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Circumcision surgery to treat phimosis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
User :   Please type your query here. Since this query is directed to our panel of specialists and super-specialists, please mention your problem in as much detail as possible. Do not forget to highlight your Age, Gender, Medical History and Treatment History of the problem you are facing.
User :   Hello docotr
User :   i have a foreskin problem.
Doctor :   Hi
Doctor :   Iam.Dr.XXXXX
Doctor :   OK
User :   i cannot pull back my foreskin as it is tight
User :   i masturbate
Doctor :   may i know your age ?
User :   plus i already have sexual relationship with 3 women already
User :   i am 24 now
Doctor :   you might be having a condition called phimosis
User :   male
Doctor :   ok
Doctor :   when was it first noticed?
User :   i had notice it since teen
User :   bt i didnt payed attention to it
Doctor :   ok
Doctor :   so you are having phimosis
Doctor :   as i said
User :   i had tried to pull it back but it is posible only upto the half head of my penis
User :   okay
Doctor :   and it can be relieved by some topical ointments
Doctor :   and if still not relieved
Doctor :   you might need circumcision
User :   though it is tight i had sex, took me some time for my foreskin to get wet
Doctor :   an minor surgery to remove the foreskin
User :   okay
User :   does circumcision hurts?
User :   before going for circumcision what other options are available?
Doctor :   it is done as day care surgery
Doctor :   and it is done painless
User :   i have heard about circumcision but i am just so afraid for it
Doctor :   dont worry
Doctor :   it is XXXXXXXX very simple procedure
User :   Doctor...can you kindly tell me other option before going for circumcision
Doctor :   which is done on out patient department
User :   :)
User :   okay
Doctor :   you might use some steroid
Doctor :   creams
User :   like
Doctor :   after consulattion with your surgeon
User :   kindly tell me the procedure n medicine
Doctor :   since it depends on the extend of your disease
User :   ok
User :   how long does ot take for circumcised penis to heal?
Doctor :   it is done under local anesthesia
User :   the head will be sensitive
Doctor :   1-2 weeks
User :   ??
Doctor :   no
Doctor :   it get out of that feeling very fast
User :   ok
User :   Doctor where are you based in?
User :   i mean location
Doctor :   XXXXX
User :   out here there are not much of a good urologist
Doctor :   Treatment with topical corticosteroids is effective in separating the loose adhesions found between the glans and the foreskin.
User :   okay
Doctor :   WWW.WWWW.WW
Doctor :   use this link
User :   what ointment can i get for this?
Doctor :   i cannot prescribe one with out examination
Doctor :   since steroid ahve lot of side effects
User :   and can you kindly tell me how to do the stre4tching exervice
User :   ok
Doctor :   i didnt get you
User :   is there any way to slowly stretch and loosen the foreskin
Doctor :   after circumcision
User :   i want to try out the posible steps before going for circumcision
Doctor :   it depends on the extend of skin tightening
User :   ok
Doctor :   which can be said only after examination
Doctor :   Patients should begin to take baths within 24 hours after circumcision
User :   in the meantime, i have observed that the erection in my penis not hard as they used to be before
Doctor :   Regular application of triple antibiotic ointment (4-6 times/d or after each diaper change) is important to prevent infections, adhesions and the formation of crusts on the denuded glans after circumcision
User :   i drink beer
Doctor :   it is because of decreased blood flow
Doctor :   ok
User :   ok
Doctor :   'do you smoke?
User :   no
User :   i only drink
Doctor :   good
User :   what might be the reason?
Doctor :   Phimosis is defined as the inability of the prepuce (foreskin) to be retracted behind the glans penis in uncircumcised males.
User :   ok
Doctor :   Nearly all males are born with congenital phimosis, a benign condition that resolves in the overwhelming majority of infants as they transition into childhood
Doctor :   Adult phimosis (ie, pathologic or true phimosis) may be caused by poor hygiene or an underlying medical condition (eg, diabetes mellitus).
User :   does my rectile problem has anything to do with this phimosis
Doctor :   Failure of medical treatment warrants surgical intervention, usually in the traditional form of a circumcision or preputioplas
Doctor :   erection will be affected
User :   ok
Doctor :   Circumcision is one of the earliest elective operations known to man.
User :   but i never used to feel it
User :   until i start drinking frequently
User :   for the past few months
Doctor :   ok
Doctor :   Physiologic, or congenital, phimosis is a normal condition of the newborn male
User :   and esp. when i am drunk my erection is very weak
Doctor :   In 90% of cases, natural separation allows the foreskin to retract by age 3 years
Doctor :   However, phimosis persisting into late adolescence or early adulthood need not be considered abnormal.
User :   doctor...what will be your best sugestion for my phimosis
Doctor :   In older men, when the phimosis is severe, the distal foreskin often appears swollen and erythematous with cracked fissures
Doctor :   i9 will advise an examination first
User :   ok
Doctor :   or you can get specialist opinio from our urologist
User :   but the place where i am staying doesnt have a good specialist
Doctor :   dr XXXXXXXX
Doctor :   WWW.WWWW.WW
User :   ok
User :   thanks
Doctor :   Applications of steroid creams (0.05% betamethasone) have been used to manage phimosis medically
User :   can i directly chat with him now?
Doctor :   The usual regimen is application of the steroid cream once or twice daily for 4-6 weeks.
User :   ok
Doctor :   yes you can talk to him via phone
User :   after applying the cream do i need to stretch?
Doctor :   yes ,but should be very careful
Doctor :   i would advise a specialist opinion
Doctor :   from dr XXXXXXXXXXXXXXx
User :   okay
Doctor :   he is world renowned surgeon
User :   and what do you think about my erectile problem?
Doctor :   once your phimosis is corrected it will improve
Doctor :   significantly
User :   ok
Doctor :   A properly performed circumcision eliminates phimosis, as well as the risks of paraphimosis and frenular tears or bleeding associated with sexual intercourse.
User :   but i have observe that i am having this weak erection esp when i am drunk
Doctor :   Adult circumcision can be performed under local or regional anesthesia and commonly involves either the dorsal slit or the sleeve technique.
User :   on other days when i am fresh the erection si good and hard
Doctor :   ok
User :   Doctor i have also heard about incision?? what is that?
Doctor :   Circumcision may be performed in the office under a local anesthetic or in the operating room under a regional or general anesthetic.
Doctor :   ok
User :   ok
Doctor :   Following adult circumcision, many urologists choose not to use a dressing. However, either petroleum jelly and sterile gauze or Xeroform petrolatum gauze may be wrapped around the penis
Doctor :   followed by application of sterile gauze and a nonadhesive elastic wrap.
User :   ok
Doctor :   . The dressing is removed 24-48 hours after surgery. The patient should wear loose-fitting briefs after surgery, and he may shower but should wash gently around the incision site.
User :   ok
Doctor :   Routine follow-up after adult circumcision is advisable, but not mandatory
User :   ok
Doctor :   Patients may be seen 2-3 weeks after the operation so that the incision can be examined to see if it has appropriately healed.
Doctor :   Circumcision is a safe surgical procedure that is well tolerated in nearly all patients.
User :   what is that dorsal slit?
Doctor :   it is a type of circumcision
Doctor :   dorsal slit,sleeve technique
Doctor :   However, as with any surgical procedure, complications are possible. Examples include bleeding, infection, hematoma, swelling/lymphedema, pain, and poor cosmesis.
User :   ok
User :   how is it done?
Doctor :   Infection after circumcision is uncommon and, if encountered, may be treated with local or oral antibiotics.
User :   ok
Doctor :   To perform the dorsal slit circumcision, clamp the foreskin at the 12-o'clock position with 2 straight hemostats to limit bleeding.
Doctor :   Sharply incise the tissues between the 2 clamps perpendicular to the corona. Make the proximal circumscribing incision.
User :   after long does a patient have to take bed rest?
Doctor :   1 week
User :   since i am working in a company where we require frequent movememnt
Doctor :   ok
Doctor :   take atleast 1 week rest then
User :   ok
Doctor :   Phimosis does not recur after proper circumcision. If too much penile skin is left, a repeat circumcision may be necessary for medical or cosmetic reasons.
Doctor :   In adults, some permanent skin-color discrepancy along the suture line of the circumcision may occur.
User :   ok
Doctor :   Surgery often provides immediate excellent cosmetic results with low rates of complications
Doctor :   WWW.WWWW.WW
User :   ok
User :   Doctor what is the name of your hospital?
User :   Can you kindly tell me the charges for circumcision?
Doctor :   so you can get expert opinion from dr XXXXXX
Doctor :   we are from healthcaremagic
User :   ok
Doctor :   a Bangalore based health care company
Doctor :   We cater to US/UK PATIENTS mostly..
User :   ok
Doctor :   the cost will be
Doctor :   XXXXX
User :   ok
User :   thank you
Doctor :   Is there anything else i can help you with now?
Doctor :   Thanks for consulting .....
Doctor :   Bye for now.................
Doctor :   Take care...........
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