1, circumcised children who are prevented from urinating or have recurrent infections due to narrowing of the opening of the foreskin sac.
2, adults who suffer from prepuce or suffer from recurrent infections of the prepuce. The circumcision in childhood is normal, infants with phimosis or children with phimosis, if there are no complications, should not be performed circumcision. Because children under the age of 3 years of age, the prepuce more with age and disappear on their own; another part of the children as long as the repeated retraction of the foreskin upward, expanding the opening of the foreskin bladder, will reveal the head of the penis, and there is no need for surgical excision.
Indications
Patients who are suffering from concurrent inflammation of the foreskin and the head of the penis are not suitable for surgery, and must wait for the inflammation to subside before the surgery can be performed.
Pre-operative precautions
1, the night before the operation and the day of the operation, the patient was asked to wash the local. Clean the genitals: From three days before the operation, the genitals should be washed with warm water or 1:5000 potassium permanganate solution every day. When cleaning, the foreskin should be turned over to expose the coronary groove, and the foreskin scale should be removed thoroughly. However, it should be noted that the cleaning should be completed in time to reset the foreskin, so as not to cause penile foreskin inlay.
2, complication of the foreskin, penile head inflammation, need to choose drugs and local immersion treatment, inflammation subsides before surgery.
3, eliminate tension: because the first few days after the operation wound will be some discomfort, some people worry about the operation will have an impact on sexual function, this idea is unnecessary. Generally speaking, circumcision will not affect normal sexual function. On the contrary, if the burden of thought, but may cause mental sexual dysfunction.
4, it is best to fast for 4-6 hours before circumcision, otherwise it will cause discomfort.
Post-operative precautions
1, 3-4 days after the operation at bedtime to take sedatives or estrogenic drugs (under the guidance of the doctor) to prevent penile erection (told the patient can be appropriate to stimulate the brain to inhibit sexual arousal by pinching the glans pain), so as not to cause pain and bleeding.
2, postoperative urination should try to avoid wetting the dressing, if the dressing is contaminated by urine, it should be replaced in time. If you are a married man, you should pay attention to the couple must be separated for a period of time after the operation, and try to avoid sexual impulses.
3, 1 week after circumcision, should pay attention to eat more nutritious food, help the incision growth, but avoid eating seafood, so as to avoid the wound is not easy to heal. In addition, also need to remind the circumcision patients is, patients in the usual time can not eat spicy and other stimulating diet.
4, the best rest 1-2 days after circumcision surgery, you can rest in bed, can also surf the Internet or read books. Try to walk as little as possible to prevent postoperative exercise bleeding.
5, the use of postoperative protective cover, the buttocks up and down support and cover. At the same time, stay at home and rest for about a week. At this time, it is best for men to wear nothing and to lie flat on their backs to minimize penile damage. Today, however, most circumcisions are performed on an outpatient basis and patients can leave the hospital after the procedure, and some even go straight to work. If no underwear or loose underwear is worn at this time, it is likely that the incision will rub repeatedly, increasing the pain. It is better for such patients to wear a pair of tight-fitting underwear. After the operation, the doctor should put the patient's bandaged penis upright, that is, the head of the penis upward, and then let him or her cover tight underwear to completely fix the penis.
This way, when walking, there will be only little or no friction on the penis, reducing bleeding from the incision and alleviating pain and discomfort.
Generally, tight underwear needs to be worn for at least 10 days after surgery, and then changed to loose-fitting underwear in time when the wound has healed completely. Young people who are in puberty and after puberty, but also to resume a certain amount of sports, so that the penis can have the opportunity to receive friction, as soon as possible to adapt to the new environment. In addition, adult men should resume their sexual life as soon as possible to avoid inducing prostatitis.
Indications for penile lengthening
1, the length of less than 10cm when erect, and can not meet the female sexual requirements
According to the vaginal anatomy and female physiological characteristics and the measurement of normal length of the penis of the Chinese adult male, the norm is 7.1±1.5cm, and the erection is within the range of 13.0±1.3cm is a normal situation. If the penis is underdeveloped, the length is less than 10cm when erect, and does not satisfy the female sexual demand, the penis extension surgery can be done.
2, burns, trauma or congenital dysplasia
Male erect penis length within the range of 13.0 ± 1.3cm is normal, if due to penile defects, erect length of only 3 ~ 5cm, belongs to the more obvious penile defects, in this case, to take the penis growth surgery is necessary. Penile cavernous body extension surgery, cut the superficial and deep ligaments of the penis to the pubic arch, the cavernous body buried in front of the pubic symphysis becomes a free part of the penis, so as to increase the effective length of the penis, and in the inguinal island flap is used to repair the skin damage after the cavernous body has been extended. This procedure not only extends the penis to near normal length, but also has normal erectile and sensory function.
3, erectile length and circumference between 5 ~ 8cm
This situation to do penis extension surgery, the shape of the penis is close to normal, enhance the man's self-confidence, and promote the harmonious life of husband and wife.
4, congenital anomalous deformity of the penis
Congenital anomalous deformity of the penis, experts will be based on the condition of the use of penile lengthening surgery, so that penis lengthening and reset.
5, penile venous fistula impotence
Men with penile venous fistula impotence need to have both deep and superficial dorsal penile vein ligation and penis lengthening surgery, which is performed simultaneously and usually results in better treatment. Penile growth surgery must be operated carefully. As a male reproductive organ, the success or failure of penis growth surgery directly determines the self-confidence of male friends and the beauty of the family. Choosing a regular male hospital is the first key factor to consider, and the technical requirements of the surgeon is also a key factor to consider.
Indications
1, mistakenly believe that all people are suitable for penis extension surgery
Penis length measurement is more specialized, and different races and body types of people will have differences, in general, Chinese men in the normal state of the length of the penis, if the length of the penis is less than 4cm, and the length of the penis is less than 8cm when erected is anomalous, and it will have an impact on sexual life. Some people read some unhealthy books or pornographic videos, websites, blindly seeking "long", this mentality is not desirable.
2, easy to listen to the advertising of false boast
Suggested that the need for surgery patients also go to the regular medical institutions, but also to understand the qualifications of the doctor, do not go to those who "have to answer" small clinics, so as not to cause lifelong regrets.
3, mistakenly think that you want to do more long
Penis lengthening surgery is not as long as you want to do more long, the operation can be extended by about 3cm, some people even longer, which mainly depends on the patient's own internal development, can not be generalized.
Pre-operative precautions
1, only within the scope of the appropriate surgical population of male friends, can receive penis extension surgery. Such as the requirements for adult men, penile dysplasia, the length of the fully erected less than 10 centimeters and can not meet the female sexual requirements, can be done to extend the penis surgery; or most of the penis is missing, the length of the erection is generally only 3 to 5 centimeters, etc.;
2, the surgeon's technical requirements are very high, so as the main surgeon of the penile extension surgery, you must have a profound urology and plastic surgery and solid surgery The surgeon must have profound experience in urology and plastic surgery and solid surgical experience;
3. Go to a regular general hospital or a qualified specialized hospital. Patients also need to be careful when choosing a hospital before surgery.
4, patients with inflammation of the foreskin and penile head need to be treated in advance for treatment, and the surgery will be performed after the inflammation subsides;
5, the night before the surgery and the day of the surgery, patients should be carefully cleaned locally to ensure that the surgical hygiene.
Post-operative precautions
1, scrub clean, to prevent local pollution; timely change of dressings, to keep the vulva clean;
2, postoperative 2 ~ 3 days after the bedtime can be appropriate to take a sedative, you can short-term oral estrogen, so as to avoid penile erection caused by pain and bleeding. Avoid walking, cycling, sexual stimulation and fantasizing, etc., to avoid affecting the wound healing due to penile erection;
3, prohibit sexual intercourse within 6 weeks after the operation;
4, maintain a good mood and enough sleep, to provide a good internal environment for postoperative recovery.
Indications for penile curvature correction
When the penile recurvature is greater than 15 degrees, it is difficult to perform intercourse! Experts say that 90% of patients with penile curvature in outpatient clinics have ventral curvature (downward curvature) and 10% have dorsal curvature (upward curvature). Ventral curvature of the penis (downward curvature) more than 15 degrees, the difficulty of intercourse, the dorsal curvature of the penis (upward curvature) can be tolerated curvature to 30 degrees of the range.
Indications
Conditions of major illness. Cases of serious infection. There are cases of scarring and hyperplasia. There are serious psychological problems.
Pre-operative precautions
1, the night before the operation and the day of the operation, wash the local area.
2, complication of foreskin, penile head inflammation, need to be treated in advance treatment, inflammation subsides before surgery.
Post-operative precautions
1, do not hold urine, to avoid repeated penile erection due to the impact of wound healing.
2, 2~3 months after the operation, you can take sedatives before going to bed, and you can take some estrogen orally for a short period of time, so as to avoid pain and bleeding caused by penile erection.
3, penile curvature to keep the perineum clean, after surgery, some patients may have local discomfort of the foreskin, should be prohibited from scratching, should be scrubbed after urination and defecation to prevent local pollution.
4, three months after the operation, try to avoid walking, cycling, sexual stimulation and fantasy, to avoid repeated erection due to the penis affects wound healing.
Double ureteral malformation surgery indications
1, urinary incontinence of the bladder outside the opening.
2, Recurrent urinary tract infections that cannot be controlled.
3, Obstruction due to narrowing or entanglement of the opening or stones, resulting in dilated hydronephrosis of the upper half of the kidney and ureter.
4, those with severe pain on the affected side.
Indications
If the function of the high kidney is normal, the duplicated ureter opens in the bladder, there is no obstruction of fluid, and there is no infection, then there is no need for surgical treatment.
Preoperative precautions
To drink plenty of water and urinate regularly.
Postoperative precautions
After anesthesia care, clean and dry wounds without blood seepage, to ensure that the drainage catheter and support tube fixed, catheter care, nephrostomy tube smooth and fixed, pain care, health education.
Indications for urethral deformity
Urethral deformity can be divided into, urethral cleft, urethral cleft both are a congenital malformation of penile development, is due to the urethral spongiosum and the anterior urethra have different degrees of defects caused by the main manifestations: urethral orifice is located in the scrotum or penis in any part of the body (in addition to distal glans center), and even due to the urethral epidermal underdevelopment occurs. downward curvature of the penis.
Indications
Conditions with major illness. There are cases of serious infections. There are serious psychological problems.
Pre-operative precautions
Before the urethral deformity plastic surgery, you should go to the hospital in detail and present your condition to the doctor in order to complete the surgery smoothly.
Post-operative precautions
Prevention of infection should not be taken carelessly.
Indications for hypospadias repair
Superior urethral fracture repair can be performed on both penile cephalic and penile types to correct urethral deformity. Penile pubic type although sphincter molding is more difficult to succeed, but should try to use this method, and strive to restore the control of urinary function; if the sphincter molding failed, and then consider the implementation of ureterosigmoid anastomosis.
Indications
The operation is contraindicated at too young an age. Surgery should be performed between the ages of 3 and 6 years because the child is too young to cooperate and practice urinary control.
Pre-operative precautions
1, the penis is too small, the appropriate application of male hormone therapy, until the penis is developed, then surgery.
2. Those who have urinary tract infection must strictly control the infection before surgery.
3, 3 days before the operation, wash the perineum with soap and water every day, and use chlorhexidine wet compress.
4, detailed examination of the position of the urethral opening, the correct estimate of the position of the urethral opening retraction after penile straightening surgery, and at the same time measuring the foreskin, penis and scrotum of the skin can be used. Through comprehensive judgment, decide whether to use one-stage or staged surgery and what kind of surgery.
Post-operative precautions
1, try to avoid the surgical department from getting wet within 7 days after the operation;
2, make sure the surgical site is clean to prevent infection. If there is blood crust or secretion on the wound, use sterile saline to wipe it;
3. After the surgery, you can put pressure bandage on the local wound or use ice packs to apply cold compresses, but the pressure should not be large so as not to damage the penis. Once bleeding and serious hematoma occurs after surgery, you should go to the hospital for follow-up;
4. After surgery, you should have a quiet and comfortable environment to recuperate. Don't watch TV or read newspapers for 2 weeks after surgery, and rest in bed in a semi-recumbent position (with pillows elevated), so as to avoid excessive fatigue of the penis or low position of the head, which may aggravate the swelling of the wound;
5. The wound will be painful on the day of the surgery, but it will be gradually reduced with the passage of time. Patients should not rush to take painkillers, because aspirin drugs will aggravate wound bleeding;
6, avoid eating irritating foods such as chili peppers;
7, strictly comply with the doctor's instructions to take medication and follow-up.
Indications for penile enlargement
1, most of the penis is missing, the length of erection is usually only 3 to 5 centimeters, according to the conventional penile reconstructive surgery, and the reconstructed penis is not yet a normal erectile and sensory function. If the penis spongiosa extension surgery, cut off the superficial and deep ligament of the penis to the pubic arch, so that buried in the pubic symphysis anterior to the spongiosa become a free part of the penis, thus increasing the effective length of the penis, and then use the inguinal island flap to repair the spongiosa was extended after the trauma. This procedure not only extends the penis to near normal length, but also has normal erectile and sensory function.
2, congenital anomalous malformation of the penis, according to the condition of the use of penile lengthening surgery, so that the penis lengthened and reset.
3, small penis when erect, its length and girth between 5 to 8 centimeters, testicular volume is greater than 6 milliliters, in the penis thickening surgery at the same time do penis lengthening surgery, in favor of the shape of the penis close to normal.
4, for penile venous fistula impotence, for penile superficial dorsal vein ligation at the same time as the penis lengthening operation, often can achieve better results.
Indications
1, inflammation of the reproductive organs.
2, patients with sexually transmitted diseases.
3, during taking any medication.
4, psychological unhealthy, repeated choice of this surgery.
5, underage patients.
Pre-operative precautions
1, in preparation for penis enlargement surgery before the start of 3 days, with warm water or 1: 5000 potassium permanganate solution soak wash the genitals, especially the night before the operation more attention.
2. On the day of the surgery, the patient should remove all the pubic hair from the genital area so that the surgery can be performed.
3, before the surgery to ensure that the patient's genital area is free of disease, such as circumcision and glansitis. If there is a disease, then the surgery must be postponed and anti-inflammatory treatment must be carried out first.
Post-operative precautions
1, post-operative application of antibiotics for a week to prevent infection, rest for 1 to 2 weeks, the first few days of cold compresses available ice packs to reduce pain, the use of Valium 10mg to prevent nocturnal erection, reduce penile erection on the healing of the wound and reduce the circumcision edema to play a role in the prevention and treatment.