17,122
edits
Changes
Jump to navigation
Jump to search
Revise text.
==Reasons for circumcision==
All circumcisions are injurious because they amputate a [http://www.intactaus.org/information/functionsoftheforeskin/ multi-functional body part], but in some cases the benefit obtained by removing a deformed, diseased, or damaged foreskin may be of more value than the lost amputated [[foreskin]].
* Deformed foreskins — The common type of deformed foreskin is the narrow non-retractable foreskin of [[phimosis]]. Circumcision is the traditional treatment for phimosis, however circumcision is less performed today because newer conservative treatments are now available that preserve the foreskin and its many useful functions.
===A word to intact teens===
Boys are born with a [[foreskin]] that is non-retractable for reasons of protection. The inner surface is fused with the [[glans penis]] by a [[synechia]] (similar to a fingernail that is glued to the nail bed of the finger). Also the tip of the foreskin is too narrow to retract. As a boy gets older, the synechia disintegrates and releases the foreskin and the foreskin gets wider as a boy ages, so the foreskin gradually becomes [[Retraction of the foreskin| retractable]]. Some boys go through puberty but find that their [[foreskin ]] is still too narrow to permit retraction. The traditional way of addressing this issue was to consult a urologist and get a [[circumcision]], however we now understand that in the vast majority of cases, manual [[stretching]] over a few months will widen the foreskin by [[tissue expansion]], make the foreskin retractable and eliminate the need for a destructive circumcision.
==Methods of adult circumcision==
They recommended dorsal penile nerve block or ring block local anesthesia for the [[pain]] of circumcision surgery.
[[Informed consent ]] must be obtained. They stated:
<blockquote>
Specifically, the patient should be told about the risks of bleeding, hematoma formation, infection, inadvertent damage to the glans, removal of too much or too little skin, aesthetically unpleasing results and a change of sensation during intercourse. The patient should also be informed that, during the postoperative period, erections can cause pain and disruption of the suture line that may require replacement of the sutures. Full recovery following circumcision generally requires four to six weeks of abstinence from all genital stimulation and sexual activity.<ref name="holman1999" />