In the article, we will consider how an operation is performed on plastic surgery of the frenulum of the foreskin.
A short bridle, or narrowed foreskin of the penis is a fairly common pathology. It seriously affects the quality of life and causes many inconveniences. However, at present, this problem is easily solved by the usual intervention of the surgeon - plastic surgery of the foreskin. Such an operation is common, simple, is done by adults and children, is easily tolerated.
Indications for surgery and contraindications
Plastic surgery of the foreskin is indicated for complete or relative narrowing of the foreskin - phimosis or paraphimosis. At the same time, plastic surgery is an alternative to circumcision, when the patient wants to leave the foreskin for some reason.
Surgery is contraindicated in: sexually transmitted diseases, inflammatory pathologies of the genitourinary system, blood diseases, tumors located next to the genitals, during an exacerbation of acute or chronic infectious diseases, HIV infection.
In some cases, the operation in the presence of contraindications is possible or it can be carried out after their elimination. To determine whether the patient is allowed to have plastic surgery, you need to consult an experienced surgeon.
Indications for plastic foreskin are understandable. Now you can familiarize yourself with the problem in more detail.
Types of phimosis
So, phimosis is an ailment that is congenital and acquired. Congenital is divided, in turn, into pathological and physiological, pathological further - into hypertrophic and atrophic.
Physiological phimosis is observed in many infants. However, by two or three years, as the penis tissue differentiates and grows, such a problem resolves itself, and physiological phimosis does not need treatment. True, a violation in some children still remains if, due to atrophy (thinning) or, conversely, hypertrophy (lengthening) of the tissues of the foreskin, the head is not exposed.
Acquired phimosis is the result of scarring in a man of the foreskin. Its causes: local infectious processes that occur as balanoposthitis and balanitis (inflammation of the foreskin and glans penis), traumatic injuries.
Four degrees of this pathology are distinguished depending on the nature of the severity. In the initial stages, head exposure is possible, but with difficulty. With this pathological condition, the head is infringed in a narrow ring of the prepuce hole. Such a complication can cause necrosis of the head and often needs emergency surgical intervention.
Preparing for plastic surgery of the foreskin
Preparation procedures are standard. It is necessary to pass a general analysis of blood and urine, an analysis for various kinds of viral diseases and the concentration of various elements in the blood. In addition, fluorography is performed, blood coagulability is tested. All areas of research are issued by a urologist. It is necessary to clarify whether the patient has drug intolerance.
From specific training, only shaving the genitals and pubis is necessary.
Course of intervention
Plastic surgery of the foreskin is predominantly performed under local anesthesia, but for boys under twelve years of age they perform it under general anesthesia - in this case, more tests should be done.
The operation is fairly quick and without complications. The foreskin is pulled back, then cut longitudinally in the region of maximum narrowing. The cut length is selected depending on the length of the narrowed area.
It happens that the exposure of the head and too much narrowing is impossible. Then a small incision is made, and then the head opens and the incision continues.
Seams are laid across. The threads can be ordinary (they are then removed after two weeks), and self-absorbable.
Bridle plastic
A very short frenulum of the foreskin is also a common pathology. It can be acquired as a result of trauma or congenital. It differs from the narrowing in that the head could well open on its own, however, the fabric does not stretch to the desired distance.
Plastic surgery of the foreskin frenum is a simple operation that lasts only 15-20 minutes. It is performed under local anesthesia.
The frenum is dissected crosswise with a scalpel, and a ligature is applied to the crossed artery. Then sew the edges of the wound in the longitudinal direction. If a scar is found on the frenum, the surgeon immediately removes it.
Rehabilitation period
The significance of manipulations after plastic surgery of the foreskin should not be overlooked. In the first day, dressings are made with antibacterial ointments. Additionally, baths with chamomile and oak bark are prescribed, which have a calming effect.
In the first two to three weeks, a member must be treated with an antiseptic to prevent infection from entering the wound. Also, sex is excluded during this time. For a month, it is desirable to limit physical activity.
When washing, it may be inconvenient. The first week is better if water does not get on the penis. The patient can be helped out by a condom - he is put on during the hygiene procedures, then removed.
For better wound healing, strong friction should be avoided. For this purpose, during an intimate relationship for a month, it is better to use a lubricant. In the postoperative period, men are advised to wear tight underwear, which makes it possible to fix the organ. This limitation reduces the likelihood of injury.
It must be remembered that only the timely elimination of phimosis eliminates the alleged complications. If there are indications for the operation in childhood, this method of eliminating pathology should not be abandoned.
The recovery process in childhood is much faster due to the active production of collagen.
Possible complications
Complications are quite rare. The main reasons for it are: neglect of the doctor’s recommendations during the rehabilitation period, an appeal to the surgeon with a lack of experience with similar problems. Infections, severe bleeding, and tangible pains may develop. At the first sensation of discomfort, you need to consult a specialist.
Cost
An operation, on average, costs about ten thousand rubles (preparation and actions after the intervention are taken into account). It depends on the clinic and region. Patients claim that in private clinics the procedure is more expensive than in public hospitals.
Circumcision or plastic?
Circumcision is too radical a procedure, and many men disagree with it. However, there are times when it becomes the only option. These include inflammation of the adhesions on the foreskin, inflammation of the head of the penis, genital warts, and other inflammatory processes. Experts believe that such evidence is a serious reason for circumcision.
This method becomes the most common in the treatment of male phimosis in different age categories. The technique is based on excision of the foreskin with further ligation.
After surgery, a sterile dressing is applied to the penis. The duration of the operation is no more than half an hour.
There are several ways to cut: the clamp method, dorsal incision, circular resection.
The appropriate method is chosen by the surgeon depending on his own professional skills.
After the operation, the patient will have to recover over time. The healing process is simpler in children.
Laser foreskin plastic
Now it is laser surgery that is becoming the most acceptable and preferred way to rid men of phimosis. During the operation, the surgeon makes a tissue resection with removal of the foreskin.
The head of the penis remains open. The difference between laser intervention and circumcision is the first operation without a scalpel.
Advantages of the laser method:
- simplicity, lack of need for anesthesia;
- lack of a long recovery period;
- lack of pain and swelling;
- no hospitalization needed;
- the likelihood of complications is minimized.
A significant disadvantage is the high cost of the operation. State clinics do not provide such a service due to the lack of equipment for its implementation.
If you look at the reviews of men, then those who used laser plastics are more satisfied with the result. Since the operation is quick, almost painless, the recovery period is shorter.
Meatoplasty
This method of plastic surgery of the foreskin of the penis is not an independent method of eliminating phimosis. It can be used only as an auxiliary, along with interventions to excise the tissues of the foreskin of the penis.
During the operation, the surgeon narrows the urethra using incisions and with further stitching. Such manipulation can be done simultaneously with plastic and circumcision.
Radio knife
This is an alternative method that allows you to replace surgery with a laser. The advantage of this method is the absence of a long rehabilitation period and painlessness. The intervention mechanism is based on the operation of electrodes.
Tissue incision does not lead to large loss of blood and does not cause pain. The method does not have its own drawbacks, however, the operation using the radio knife is done exclusively in certain private clinics.
Reviews
Reviews of the foreskin plastic are abundant, mostly positive. Such an operation is cosmetic and less traumatic, is done in the clinic on an outpatient basis, lasts 15-20 minutes.
The main thing is that the intervention was carried out carefully, without the formation of a rough scar, otherwise a simple phimosis easily develops into a scar. Reviews confirm this. During the operation, doctors should use only abacterial, cosmetic, quality material that is not able to cause inflammation.
Patients say that when properly performed, unpleasant complications are eliminated. People are very pleased with laser plastic surgery. The only negative is the high cost.
Plastic surgery of the foreskin requires the surgeon to take precise actions, experience in microsurgery and plastic urology. If the operation is carried out qualitatively, then repeated interventions will not be needed on the foreskin, everything will be perfectly restored. Men who have encountered this problem argue that it is better to choose a more experienced doctor who has already performed such operations. Since it is important to do everything carefully. And novice surgeons sometimes make mistakes.