Isn't it normal to turn the bag over
When do you need a doctor
What about the surgery
"parent questions."
Now, don't rush to conclusions. Min clear
"doctor, the child's skin never opened, isn't it the penis?"
"i heard i'm too old to care."
"there's so much surgery, which is better?"
At the children's urology clinic, this is almost daily “three questions from parents”. The most important thing in the face of the child's circumcision is not so much a rush to surgery or waiting, but to distinguish between normal development, observation and timely medical treatment。
Medical tips are used only in the health sciences and are not a substitute for individualized diagnosis. The child's need for treatment is determined by the child's urologist。
Can't turn it on, is that a penis
Many young children may not be able to go up completely for a while and may be in normal development
When a child is born, the inside of the skin is naturally attached to the penis. With growth and development, the cortex will gradually become loose and the adhesive may also be slowly separated. The fact that some of the children are aged 3 to 4 is not fully up to the age of 4, does not necessarily mean that they need surgery。
An important reminder is not to push up in order to “turn it up”. Forced reversals may cause pain, bleeding and fractures, and may result in scarring after repeated injuries, and may instead turn the original physiological problems into pathological problems。
When do you need to think about surgery
Age is not the only criterion, symptoms, testing and treatment
The effect is more important
It is not accurate to “must do” or “must grow up”. The doctor usually combines the child's age, local circumstances, symptoms and conservative treatment effects。
The following situations usually require focused assessment and may require surgery:
• leather mouths have fibrous and narrow rings; rational or scarred pyramids: the cortex is clearly white, thicker and less resilient。
• repeated skin or penis swelling, pain, infection。
• pain in urination, marked fineness of the urine line, difficulty in urinating, or persistent impact on daily life。
• repeated embedding of entropy, or failure to restore itself after turning over。
• the problem has not improved after medically directed conservative treatment。
• combining pathologies that need to be addressed during the same period, such as local cysts, pigments, etc。
• after the age of five, the mouth is narrow and the skin cannot retreat to show the penis。
The emergency recognition pelvis is stuck behind the penis, accompanied by swelling, pain and inability to recover, and may be sedentary and acute, and should be treated as soon as possible。
How do you choose to operate so much
What really matters is not what equipment is most expensive, but what is more suitable for children
Common methods include traditional circumcision, ring ligation, sleeve surgery, one-time wrappers, etc. Doctors need to combine the age of the child, the degree of co-operation, the narrowness of the cortex, the existence of viscos or oscillations, the conditions of anaesthesia and care, and the choice of proficiency in different arts。
Traditional circumcised circumcision: doctors design cut-off ranges on an individual basis, with a wider range of adaptive symptoms; operational time, stitching effects are closely linked to doctor experience。
Collapse: the procedure is relatively short-term and has a relatively low hemorrhage; after the operation, it takes some time to carry the ring, and some children are held together or ill。
One-time pelvis matching operation: capable of simultaneously completing cutting and matching, with a relatively neat and usually short length of operation; application is still judged in conjunction with the child's local conditions。
The selection principle is not to be "self-selected" online. Regulation, medical experience, adaptive diagnosis and post-operative management are more important than simple comparison of equipment names。
What's the next step
From outpatient assessment to post-operative follow-up, each step requires regulatory management
An out-patient assessment: a doctor examines the cortex, viscos and local development, determines whether surgery is required and communicates with parents。
Refinement of pre-operative examinations: the corresponding examinations are carried out according to the age of the child, the anesthesia programme and the state of health; the doctor should be informed in advance of any recent fever, cough, diarrhoea or other infections。
Determination of anaesthesia and art: anaesthesia programmes need to be determined by age, degree of cooperation, condition and hospital process, not all children in the same way。
04 completion of surgery: children who meet the conditions for day surgery can complete their treatment in accordance with the hospital's day-to-day process; the timing of the operation and the arrangements for discharge are assessed。
05 observation and follow-up: medical staff will provide guidance on trauma care, pain management, activity planning and review time。
After the surgery, the parents care about five things
The rate of recovery varies from person to person, and is related to art, care and individual reaction
Is the swelling normal
Short-term mild swelling, bruises or small seepages are more common. If swelling continues to increase or the colour is abnormal, the doctor should be contacted in a timely manner。
Does it hurt
The doctor will treat the pain as it may be. Parents are required to use medication, without self-inflicted dosages and without the use of selective or irritating disinfectants。
When can i shower
It should be decided on the basis of dressing, wounds and surgery, and the shower should normally take place three days after the operation. Don't bathe yourself or soak for long because it looks dry。
How long can you go to school and exercise
Quiet activities can normally resume gradually on the day after the operation; running, cycling, swimming and intense sports, especially swimming, are suspended, subject to review and medical advice。
What situations require medical attention
Black and purple penises must be treated immediately. Continuing active haemorrhage, increased pain or red edema, fever, septizers, failure to urinate for hours, apparent dim colour, etc。
