It’s the removing process of the foreskin covering the penile glans and blocking urethra. It’s a common practice for Islam and Judaism. Judaists usually are circumcised right after being born.


What are the benefits of circumcision?
-Decreases the amount of STIS.
-Less urinary tract infections are seen in circumcised males.
-Decreases the risk of penile cancer.
-Decreases the risk of cervical cancer in the female partners of circumcised males.
-Especially in children, the foreskin might stick and might block urethra by contracting on the tip. Sometimes it might be blocked completely(phimosis). It might lead to penile infection and apse. Blood flow of the penis might be problematic when the foreskin tightens(paraphimosis). Removal of this skin with circumcision would provide protection against these complaints.


What’s the best age for circumcision? Should anaesthesia be used for it ?
It would be convenient in terms of the child’s psychological status before the age of 3 or after the age of 6. It’s regarded that the mental development of the children might be affected between the ages of 3 and 6 (might be conducted on any age in case of medical conditions).
Circumcision can be conducted through anaesthesia called sedation in any age.
Circumcision shouldn’t be turned into a trauma for the child. If the child is old enough to know about circumcision and if this is not a reason for fear of pressure on the child, circumcision can be conducted with local anaesthesia.
Unfortunately, circumcision might become something stressful for the children due to the attitude of their fathers and this might lead to problems in the child’s psychological status.. And this might also lead to sexual disorders when the child comes to the age of being sexually active. Therefore, the child who is on the age of understanding the concept of circumcision shouldn’t be forced and talked into the procedure explaining the reason of this procedure..


Is circumcision possible for newborns?
It’s recommended for newborns in order to be able to use the fast recovery function of the child during the first two weeks. Surgically, since the penis would be too small for an aesthetical operation, operation would become harder than usual.


Are there any connections between premature ejaculation and circumcision?
Although it’s a debatable subject, we have a sufficient amount of experience in this issue. The most sensitive areas of the male individuals in terms of sexual life are penile glans and the area right under the penile glans called frenilum with plenty of nerves.
According to one perspective, foreskin covers the penile glans and decreases the rate of premature ejaculation by lowering the pleasure.
According to another perspective that our clinical work confirms, however, that premature ejaculation is observed less after a correct surgical circumcision (since the frenilum is removed). (We have conducted circumcision on many foreign adult patients. And we have seen that the rate of premature ejaculation decreased dramatically.)


Who must conduct circumcision, and how should it be conducted?
Circumcision is a surgical operation. It should definitely be conducted by a surgeon. It would be convenient for it to be conducted with local or general anaesthesia through sufficient area cleanliness and hygiene and by cutting the internal and external skin separately and adding stitches that are subcutaneous or absorbable stitches.
In circumcision with soldering iron (known as circumcision with laser in the society), foreskin is removed with a heated filament. Since the foreskin is removed with the effect of heat, no bleeding is observed, however, it might lead to permanent damage on the penis. Therefore, we definitely don’t recommend this technique.
Penis is rich in terms of vascular blood and sensory nerves. Thus, bleeding vessels should be tied with low-dose cautery or be burnt with laser. Because of its superiority and scarce chance of damaging the tissue, we use laser when needed.
 




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    As it’s seen in the figure, bleeding vessels are tied after the internal and external skins are thoroughly cut and burnt with laser if needed. As mentioned above, laser burns the bleeding vessels without damaging the surrounding tissues. Following this procedure, internal and external skin are merged by being stitched aesthetically.

© 2016 - Op. Dr. Cem ÖZLÜK