1. Children with phimosis suffer from urination obstruction or repeated infection due to the narrow bag mouth.
2. Adults with phimosis or repeated infection with redundant prepuce. It is normal to have too long foreskin in childhood. If the baby has phimosis, or the child's foreskin is too long, don't perform circumcision without complications. Because phimosis of children under 3 years old often disappear with age; Another part of the children will expose the penis head as long as they repeatedly shrink the foreskin and expand the mouth of the bag, and no surgical resection is needed.
No indication
Patients with foreskin and phalitis are not suitable for surgery for the time being, and can only wait until the inflammation subsides before surgery.
Precautions before operation
1, the night before operation and the day of operation, the patient was required to clean the local area. Cleaning genitals: From 3 days before operation, clean genitals with warm water or 1: 5000 potassium permanganate solution every day. When cleaning, the foreskin should be turned over to expose the coronal groove and thoroughly remove the scale. However, it should be noted that the foreskin should be reset in time after cleaning, so as not to cause incarceration of the penis foreskin.
2, complicated with foreskin, penitencis, need to choose drugs and local immersion treatment, surgery after inflammation subsided.
3, eliminate tension: because the wound will be uncomfortable in the first few days after surgery, some people worry that it will affect postoperative sexual function. This idea is unnecessary. Generally speaking, circumcision will not affect normal sexual function. On the contrary, if you bear a mental burden, it may cause mental disorders.
4. It is best to have an empty stomach for 4-6 hours before foreskin surgery, otherwise it will cause discomfort.
Matters needing attention after operation
1. Take sedatives or estrogen before going to bed within 3-4 days after operation (under the guidance of a doctor) to prevent penis erection (inform patients that they can appropriately stimulate the brain to suppress sexual excitement by pinching the glans penis to avoid pain and bleeding).
2. Try to avoid wetting the dressing when urinating after operation. 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 fact that both husband and wife must be separated for a period of time after operation to avoid sexual impulse as much as possible.
3. After circumcision 1 week, you should pay attention to eating more nutritious food, which is conducive to the growth of the incision, but avoid eating seafood to avoid easy healing of the wound. In addition, it is necessary to remind phimosis patients that patients should not eat spicy and other irritating diets at ordinary times.
4. It is best to rest 1-2 days after prepuce phimosis surgery. You can rest in bed, surf the Internet or read books. Walk as little as possible to prevent postoperative sports bleeding.
5. After the operation, support and cover the buttocks with a protective cover. In the meantime, stay at home for about a week. At this time, it is best for men to lie flat without wearing anything, which can minimize the damage to the penis. But now most circumcision operations are carried out in outpatient clinics, and patients can be discharged after the operation, and some even go to work directly. If you don't wear underwear or loose underwear at this time, it is likely that the incision will rub repeatedly and aggravate the pain. Such a patient had better wear a pair of tight underwear. After the operation, the doctor will erect the patient's wrapped penis, that is, the penis head is facing up, and then cover it with tight underwear to completely fix the penis.
When walking in this way, the penis will only rub slightly or not, reducing incision bleeding and relieving pain and discomfort.
Generally, you need to wear tight underwear 10 days at least after the operation, and then change into loose underwear in time after the wound is completely healed. Young people who are in adolescence and after adolescence should resume a certain amount of physical exercise, so that the penis has the opportunity to accept friction and adapt to the new environment as soon as possible. In addition, adult men should resume their sexual life as soon as possible to avoid inducing prostatitis.
Indications of penile lengthening
1, the erection length is less than 10cm, which can not meet the woman's sexual requirements.
According to vaginal anatomy, female physiological characteristics and the measurement of normal penis length of adult males in China, it is normal that the penis length is 7. 1. 1.5cm in normal state and 13.0 1.3cm in erection. If the penis is stunted and the erection length is less than 10cm, which does not meet the woman's sexual requirements, penis lengthening surgery can be done.
2. Burn, trauma or congenital dysplasia
It is normal for a male to have a penis length of 13.0 1.3 cm when erect. If the erection length caused by penis defect is only 3 ~ 5 cm, it belongs to obvious penis defect. In this case, it is necessary to take penis enlargement surgery. Penile cavernous lengthening cuts off the superficial and deep ligament from penis to pubic arch, making the cavernous body buried in front of pubic symphysis become a free part, thus increasing the effective length of penis. Inguinal island flap is used to repair the skin injury wound after cavernous enlargement. This kind of operation can not only lengthen the penis to near normal length, but also have normal erection and sensory function.
3, the erection length and circumference between 5 ~ 8 cm.
In this case, penis lengthening is helpful for the penis shape to approach normal, enhancing men's self-confidence and promoting the harmony of husband and wife's life.
4. Congenital ectopic penis deformity
When congenital ectopic penis is deformed, experts will use penis lengthening according to the condition to extend and reset the penis.
5, penile venous fistula impotence
Male impotence due to penile venous fistula needs deep and superficial vein ligation and penile lengthening at the same time, which can usually achieve better therapeutic effect. The operation of penis growth surgery must be cautious. As a male reproductive organ, the success of penis enlargement surgery directly determines the confidence of male friends and the happiness of family. Choosing a regular andrology hospital is the first key factor to consider, and the technical requirements for the surgeon are also the key factors to consider.
No indication
1, mistakenly thinking that everyone is suitable for penile lengthening.
The measurement of penis length is professional, and there are differences among people of different races and sizes. Generally speaking, if the penis length of China men is less than 4cm under normal circumstances, it is abnormal that the penis length is less than 8cm during erection, which will have an impact on sexual life. However, it is not advisable for some people to blindly seek "growth" by reading some unhealthy books or pornographic videos and websites.
2, easily listen to the false boasting of advertisements.
It is suggested that patients who need surgery should also go to regular medical institutions to understand the qualifications of doctors. Don't go to those small clinics that are "responsive" to avoid lifelong regret.
I mistakenly thought that I could do it if I wanted to.
Penile lengthening surgery is not as long as you think. Postoperative extension can be about 3cm, and some people even longer, which mainly depends on the patient's internal development and cannot be generalized.
Precautions before operation
1. Only male friends within a suitable surgical group can receive penile lengthening surgery. If the requirement is an adult male, the penis is stunted, and the length after complete erection is less than 10 cm, which can not meet the woman's sexual requirements, penis lengthening surgery can be performed; Or most penile defects, the erection length is generally only 3 ~ 5 cm. ;
2, the technical requirements for the surgeon are very high, so as the surgeon of penis lengthening surgery, he must have a deep foundation 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 cautious when choosing a hospital before surgery.
4. Patients with foreskin and penis head inflammation should be treated in advance, and surgery should be performed after the inflammation subsides;
5. Before and on the day of operation, the patient should be carefully cleaned locally to ensure the hygiene of the operation.
Matters needing attention after operation
1, scrub clean to prevent local pollution; Change the dressing in time to keep the vulva clean;
2, 2 ~ 3 days after surgery, you can take sedatives properly before going to bed, and you can take some estrogen orally for a short time to avoid pain and bleeding caused by penile erection. Try to avoid walking, cycling, sexual stimulation and fantasy, and avoid wound healing caused by penile erection;
3. Sexual life is prohibited within 6 weeks after operation;
4. Maintain a good mood and adequate sleep to provide a good internal environment for postoperative recovery.
Indications of penile curvature correction
When the penis bends down more than 15 degrees, it is difficult to have sex! According to experts, 90% of patients with penile curvature are ventral curvature (downward curvature) and 10% are dorsal curvature (upward curvature). When the ventral curvature (downward curvature) of penis exceeds 15 degrees, it is difficult to have sex, while the dorsal curvature (upward curvature) of penis is tolerable within 30 degrees.
No indication
There is a serious disease. There is a serious infection. There is scar hyperplasia. Have serious psychological problems.
Precautions before operation
1, the night before operation and the same day, wash the local area.
2, complicated with foreskin, penitencis, need to be treated in advance, and surgery will be performed after the inflammation subsides.
Matters needing attention after operation
1, don't hold your urine, to avoid repeated penile erection leading to wound healing.
2, 2~3 months after surgery, you can take sedatives properly before going to bed, and you can take some estrogen orally for a short time to avoid pain and bleeding caused by penile erection.
3. Keep the perineum clean when the penis is bent. Some patients may feel uncomfortable in the foreskin after the operation. Do not scratch, scrub clean after defecation to prevent local pollution.
4. Within three months after operation, try to avoid walking, cycling, sexual stimulation and fantasy, and avoid wound healing caused by repeated erection of penis.
Surgical indications of double ureteral malformation
1, urinary incontinence of external bladder mouth.
2, uncontrollable repeated urinary tract infections.
3. Obstruction caused by stenosis or entanglement of openings or stones, leading to dilatation and hydronephrosis of the upper kidney and ureter.
4. Patients with severe pain on the affected side.
No indication
If the function of the high kidney is normal, the ureter is repeatedly opened in the bladder, and there is no obstructive effusion and infection, there is no need for surgical treatment.
Precautions before operation
Drink plenty of water and urinate frequently.
Matters needing attention after operation
Nursing after anesthesia, the wound is clean and dry without bleeding, ensuring the patency of drainage catheter and the fixation of support tube, catheter nursing, patency and fixation of nephrostomy fistula, pain nursing and health education.
Indications of urethral malformation
Urethral malformations can be divided into upper urethral orifice fissure and lower urethral orifice fissure, both of which are congenital penile malformations, which are caused by the defects of urethral cavernous body and anterior urethra to varying degrees. The main manifestation is that the external urethral orifice is located in any part of scrotum or penis (except the center of distal glans penis), and even the penis bends downward due to the hypoplasia of urethral epidermis.
No indication
There is a serious disease. There is a serious infection. Have serious psychological problems.
Precautions before operation
Before the plastic surgery of urethral malformation, you should go to the hospital to state your condition in detail to the doctor in order to successfully complete the operation.
Matters needing attention after operation
The work of preventing infection should not be sloppy.
Indications of hypospadias repair
Both the penis head type and penis type can be repaired with upper urethral fissure to correct urethral malformation. Although pubic sphincteroplasty is difficult to succeed, it should be used as far as possible to restore the function of controlling urination. If sphincterotomy fails, consider a second uretersigmoidostomy.
No indication
Too young for surgery. The operation should be carried out between 3 and 6 years old, because the sick child is too young to cooperate, which is not conducive to practicing urine control.
Precautions before operation
1, the penis is too small, so androgen therapy should be applied appropriately until the penis develops well, and then surgery should be performed.
2, with urinary tract infection, infection must be strictly controlled before surgery.
3. Rinse perineum with soapy water and wet compress with chlorhexidine every day for 3 days before operation.
4. Check the position of urethral orifice in detail, correctly estimate the position of urethral orifice retraction after penis straightening, and measure whether the skin of foreskin, penis and scrotum can be used. Through comprehensive judgment, decide whether to adopt one-stage or phased operation and what kind of operation mode to adopt.
Matters needing attention after operation
1, and try to avoid the operation department from getting wet within 7 days after operation;
2, ensure the surgical site clean, prevent infection. If there is blood scab or secretion on the wound, it can be wiped with sterile physiological saline;
3. The local wound after operation can be bandaged with pressure or cold compress with ice packs, but the pressure should not be too high to avoid damaging the penis. Once there is bleeding and severe hematoma after operation, you should go to the hospital for follow-up in time;
There should be a quiet and comfortable environment to recuperate after operation. Don't watch TV or newspapers within 2 weeks after operation, and it is best to lie in a semi-supine position (raising the pillow) when lying in bed, so as to avoid excessive penis fatigue or low head position, which will aggravate the swelling of the wound;
There will be some pain in the wound on the day of operation, but it will gradually decrease 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 peppers;
7, strictly abide by the doctor's advice and follow-up.
Indications of penis enlargement
1. Most penises are defective, and the length when erect is generally only 3 ~ 5 cm. Penile reconstruction is carried out as usual, but the reconstructed penis has no normal erection and sensory function at present. If penile cavernous lengthening is used, the superficial and deep ligaments of penis are cut off to the pubic arch, so that the cavernous body buried before pubic symphysis becomes a free part, thus increasing the effective length of penis, and then groin island flap is used to repair the wound surface after cavernous body lengthening. This kind of operation can not only lengthen the penis to near normal length, but also have normal erection and sensory function.
2, congenital ectopic penis deformity, according to the situation of penis extension, penis extension and reduction.
3. When the penis is erect, its length and circumference are between 5 and 8 cm, and the testicular volume is greater than 6 ml. When the penis becomes thicker, it is beneficial to the penis shape approaching normal.
4. For impotence caused by penile venous fistula, ligation of superficial dorsal vein of penis and penile lengthening can often achieve better curative effect.
No indication
1, inflammation of reproductive organs.
2. Patients with sexually transmitted diseases and infectious diseases.
3. During medication.
4, mental health, repeatedly choose this operation.
5. Minor patients.
Precautions before operation
1, 3 days before preparing for penis enlargement operation, wash genitals with warm water or 1: 5000 potassium permanganate solution, especially before operation.
2. On the day of the operation, the patient should remove all pubic hair from the genital area to facilitate the operation.
3. Before the operation, make sure that there is no disease in the patient's genital area, such as balanitis prepuce. If you have symptoms, you must postpone the operation and carry out anti-inflammatory treatment first.
Matters needing attention after operation
1. Antibiotics should be used for one week to prevent infection after operation, and rest for 1~2 weeks. You can use cold compress to relieve the pain in the first few days. Diazepam 10mg can prevent nocturnal erection, reduce penile erection, and play a preventive role in wound healing and reducing foreskin edema.