bkdaniels
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Aug 12, 2005, 8:35 AM
Post #4 of 8
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Hey Concerned, how are you doing?
Circumcision in older men is concidered with recurrent balanitis or balanoposthitis in whom conservative medical therapy is unsuccessful as well as those who are prone to paraphimosis when the retracted foreskin cannot be easily replaced, causing swelling and eventual strangulation of the glans penis. (Choe Phimosis, Adult Circumcision and Buried Penis) Circumcision is the surgical removal of that part of the foreskin that covers the glands (head) of the penis. (Oppenheimer, Keuhnelian 432)
And he gave the covenant of circumcision:
and so Abraham begat Isaac, and circumcised him
the eight day; and Isaac beget Jacob; and Jacob beget
the twelve patriarchs. (Acts 7:8)
Although a contraversal, circumcision is best done when the boy is an infant, a procedure that has been practiced by Jewish people since the days of Moses. Phimosis is a common abnormality in which the foreskin envelops the penis so tightly that erection, if possible, is very painful. (Oppenheimer, Keuhnelian 432)
Phimosis may be a presenting symptom of early diabetes mellitus. When the residual urine of a patient with diabetes mellitus becomes trapped under the foreskin, the combination of a moist environment with glucose in the urine leads to a proliferation of bacteria with infection and scarring, eventually causing phimosis. (Choe Phimosis, Adult Circumcision and Buried Penis)
And God said unto Abraham, Thou shalt
keep my covenant therefore, thou, and thy
seed after thee in their seed generations. This
is my covenant, which ye shall keep,
between me and you and thy seed after thee;
Every man child among you shall be circumcised.
(Gen. 17:9-10)
In 1975, the American Academy of Pediatrics recommended against routine elective circumcision of newborns because of a lack of an absolute medical indication. However, literature reports that uncircumcised young boys are predisposed to lower urinary tract infections (UTIs) because the redundant foreskin harbors bacteria: the increased risk of UTI appears to affect boys younger than 5 years. (Choe Phimosis, Adult Circumcision and Buried Penis)
Currently, the American Academy of Pediatrics recommends that newborn circumcisions remain optional. If parents are contemplating elective circumcision, obtain proper informed consent after fully discussing the potential risks and benefits of the procedure. (Choe Phimosis, Adult Circumcision and Buried Penis)
Cancer of the penis is unknown among men who have been circumcised since childhood. Incidence of penile carcinoma in the United States, where proper hygiene is widely practiced, is extremely low. (Choe Phimosis, Adult Circumcision and Buried Penis)
For men who are uncircumcised, proper hygiene has been shown to be important in preventing the development of penile carcinoma. Secondly, unrecognized chronic paraphimosis or delay in diagnosis reportedly results in penile autoamputation or urinary retention. (Choe Phimosis, Adult Circumcision and Buried Penis)
In summary, common indications for circumcision include the following: - Recurrent balanitis
- Poor hygiene
- UTIs
- Social or religious reasons
- Phimosis
- Paraphimosis
Circumcision may be performed in the office under a local anesthetic or in the operating room under a general anesthetic. Patients generally have a follow-up examination in 2-3 weeks for a postsurgical wound check and examine the incision for integrity and for wound infection. (Choe Phimosis, Adult Circumcision and Buried Penis)
After circumcision, genital hygiene is improved with complete resolution of the phimosis. Risk of frenular tears, paraphimosis, pain, and penile bleeding after sexual intercourse is eliminated. (Choe Phimosis, Adult Circumcision and Buried Penis)
Initial therapy for phimosis involves oral or topical antibiotics with meticulous hygiene. (Choe Phimosis, Adult Circumcision and Buried Penis) For excellent patient education resources, visit eMedicine's Men's Health Center. Also, see eMedicine's patient education articles Foreskin Problems and Circumcision.
REFERENCES
Gordon D. Opperheimer, M.D.
and John G. Keuhnelian, M.D.: Phimosis and Circumcision
Funk & Wagnalls Family Medical Guide; chap. 14, THE MALE SEXUAL SYSTEM, sec. 258, p.432.
Jong M. Choe, M.D, FACS: Phimosis, Adult Circumcision and Buried Penis
eMedicine.com, Inc., Professional Medical Education Article; 2005.
Best wishes,
The Prison Hospital
Prisoner: Look here, doctor! You've already removed my spleen, tonsils, adenoids, and one of my kidneys. I only came to see if you could get me out of this place!
Doctor: I am, bit by bit.
-- Aha! Jokes
(This post was edited by bkdaniels on Aug 12, 2005, 8:38 AM)
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