pain or bleeding, but by the 8th day there may be a slight discomfort and bleeding resulting from the erections that may occur during sleep. This is why it is recommended you do this surgery in childhood, because it is an easier situation to control.

After surgery, the doctor may recommend changing the dressing the next morning by gently removing the gauze and then rinsing the area with soap and water, being careful not to make the wound bleed. Finally, apply the anesthetic ointment recommended by your doctor and cover with a sterile gauze, so that it is always dry. The stitches are usually removed on the 8th day.

To recover faster from a circumcision, it is recommended you:

  • Avoid exertion during the first 3 days and rest;
  • Put an ice pack on the spot to decrease swelling or when it hurts;
  • Take painkillers prescribed by your doctor;
  • Do not have sex for at least 1 month after surgery.

After this period of rest and care, the man can observe the final result of the surgery, checking his glans with greater ease.

Possible risks of this surgery

This surgery, when performed in a hospital setting, has few health risks, is well tolerated and recovery is rapid. However, although rare, complications such as bleeding, infection, narrowing of the urethral meatus, excessive or insufficient foreskin removal and preputial asymmetry may arise, with possible need for further surgery.

Benefits of a Postectomy

The aim of a postectomy is to remove the excess skin that covers the penis, called the foreskin, facilitating the exposure of the glans. Performing this procedure has some health benefits for men, such as:

  • Intimate hygiene is easier, consisting of completely removing the smegma, which is a secretion that accumulates between the skin and the glans;
  • Decreased risk of genital infection;
  • Decreased risk of urinary tract infection;
  • Prevention of penile cancer;
  • Decreased risk of sexually transmitted diseases, such as HPV and HIV, for example, although the surgery does not rule out the need to use a condom during any intimate contact so as to be completely protected from STDs.

After foreskin removal, the surgeon places stitches in the region to make recovery quicker and future infections can be avoided.

Bibliography >

  • MINISTÉRIO DA SAÚDE. Fimose. Available on: <http://portalms.saude.gov.br/saude-de-a-z/fimose>. Access in 03 Apr 2019
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