Phimosis: Difference between revisions
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====Circumcision==== | ====Circumcision==== | ||
Circumcision (partial penile amputation) once was the classic treatment for phimosis, but has many disadvantages and drawbacks. [[Neurotomy]] is | Men who consult a [[urologist]] regarding non-retractile [[foreskin]] will usually receive a recommendation for [[adult circumcision]] because that surgery produces the [[Financial incentive| highest profit]] for the urologist. Circumcision (partial penile [[amputation]]) once was the classic treatment for phimosis, but has many disadvantages and drawbacks. [[Neurotomy]] is an unavoidable feature of every [[adult circumcision| circumcision]] and causes severe loss of [[erogenous sensation of the foreskin]]. [[Adolescent and adult circumcision| Circumcision]] is less performed today, because it is becoming outmoded by newer and better treatments.<ref name="shahid2012" /> | ||
* Circumcision is the most expensive treatment.<ref name="vanhowe1998" /> | * Circumcision is the most expensive treatment.<ref name="vanhowe1998" /> | ||
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* Circumcision exposes the patient to the surgical risks of [[bleeding]], [[infection]], and surgical misadventure, which rarely can include loss of the [[glans penis]], loss of the [[penis]] or [[death]]. | * Circumcision exposes the patient to the surgical risks of [[bleeding]], [[infection]], and surgical misadventure, which rarely can include loss of the [[glans penis]], loss of the [[penis]] or [[death]]. | ||
* Circumcision permanently and irreversibly amputates the [[Foreskin sensitivity| highly innervated]], erogenous [[foreskin]], so its [[Foreskin#Physiological_functions| multiple protective, immunological, sensory, and sexual physiological functions]] are destroyed and has many [[risks and complications]]. The sensitive head of the [[penis]] will be permanently exposed so the [[ | * Circumcision permanently and irreversibly amputates the [[Foreskin sensitivity| highly innervated]], erogenous [[foreskin]], so its [[Foreskin#Physiological_functions| multiple protective, immunological, sensory, and sexual physiological functions]] are destroyed and has many [[risks and complications]]. The sensitive head of the [[penis]] will be permanently exposed, so newly [[circumcised]] men find it very painful when the [[glans penis]] is touched or rubs against clothing. The pain will persist until [[keratinization]] occurs. | ||
* Most men report a permanent substantial loss of [[Sexual sensation of the foreskin| sexual sensation]]. | * Most men report a permanent substantial loss of [[Sexual sensation of the foreskin| sexual sensation]]. | ||
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* Circumcision results in a permanent, usually two-toned, [[circumcision scar]]. | * Circumcision results in a permanent, usually two-toned, [[circumcision scar]]. | ||
* Circumcision has a long, painful, and difficult recovery. Erections are painful. Post-circumcision [[lymphoedema]] caused swelling can last for many months. Recovery time is placed at six weeks. Erections may cause sutures to pull out, thus opening the surgical wound, causing [[wound dehiscence]]. Sexual and [[Psychological issues of male circumcision| psychological]] issues abound. As with other surgery, complications are surgical misadventure, | * Circumcision has a long, painful, and difficult recovery. Erections are painful. Post-circumcision [[lymphoedema]] caused swelling can last for many months. Recovery time is placed at six weeks. Erections may cause sutures to pull out, thus opening the surgical wound, causing [[wound dehiscence]]. Sexual and [[Psychological issues of male circumcision| psychological]] issues abound. As with other surgery, complications are surgical misadventure, [[bleeding]], and [[infection]]. Loss of the [[penis]] and [[death]] are known.<ref name="shahid2012" /> <ref name="williams-kapila1993">{{REFjournal | ||
|last=Williams | |last=Williams | ||
|first=Neville | |first=Neville | ||
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}}</ref> | }}</ref> | ||
* Circumcision is irreverible amputation. Circumcision cannot be undone. [[Regret men]] are common. | * Circumcision is irreverible [[amputation]]. Circumcision cannot be undone. [[Regret men]] are common. | ||
<b><u>[[Adolescent and adult circumcision| Circumcision]] should be the treatment of last resort, to be used only after conservative methods of treatment fail.</u></b> | <b><u>[[Adolescent and adult circumcision| Circumcision]] should be the treatment of last resort, to be used only after conservative methods of treatment fail.</u></b> | ||
Many men would prefer to live with phimosis in preference to losing one's [[foreskin]] to an [[adult circumcision]]. Phimosis is a condition, not a disease. Circumcision is usually an elective surgical [[amputation]]. Men who elect to be [[circumcised]] can only blame themselves, if they do not like the results. [[Regret men]] are common. | |||
== Adult onset phimosis == | == Adult onset phimosis == | ||