Circumcision, also known as posthectomy, is a surgical procedure that consists of the total or partial removal of the foreskin, the sliding flap of skin that covers the glans, and the tip of the penis.
It is indicated for religious, therapeutic, or preventive reasons.
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Circumcision in Turkey: Why is it performed?
Circumcision is indicated for therapeutic purposes, especially in adults, in cases of foreskin shrinkage (phimosis),or the presence of certain diseases, such as recurrent inflammation of the glans penis.
It is also performed as a preventive hygienic practice to maintain greater intimate cleanliness and prevent local pathological disorders. Hygienic circumcision, usually performed during the neonatal period, is becoming more common in contemporary society.
It is also a religious practice and a symbol of cultural identity that is widespread among Jews and Muslims and has been adopted by many African communities. Moreover, in most of these cases, it is practiced during childhood.
Medical reasons for adult posthectomy
Except for cases performed for religious and cultural reasons, circumcision is generally performed on adult patients who have problems with
- Phimosis: This is a medical condition characterized by narrowing of the foreskin and consequent difficulty in unroofing the glans (complete and easy retraction of the foreskin behind the glans). When the narrowing of the foreskin is present from birth, it is called congenital phimosis. Acquired phimosis is the result of inflammatory processes that cause scarring of the foreskin.
- Paraphimosis: Caused by the foreskin becoming stuck behind the head of the glans, leading to strangulation of the glans.
Different Types of Posthectomy
There are two types of posthectomy procedures:
- Normal circumcision
This consists of the complete removal of the foreskin, leaving the glans completely exposed.
Posthoplasty, also known as preputial plasty, is a procedure performed on patients with phimosis. It is a less invasive procedure that involves making an incision in the foreskin to enlarge the opening of the glans.
It may also be performed for cosmetic or comfort reasons.
Techniques of foreskin removal in Turkey
For a long time, only one technique was used for circumcision in Turkey. With advances in technology, a new technique has emerged.
Two techniques are used in our partner clinics in Istanbul:
Scalpel circumcision is the most commonly used technique because it is more familiar to patients and more widespread. It is performed under general or local anesthesia.
The doctor, usually a urologist, uses a scalpel to dissect the foreskin and then applies absorbable stitches.
In addition to removing the foreskin, laser circumcision can be used to remove certain cosmetic defects. For example, the laser is used to remove warts and papillomas or to treat bikini line erosion.
Circumcision lasts between 20 and 30 minutes under local anesthesia. The surgeon uses a laser beam to excise the foreskin and applies self-absorbing sutures and a disinfectant dressing.
In contrast to scalpel posthectomy, laser posthectomy offers several advantages:
- Minimal trauma
- No bleeding
- Faster recovery
- Better aesthetic result
- Less risk of complications
Benefits of circumcision
Circumcised men are less likely to suffer from various sexually transmitted infections such as HPV and penile cancer. This is because circumcision increases the thickness of the skin covering the glans and creates a barrier that reduces the possibility of attack by viruses and bacteria.
A relatively common malformation is an exuberant foreskin, which can interfere with intimate hygiene and sexual activity, and is often associated with premature ejaculation. A high percentage of men with circumcision develop phimosis during their lifetime, which is related to the possible loss of skin elasticity. It is, therefore, necessary to intervene at an early stage by reducing the excess skin, which causes numerous inconveniences, while at the same time significantly improving sexual life and intimate hygiene.
Circumcision, in selected cases, can adequately reduce the excessive sensitivity of the penis with a noticeable increase in ejaculation time after penetration.
How to prevent complications after circumcising my child?
A careful examination and preoperative assessment can prevent these complications. In addition, good hygiene before, during, and after the operation is crucial. Here are some tips to help prevent complications after circumcision:
- Gently clean the area each time you change your baby's diaper.
- If a medical dressing was used to cover the area, change the dressing each time the baby is diapered.
- In case of placement of a Plastibell device, inform your doctor if it doesn't fall off within the tenth day.
- Apply petroleum jelly (Vaseline) to prevent itching and inflammation.
- Bleeding is normal, but if you notice that the blood stain is larger than a quarter, contact your doctor immediately.
- Inform your doctor if you notice any symptoms of infection in your baby, including fever, severe redness, swelling, or yellow discharge.
How are the stitches removed after a posthectomy?
Circumcision is a simple procedure that is often performed under local anesthesia and does not require respiratory assistance.
In addition, the surgeon does not use ordinary stitches. Absorbable sutures are used, whether for babies, children, or adults, regardless of the technique used.
Absorbable sutures are sutures that dissolve during healing. They also do not need to be removed.
Child or Adult Circumcision Prices in Turkey
Because it is a much less invasive and innovative procedure compared to scalpel circumcision, the price of a laser circumcision is higher.
The Turkish clinics we work with offer you the best care for your laser or scalpel circumcision. They provide you with the best doctors for your surgery at the lowest cost.
You can get a free personalized quote for the procedure you want from the link below.
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Circumcised men have a reduced risk of transmission of HIV and other viral and bacterial sexually transmitted infections, and a reduced incidence of penile cancer. Circumcision also eliminates the conditions of phimosis, paraphimosis, and balanitis. Thus, it reduces the rate of urinary tract infections. In addition, partners of circumcised men have lower rates of cervical cancer and infections with HPV, herpes virus, trichomonas vaginalis, and chlamydia trachomatis.
In general, you should abstain from sexual intercourse and masturbation until the wound has completely healed, and healthy tissue has formed (about 2–4 weeks or longer).
You should also avoid strenuous exercise, cycling, sauna, and swimming.
You should note that the first sexual intercourse after circumcision must be protected, even if you have sex with a regular partner.
In reality, there is no age limit for circumcision, although it is widely accepted that it can be more problematic and painful in adulthood. This operation is not only performed for religious reasons, but adult circumcision for therapeutic and medical purposes is more common.
There is no difference between a circumcised and an uncircumcised man in any aspect of sexual life, neither in sensitivity nor in erection, nor in ejaculation time.