Correction of frenulum too short

The short circumcision of the foreskin refers to a male external genital malformation that affects function due to the shortening of the physiological or pathological foreskin system, which causes the penis head to bend downward when the penis is fully erected. Best time: It is ideal after adolescence or before marriage. Postoperative recovery: good treatment of the disease: the foreskin is too long Indication The foreskin ligament is too short, and in most cases is a sequelae caused by excessive circumcision. A few can also be seen after trauma or congenital malformations. Therefore, if the foreskin ligament is too short, resulting in penile curvature and erection and erectile pain, surgery should be performed. Contraindications There are problems with the coagulation mechanism, such as severe cardiovascular and cerebrovascular diseases, diabetes, and active periods of tuberculosis. Preoperative preparation 1. On the eve of surgery and on the day of surgery, the patient is cleaned. 2. Patients with congenital foreskin and penile head inflammation should be treated with drugs and local immersion treatment, and the operation should be performed after the inflammation subsides. Surgical procedure 1. Method 1: "Z" shaping method. A deformed or curved part of the penis after erection, a "Z" shaped incision with a length of 3 cm, a length of 2 cm, and an angle of 60 ° along the long axis. The two triangular flaps are separated and replaced with a thin wire. Bit stitching. 2. Method 2: Scrotal double pedicle flap method. The operation is generally completed in two phases under local anesthesia, with an interval of three weeks. (1) First-stage surgery: 1 Make an annular incision around the penis more than 1 cm in the coronal sulcus of the penis, and push the skin up to a sufficient extent; 2 Make two horizontal incisions on the scrotal skin at the relative position of the wound, the width and the penis The wound is adapted. After the skin was separated into a double pedicle flap, the penis was passed under it, and the two wounds were sutured separately. (2) Second-stage operation: 1 The pedicle is separated by the root of the double pedicle flap of the scrotum, and the two ends are non-linearly sutured on the ventral side of the penis; 2 the wounds of the scrotum are tied and sutured. complication 1, bleeding: mostly for intraoperative hemostasis, or ligature loosening. Seek medical attention in case of this symptom. 2, infection: preoperative correction of foreskin, penile head inflammation, do not pay attention to aseptic operation or rough operation, postoperative urine contaminated wounds can lead to wound infection. After the infection occurs, part of the suture should be removed to make the drainage smooth, bed rest, and apply antibacterial drugs.

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