Cai Xiaodi, 8, has had difficulty cleaning his foreskin since childhood due to his extreme length and complete phimosis. If her parents try to push the foreskin away for cleaning, Cai Xiaodi screams in pain and protests vigorously. For sanitary reasons to avoid inflammation, Tsai’s father took his son to the Taiwan Pediatric Surgery Clinic. At first, he was treated with medicine, but the effect was not effective, so he decided to give Tsai circumcision .
Chen Keqi, director of the department of pediatric surgery at Taipei Tzu Chi Hospital, said that 8 to 9 out of 10 boys under adolescence in Taiwan have problems with foreskin or phimosis, although, in fact, the main consideration for circumcision is that it is clean enough. No, which can harbor bacteria and cause inflammatory reactions, so if there are no signs of recurring inflammation, there is no need to prune. According to the recommendations of the World Health Organization, circumcision can effectively reduce the risk of HIV infection or premature ejaculation by 60%. It may also reduce the risk of cervical cancer and other gynecological diseases in female partners.
Director Chen Keqi explained that there are three treatment methods for phimosis: observation, application of ointment, and surgery. The application of ointment is mainly based on the application of steroid ointment, which can loosen the foreskin and make it easier to open. It will return to its original state when the medicine is stopped. As for circumcision, it has evolved from the traditional scalpel excision and suturing to the present, with many methods of treatment, including: laser surgery, circumcision gun surgery, etc. However, no matter the method, there are many types of postoperative pain and wound care. Not being able to take a bath is a problem that every patient faces. Removing gauze and changing dressings during the return trip leaves the patient screaming in pain, and his family members remain anxious and worried.
Director Chen Keqi said that in order to reduce bleeding after surgery, the wound will be tightly tied with gauze or elastic bandage, however, due to blood and water leakage, the wound will stick to the clothes, and when it is removed, The wound will burst, causing extreme pain. To improve postoperative pain, clinical practice has recently begun to use “octyl cyanoacrylate” type skin adhesives to caulk postoperative wounds to replace surgical sutures, in the same way as usual. Used quick-drying glue that can bind the wound quickly. This approach not only helps in wound healing but also has antibacterial effects because the dressing is replaced with a small paper cup for safety, also freeing the patient from the pain and fear of changing the dressing.
Source: Health Medical Network
https://www.healthnews.com.tw/readnews.php?id=61381
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