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Circumcision

Types and techniques of circumcision

In the case of circumcision, a distinction is first made between the complete circumcision and the Partial circumcision, also called plastic circumcision. With a complete circumcision, the foreskin around the glans is completely loosened and removed. In the case of a partial circumcision, a remnant of the foreskin that is easy to move and can largely cover the glans remains. In addition, in the event of a foreskin narrowing, there is the possibility of a Extension plastic to undertake. This surgical technique only provides for an enlargement of the foreskin opening without the foreskin itself being significantly shortened.

What kind of circumcision is possible depends, among other things, on the Complaints and motivations as well as from Age of the patient from. Partial circumcision is mainly used in children, since at this age it is often sufficient to remove part of the foreskin together with the visible ring. Enlargement plastic surgery is also recommended, especially in childhood. In adult patients, doctors usually advise full circumcision to reduce the risk of scarring and further complications.

Circumcision Techniques

Different techniques are used in the different types of circumcision. The cosmetic result can vary depending on the technique used. When deciding on a certain surgical technique, the doctor orients himself, among other things, on the tightness of the skin and the patient's individual wishes. The most common methods include the following:

Plastibell method

This technique is often used at Children applied. The surgeon works with one Plastic bell, the so-called Plastibell bell. The bell, which is open on both sides, is pushed over the glans, the foreskin is pulled over it and tied at the base of the bell. The constricted part of the foreskin will now peel off by itself after 8 to 10 days.

Tare clamp

In this technique, the foreskin is pulled back and then pulled over the edge of a Plastic tube put inside. This so-called tare clamp has an integrated plastic clamp to hold the foreskin in place. A built-in knife now cuts off the skin that has been pulled over. The clamp will stay in place for about 7 to 10 days, holding the ends of the cut together until healed. The Tare clamp is well suited if the skin of the penis shaft is not to be tightened too much.

Gomco clamp

Like the two previous methods, the Gomco clamp is based on the Clamping the foreskin. With the help of an elongated metal bell, the excess skin is gently pinched off and the ends sewn. A relatively large part of the outer foreskin can be retained with the Gomco clamp.

Mogan clamp

With this technique, the protruding part of the foreskin pulled over the glans and clamped with a clamp. The surgeon removes the excess skin through one cut and sutured the ends of the skin. The Mogan clamp preserves a relatively large part of the inner foreskin, the skin can be tightened well with this method.

Pliers technology

With this method, the foreskin is also pulled over the glans and fixed with clamps. The surgeon now removes the protruding foreskin with the help of a Pliers and sutured the edges of the wound. With this technique, the firmness of the skin can be influenced by targeted positioning of the forceps.

Circ ring

The Circ Ring is a Rubber ringwhich is similar in functionality to the Plastibell bell. With the foreskin retracted, the ring is placed protectively over the glans and the foreskin is then pulled over the ring. A second ring applied from the outside now fixes the foreskin and presses it together. The surgeon removes the excess skin through an incision.

In addition to these surgical techniques, which are based on the use of clamps and forceps, there is also one Freehand trimming with individual lines possible. Also, circumcision is often done with a Frenuloplasty combined, d. H. with an extension of the foreskin ligament.

If there is a medical emergency with a pinched glans ("Spanish collar" or paraphimosis), the surgeon performs one dorsal incision by. This is an incision in the foreskin as an emergency measure. In this case, the actual circumcision takes place a few days to weeks after the swelling has subsided.

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