Foreskin Issues and circumcision
Your trusted resource for foreskin health and circumcision advice.
WARNING - Graphic Images of male genitalia.
Circumcision can lead to more problems.
Understanding the options available for foreskin health
We understand your need to connect with us. Having a very personal problem, can sometimes be very difficult to deal with, regardless of your age and ability to cope. We have listed relevant details regarding foreskin problems which we hope are useful to you.
Normal intact Penis or cut penis ?
Normal Penis (Uncut)
Circumcised Penis (Cut)
Circumcised Penis (Cut)
This is a picture of a normal adult penis with an intact (un-cut) foreskin. Apart from exceptional cases, all male are born with a natural foreskin. The foreskin is designed to protect the glans by keeping it covered and moist to preserve sensitivity, The foreskin above has approximately 20,000 plus, nerve ending more than a circumcised penis.
Circumcised Penis (Cut)
Circumcised Penis (Cut)
Circumcised Penis (Cut)
This is a picture of a circumcised (cut) penis. Apart from exceptional and very rare cases all males are not born like this. The penis has been surgically modified to expose the glans permanently. The vast majority of the circumcision modification are carried out shortly after birth. About 50 -60 percent of the penile skin structure has been removed.
----- ADVERT -----
--------------
Viafin- Atlas Ltd. (2004)
Discover getting your sensitivity back easily and naturally
Replacement foreskin - For circumcised men
The SenSlip artificial foreskin can help with lack of penis sensitivity.
Are you circumcised and lacking sensitivity ? Get your glans sensitivity back. At Viafin-Atlas Ltd. we have been manufacturing the SenSlip * 'Artificial Foreskin' or 'Prosthetic Foreskin' for circumcised men who suffer from a lack of penis sensitivity due to the amputation of their natural protective foreskin. We have been producing this solution for the last 21 years.
.
Many circumcised men experience a lack of penis sensitivity due to the keratinised and dried up skin of the glans (head of the penis). This can be easily resolved without going through the hassle and trouble of restoring the foreskin by the use of a foreskin stretching device.
.
The 'artificial foreskin' is available in ten different sizes and four colour variations and when worn on a daily basis, results can be seen and increased sensitivity experienced within days.
.
Please click the banner below for more detailed information.
Functions of the foreskin
The function of the foreskin.
What is foreskin?
The foreskin is a thin layer of tissue that covers the head of the penis like a hood. The foreskin has approximately 20,000 sexually sensitive nerves and one of its functions is to keep the glans ((head of the penis) moist, smooth and sensitive when required. The removal of the foreskin degrades the sensitivity of the glans by up to 75%. Not everyone with a penis has a foreskin. If you’re circumcised, your foreskin has been removed from its base near the middle of the penis shaft, typically at birth. You may even be able to see a band of ridged scar tissue around this area where the foreskin was removed. Viafin-Atlas Ltd. (UK) carried out a survey over three years and the results proved that 76% of circumcised men were unhappy with their neo-natal circumcision which was carried out without their consent.
If you’re intact (uncircumcised), there are some health issues you can run into if you don’t take proper care of your foreskin. Some of these issues can be uncomfortable, and others require emergency medical attention to prevent long-term complications.
Keep in mind that you can still run into some of these issues if you don’t have a foreskin, but you’re at a much lower risk.
.
Let’s dive into what the most common foreskin problems are, how each one is treated, and how you can prevent future issues.
Tight Forekin
1. Tightness
When your foreskin is tight, it can be hard to move it without any pain or sensations of pressure. It’s usually a sign of phimosis In this condition, your foreskin can’t be pulled back, or retracted, from the head of your penis (glans penis).
.
An unretractable foreskin is common in young, uncircumcised boys. It’s not a cause for concern in those cases. But your foreskin typically becomes retractable after the age of three. It should be fully retractable by the time you reach 17.
.
Phimosis can be caused by:
- scarring that results from pulling a child’s foreskin back before it’s ready
- bacterial, viral, or fungal infections of the foreskin or glans penis
- inflammation of the foreskin or glans penis resulting from poor hygiene or irritation.
How to treat it
Here are some common treatments for tightness caused by phimosis:
- Oral or topical medication for infections. Your doctor will swab the infected foreskin tissue and send the sample to the lab for analysis. Based on your results, they may prescribe antibiotics for a bacterial infection, retroviral treatment for a viral infection, or antifungal lotions or ointments for fungal infections.
.
- Daily, gentle retraction of the foreskin. Your foreskin may simply be tight due to your genetics. Pulling back your foreskin each day can help loosen the tissue so it becomes easier to pull back. A steroid ointment applied to the foreskin a few times a day can help with this process.
.
- Circumcision. If no other treatments work, you may need to have your foreskin removed. In some cases, you may only need a partial circumcision. This may also be done if you have frequent infections or inflammation related to your foreskin. Circumcision can cause more problems later in life, including lack of sensitivity, abrasion of the glans (head of the penis), physical appearance and loss of self esteem to name a few.
2. Swelling
Swelling of the foreskin tissue or of the penis glans can cause paraphimosis. When you have this condition, you can’t pull your foreskin back over the head of your penis after it has been retracted. It often leads to swelling of the head. It can also cut off the circulation. This is painful and a medical emergency.
.
Most often, paraphimosis happens when your doctor or other healthcare professional doesn’t move your foreskin back after retracting it for an exam. It’s also caused by an infection, trauma, a tight foreskin. forcefully retracting the foreskin, or leaving the foreskin retracted for too long.
.
Penis or foreskin swelling resulting from paraphimosis requires emergency treatment. It’s very important that you seek medical attention if this occurs. The foreskin can cut off blood flow to the end of your penis if it’s not moved back over the glans penis. This can result in complications like tissue death and, in rare cases, needing to remove part or all of your penis.
How to treat it
Seek emergency medical help if you notice any of the following:
- swelling and foreskin tightness
- changes in the color of your penis
- pain around your penis head or foreskin
- loss of sensation in the foreskin or the head of your penis
.
If you can’t move your foreskin back over the head of your penis but don’t have these symptoms, it’s important that you see your doctor soon before they develop.
.
There are over-the-counter (OTC) lubricants that can help. However, if you can’t move your foreskin, always see your doctor instead of trying to force it back to prevent any possible complications that can lead to changes in your penis function.
.
Your doctor will reduce the swelling first and then move your foreskin back. This can be very painful, and your doctor may numb the area with local anesthetic before trying to move your foreskin.
.
In rare cases, such as when there is a recurrent problem, circumcision could perhaps be the best treatment.
3. Infection
Several infectious agents can affect your penis and foreskin. Balantitis refers to inflammation of the foreskin and glans penis.
You might also notice:
.
- small white spots around your glans and foreskin
- painful urination if the tip of your penis is swollen
- itchiness or soreness around your glans and shaft
- chunky, foul-smelling discharge
.
Postihiitis refers to inflammation of the foreskin alone. Balanitis usually leads to this if you’re uncircumcised. When both the glans and foreskin are inflamed, it’s called balanoposthitis.
.
These conditions can be due to infection or other things that cause irritation.
Some common symptoms of posthitis that affect the foreskin include:
.
- dryness
- pain or tenderness
- itchiness
- burning sensation
- thickened skin (lichenification)
- abnormal discharge from under the foreskin
- phimosis
- bad odor
.
The most common infections that can lead to either balanitis or prosthetist include:
.
- fungal infections
- gonorrhea
- herpes simplex
- primary or secondary syphilis
- trichomoniasis
- chancroid
- chlamydia
- human papillomavius
- yeast infections (this is the most common infectious cause)
How to treat it
The organism causing the infection has to be identified for successful treatment. Common treatments for balanitis and posthitis include:
- Applying creams or ointments to the affected area. Depending on the cause, antibiotics and antifungal treatments can help reduce symptoms and treat the source of the infection. Steroid cream may also be used. Talk to your doctor about which type will work best for your infection.
.
- Focusing on hygiene. Wash your penis gently with warm water every day to reduce irritation and help keep your penis free of bacterial or fungal buildup that lead to infections. If you want to use soap, make sure it’s gentle and unscented.
.
- Removing irritants from your daily routine. Chemicals or dyes in soaps, body washes, and clothing can all cause allergic reactions or irritation that may lead to balanitis or posthitis. For starters, use unscented, chemical-free substances to wash your hair and body and wear cotton underwear.
4. Inflammation
Balanitis, posthitis, and balanoposthitis can also be caused by injury or irritation from a variety of things.
.
Ever caught your penis glans or foreskin in a zipper when you’ve pulled it up too quickly? It can hurt like crazy. The resulting injury can cause swelling or colour changes from inflammation as the tissue begins to repair itself. It can make wearing underwear or pants uncomfortable and sometimes unbearable.
.
This kind of injury can also happen if your penis rubs against a rough underwear or clothing material for too long, resulting in irritation. Any injury or trauma to the penis can lead to these conditions.
.
Using irritating products in the bath or shower can also inflame your foreskin. Some chemicals can cause allergic reactions that lead to inflammation. This is known as contact dermatitis, a type of ecxema. The pain and discomfort can feel very sharp and intense, especially if it’s near the tip of your penis. Common irritants are chlorine in a swimming pool and latex condoms.
.
Other causes include:
- a tight foreskin
- psoriasis
- reactive arthritis
- balanitis xerotica obliterans (chronic balanitis)
.
Common symptoms of foreskin inflammation include:
- rash or bumpiness
- sensitive or itchy skin
- dryness
- gray, brown, or red patches on skin
- patches of reddish, brownish, or grayish skin
- fluid-filled blisters
- thickened skin
How to treat it
If you know what’s causing the irritation, it’s easier to treat. Very mild symptoms, such as mild discomfort, can often be treated at home. However, if you don’t remove the irritant, your symptoms won’t go away.
.
Try the following:
.
- Use a cold compress. Apply a cold, damp, clean towel against the affected area for 20 minutes a day, several times a day, to relieve swelling and pain.
- Cover your penis with a bandage. If your penis or foreskin is scratching against clothing material or is injured, wrap your foreskin with a clean cloth or gauze and medical tape to protect the tissue from further irritation.
- Use OTC creams or ointments. Apply a cream that’s at least 1 percent hydrocortisone to relieve itching. Put it right on the area or apply it to a bandage and wrap it around the area.
- Take allergy treatments. Mild antihistamines such as diphenhydramine (Benadryl) or cetirizine (Zyrtec), can help with allergic reaction symptoms. Make sure the medication doesn’t cause drowsiness if you need to drive or be alert.
- Limit your exposure to irritants. If you notice that a certain hygiene product or clothing material causes inflammation or other reactions, stop using these products and switch to something with as few chemicals or irritants as possible. This usually cures the problem.
.
Good hygiene is important to stop or prevent this condition no matter what the cause.
Get in to see a doctor if you notice:
.
- split or bleeding skin
- trouble urinating
- scrotum swelling or pain
- bloody urine
- intense pain that lasts for more than two hours
- pain during sex
5. Dryness
Dryness around or under your foreskin is often caused by a yeast infections also called thrush.
.
Foreskin yeast infections are a result of overgrowth of a fungus known as Candida albicans. You can get it from having unprotected sex with someone who already has an infection. But it can also result from not cleaning your penis and foreskin regularly and thoroughly.
.
Besides dryness, you may also experience:
- red or white bumps
- irritation or redness
- cottage cheese-like discharge from under your foreskin
- foreskin tightness
.
How to treat it
.
Antifungal creams, lotions, and ointments like clotrimazole (Canesten) and miconazole (Desenex) are the best treatment for penile yeast infections. These can also be taken as an oral medication prescribed by your doctor
Here are a few tips to help you avoid painful or uncomfortable foreskin symptoms in the future:
- Clean under your foreskin regularly. Rinse the area daily with warm water, making sure to get under your foreskin.
.
- Avoid scented or chemical-laden hygiene products. Artificial scents and chemicals can cause allergic reactions or dry out your skin. This can make you more susceptible to bacterial or fungal overgrowth. Choose soaps, body washes, and even shampoos with as few artificial ingredients as possible.
.
- Change your underwear regularly. Dirty underwear can trap bacteria or moisture underneath the foreskin and cause it to build up, leading to inflammation, infection, or bad-smelling smegma. Put on a fresh pair at least once a day. If you prefer, wear loose boxers to allow the area to ventilate.
.
- Wear protection when you have sex. Bacteria and viruses spread through unprotected sex. Even those not related to sexually transmitted diseases, can get underneath the foreskin and cause infections
Understanding Foreskin Health and circumcision issues.
Guidance on Foreskin Issues
.
Complications, methods of circumcision and their management will be reviewed here. Circumcision technique and its risks are discussed.
.
FREQUENCY OF COMPLICATIONS
.
The rate of procedure-related complications during and after circumcision in the neonate is approximately 2 to 6 per 1000 . This rate increases 20-fold for those who are circumcised between one and nine years of age and 10-fold for those circumcised after 10 years of age [3]. Inadequate training of clinicians contributes to complications as practitioners without formal training may not recognize congenital malformations (eg, congenital buried penis and penoscrotal webbing that are more likely to result in poor results when using routine conventional methods)
.
Patients with these abnormalities should be referred to a pediatric urologist.
.
The most common complications of male circumcision are bleeding and local infection, followed by unsatisfactory cosmetic results (too little or too much skin removed) and surgical trauma or injury. Rare but significant complications include life-threatening sepsis and meningitis, buried penis due to cicatrix formation, amputation of the glans, and necrotizing fasciitis. (Gangrene) .
here are some of the methods for used for circumcision
Circumcision and its methods and effectseffects
Circumcision and its methods and effectseffects
ABSTRACT
Circumcision is a commonly performed procedure performed on neo-natal and infant boys for absolutely no medical or logical reason and without the consent of the person involved. It is a multi million dollar industry. Circumcision causes harm every time. An estimated 200 baby boys worldwide die every year due to circumcision.
.
Though uncommon, complications of circumcision do represent a significant percentage of cases seen by pediatric urologists. Often they require surgical correction that results in a significant cost to the health care system. and lifetime problems to the un-consenting victim who are often babies or infants.. Severe complications are quite rare, but death has been reported as a result in some cases. A thorough and complete preoperative evaluation, focusing on bleeding history and birth history, is imperative. Proper selection of patients based on age and anatomic considerations as well as proper sterile surgical technique are critical to prevent future circumcision-related adverse events.
.
Many of these standards do not prevail in the civilised Western world.
You Need Guidance and Support
Circumcision and its methods and effectseffects
BACKGROUND
.
Circumcision and male genital mutilation is one of the oldest procedures and one of the most commonly performed barbaric surgical procedures in practice today. Descriptions of ritual circumcision span across cultures, and have been described in ancient Egyptian texts as well as the Old Testament. This represents an increase of botched circumcisions of approximately 6.8% per year. This may be due in part to the American Association of Pediatrics modification of its stance in 1989 to neither recommend nor condemn routine neonatal circumcision.
.
However, circumcision, like any surgical procedure, does carry the risk of complications. Complication rates depend on multiple factors, including anatomic abnormalities, medical comorbidities, surgical technique, and patient age and non qualified medical staff. In the United Kingdom any non-medical member of the public over the age of 18 years, can carry out a circumcision on a newborn baby boy, provided the parents have consented.
.
Circumcision or MGM is the only amputation that anyone can carry out.
Mental Health Issues with loosing a body part ?
METHODS OF CIRCUMCISION (1)
.
Various methods of circumcision are commonly used in the United States and throughout the world today.
.
The choice of circumcision method depends on the circumcisers level of comfort and training. The most commonly utilized techniques used in the newborn nursery setting, are the Gomco clamp, the Mogen clamp, and the Plastibell. While all of these can be used in the operating room, the “free-hand circumcision” using either the sleeve technique or the dorsal-ventral slit technique is most commonly used. There is no set level of the skin amputated but in most circumcisions between 20 and 80 percent of the entire penile skin structure can be amputated.
.
Each instrument and technique carries its own benefits and complication risks.
.
The Gomco clamp is a suture-less technique that utilizes a 4-piece device that protects the glans, provides hemostasis and a platform for resecting the foreskin.
Gomco Clamp Circumcision
METHODS OF CIRCUMCISION (2)
.
The circumcision starts by retracting the foreskin to free the adhesions and allow exposure and inspection of the glans for any abnormalities. The metal bell is placed completely over glans shielding it from damage, followed by placement of the platform over the bell and prepuce caring not to draw the skin up too much (the goal is to maintain the penoscrotal junction), placement of the crimping part which will provide hemostatic compression of the skin after tightening down the screw, excision of the prepuce, disassembly of the apparatus without unsealing the skin edges, and, finally, dressing the wound. Complications from a Gomco circumcision are mainly related to technical factors.
Sleeve Technique Circumcision
METHODS OF CIRCUMCISION (3)
.
It is important to assure that the metal bell completely covers the glans, otherwise insufficient skin will be removed and accidental incision into the glans is possible.
.
A bell which is too large will result in removal of too much skin. Aggressive retraction of the skin through the platform can lead to excessive skin removal and subsequent corrective surgery; conversely, insufficient drawing up of the skin will lead to an incomplete circumcision.
.
Insufficient tightening of the screw results in inadequate compression of the skin and subsequent bleeding. One may consider keeping the screw tightened for several minutes of hemostatic compression before excising the foreskin.
Mogan Clamp Circumcision
.
METHODS OF CIRCUMCISION (4)
.
The Mogen clamp is a device used for Jewish ritual circumcisions and commonly used by obstetricians, that also serves to provide hemostasis and a platform for adequate skin removal. After lysis of adhesions and inspection of the glans, the edges of the prepuce are elevated and the V-shaped clamp is placed across the prepuce at the desired location assuring that the glans is positioned below the clamp. The clamp is then tightened to provide hem. The possible complications include insufficient or excessive skin removal or asymmetric redundancy and glans amputation all due to improper clamp placement.
PLASTIBELL CIRCUMMCISION
PLASTIBELL CIRCUMMCISION
METHODS OF CIRCUMCISION (5)
The Plastibell technique was developed in the 1950s and is a variation of the Gomco clamp. After lysis of penile adhesions, the plastic bell, similar in appearance to the metal Gomco bell, is placed completely over the glans. Hemostasis is then insured by placing a strangulating suture at the level of the corona and this is all left in place. The skin will slough after a few days and the Plastibell falls off. The associated complications include incomplete circumcision due to inadequate bell placement or slippage of the Plastibell while tying the hemostatic suture, and glans injury or bleeding due to inadequate hemostatic suture placement. psychological problems in later life and several reported instances of suicide.
FREE HAND CIRCUMCISION
PLASTIBELL CIRCUMMCISION
METHODS OF CIRCUMCISION (6)
The “free-hand circumcision” is accomplished in the operating room and involves excising the skin as marked, hemostasis using electrocautery of the skin edges using absorbable sutures, the lines of incision for the “sleeve technique” are circumferential at the same distance from the corona on the inner and outer preputial surfaces. The sleeve of skin is removed and the procedure completed. For the dorsal-ventral slit technique these incisions are made as their names infer down to the predetermined distance from the coronal edge, and then the incisions are connected leaving the two circumferential free-edges which are then closed after achieving hemostasis. There are reported deaths every year on this procedure.
LIFE CHANGING COMPLICATIONS
LIFE CHANGING COMPLICATIONS
COMPLICATIONS
Complications of circumcision are reasonably well documented. The vast majority of circumcisions are performed on baby boys and infants without their consent and are performed for no valid medical reason. The foreskin is a body part that males are born with, along with primates and animals. In the USA alone, only about 130 deaths occur each year due to infant botched circumcisions.
.
The complications include:
.
Infection
Bleeding
Removal of too much skin
Glans amputation
Penis amputation
Severe psychological issues
SUICIDE and DEATH
------- ADVERT -------
Viafin - Atlas Ltd. (2004)
Discover getting your penis sensitivity back. easily and naturally.
Replacement foreskin - For circumcised men
Are you circumcised and lacking sensitivity ? Get your glans sensitivity back. At Viafin-Atlas Ltd. we have been manufacturing the SenSlip 'Artificial Foreskin' or 'Prosthetic Foreskin' for circumcised men who suffer from a lack of penis sensitivity due to the amputation of their natural protective foreskin. We have been producing this solution for the last 21 years.
.
Many circumcised men experience a lack of penis sensitivity due to the keratinised and dried up skin of the glans (head of the penis). This can be easily resolved without going through the hassle and trouble of restoring the foreskin by the use of a foreskin stretching device.
.
The 'artificial foreskin' is available in ten different sizes and four colour variations and when worn on a daily basis, results can be seen and increased sensitivity experienced within days.
Please click the banner below for more detailed information.