9 Questions
What is the definition of circumcision?
Surgical removal of the foreskin (prepuce), covering the glans penis
What is a medical indication for circumcision?
Phimosis
What is a potential benefit of circumcision?
Reduced risk of UTI
What is a type of clamp used in circumcision?
Gomco
What is the last step in the surgical technique of circumcision?
The prepuce is excised flush the clamp
What is a type of anaesthesia used in circumcision?
EMLA cream
What is a complication of not using anaesthesia in circumcision?
Pain
What is a cultural indication for circumcision?
Religious ritual
What is a potential risk reduction of circumcision?
Reduced risk of Ca penis
Study Notes
Circumcision
- Definition: Surgical removal of the foreskin (prepuce) covering the glans penis
Indications
- Medical
- Religious ritual
- Cultural
- Cosmetic
Medical Indications
- Phimosis
- Paraphimosis
- Balanitis
- Posthitis
- Balanoposthitis
- As prophylaxis against future maladies
Potential Benefits of Circumcision
- Reduced risk of:
- Ca penis
- UTI
- STD
- Ca cervix (males with intact prepuce are purported to be carriers of human papillovirus)
Surgical Technique
- Use of clamps:
- Gomco
- Mogen
- (Bone)
- Use of plastibel
- Free hand operation
- Prepuce is dilated and freed from the underlying glans penis
- Freed preputial skin is pulled distally over the glans on 2 pairs of forceps
- Clamp is applied distal to the glans
- Prepuce is excised flush the clamp
Pain Management
- Controversial issue
- No anaesthesia
- Use of LA:
- EMLA cream (Eutectic Mixture of Local Anaesthetics; lidocaine & prilocaine)
- Penile block
- Caudal block
- Use of GA in the older child
Learn about the surgical removal of the foreskin, indications and medical conditions related to circumcision, taught by a consultant paediatric surgeon and lecturer in surgery.
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