The article in brief
Post-hectomy, or circumcision, is a common urological procedure to remove the foreskin from the penis. Here are the key points to remember:
- Indications phimosis, recurrent infections, hygiene problems or religious/cultural reasons
- Procedure outpatient procedure under local or general anaesthetic lasting approximately 30 minutes
- Recovery Daily hygiene care, sexual abstinence for 3 weeks, gradual resumption of activities, etc.
- Benefits Improving hygiene, reduction in infectionssolving phimosis-related problems
- Risks bleeding, infection, changes in sensitivity (rare)
Post-hectomy, also known as circumcision, is a common surgical procedure in urology. As an experienced urologist, I have performed many posthectomies during my career. This operation consists of partially or totally removing the foreskin, the fold of skin that covers the glans of the penis. In this text, I will explain in detail the essential aspects of this procedure, from its indications to post-operative care.
Understanding posthectomy: definition and indications
La posthectomy is a surgical procedure to remove the foreskin. The operation may be recommended for a variety of medical, religious or aesthetic reasons. As a specialist, I am often confronted with patients who question the need for this operation.
Definition and anatomy
The foreskin is a fold of skin that naturally covers the glans penis. Its role is to protect this sensitive part of the organ. However, in some cases, the foreskin can cause problems that require surgery.
Medical indications
The main medical indications for a posthectomy are :
- Phimosis: a narrowing of the prepuce preventing the glans from being uncovered
- Recurrent infections of the glans or foreskin
- Hygiene problems linked to a foreskin that is too tight
- Certain dermatological diseases of the foreskin
It is vital to note that not all of these conditions systematically require surgery. As a neurologist, I assess each case individually to determine the best therapeutic approach.
Other reasons for posthectomy
In addition to medical reasons, posthectomy can be performed for religious, cultural or aesthetic reasons. In my practice, I have met many adult patients who opt for this procedure for personal reasons.
The surgical procedure
La posthectomy is a relatively simple procedure, but one that requires surgical expertise. As an etanturologist, I take care to explain the process in detail to my patients to reassure them and prepare them as well as possible.
Preparation and anaesthesia
The operation is generally performed on an outpatient basis, which means that the patient can go home the same day. The anaesthetic may be local or general, depending on the patient's preference and medical recommendations. In my practice, I often prefer local anaesthesia for adults, as it allows for a quicker recovery.
Surgical techniques
There are several techniques for performing a posthectomy. The most common method involves a mucocutaneous resection followed by a suture between the mucosa and the skin. The operation usually takes about 30 minutes. Over the years, I have developed expertise in different techniques, enabling me to tailor the operation to each patient.
Types of posthectomy
There are several types of posthectomy depending on the amount of tissue excised and the location of the scar. The choice depends on the patient's anatomy and the purpose of the operation. I always take the time to discuss these options with my patients to choose the most appropriate technique.
| Type of posthectomy | Features | Benefits |
|---|---|---|
| Total | Complete removal of the foreskin | Resolving foreskin problems once and for all |
| Partial | Partial conservation of the foreskin | Preservation of sensitivity, more natural result |
| Preputial plasty | Foreskin enlargement without removal | Less invasive alternative for certain cases of phimosis |
Post-operative follow-up and recovery
Follow-up after a post-hectomy is essential to ensure proper healing and prevent complications. As a urological surgeon, I am committed to supporting my patients throughout their recovery.
Immediate and short-term care
After the operation, a dressing is applied and usually removed the next day. I stress to my patients the importance of daily hygiene to promote optimal healing. Here are the recommendations I usually give:
- Gentle cleaning of the operated area with soap and water
- Application of an antiseptic as prescribed
- Wear clean, comfortable underwear
- Avoid bathing for a few days (showers are permitted)
Managing pain and complications
It is normal to feel some discomfort or pain in the days following the operation. I usually prescribe painkillers to relieve these symptoms. It is essential to watch for signs of infection or other complications such as haematomas. I encourage my patients to contact me immediately if they notice any unusual symptoms.
Resumption of activities
Normal activities can be resumed gradually. I generally recommend abstaining from sex for about 3 weeks to allow the wound to heal completely. Most patients can return to light work after a few days, but intense physical effort should be avoided for 2 to 4 weeks.
It is essential to note that each patient recovers at his or her own pace. As a neurologist, I pay attention to symptoms and situations to watch out for to adapt post-operative follow-up to each case.
Advantages and risks of posthectomy
Like any surgical procedure, post-hectomy has potential benefits and risks. It is my duty to inform my patients fully about these aspects.
Benefits of the intervention
Posthectomy can bring many benefits, including:
- Solving phimosis-related problems
- Improved intimate hygiene
- Reduced risk of urinary tract and sexually transmitted infections
- Potential improvement in sexual satisfaction in certain cases
In my practice, I have seen many patients enjoy a better quality of life after this operation. On the other hand, it is essential to note that diseases treated by a urologist are diverse, and posthectomy is only one of the possible solutions for certain conditions.
Potential risks and complications
Although posthectomy is generally a safe procedure, it does carry certain risks, as does all surgery. Possible complications include :
- Haematoma or bleeding
- Wound infection
- Delayed healing
- Aesthetic dissatisfaction
- Changes in glans sensitivity
In rare cases, particularly after a total post-hectomy, there may be a slight shortening of the erection or scarring. As an experienced surgeon, I do my utmost to minimise these risks and ensure the best possible outcome for my patients.
Long-term considerations
In the long term, the vast majority of patients are satisfied with their post-hectomy. However, it is important to note that this operation is irreversible. That's why I always take the time to discuss their expectations and long-term implications in detail with my patients before proceeding with the operation.
Finally, post-hectomy is a common procedure in urology that can greatly improve the quality of life of many patients. As a urologist with a passion for my work, I'm committed to providing personalised support at every stage of the process, from the initial consultation to post-operative follow-up. Don't hesitate to consult a specialist if you have any questions or concerns about this procedure.
Sources :
wiki urology
urology department
