What is circumcision?
Circumcision is the surgical removal (cutting off) of the fold of skin that normally covers the glans (head) of the penis. This double layer of skin, sometimes called the prepuce, is more commonly known as the foreskin.
Why is the foreskin there?
The foreskin has three known functions: protective, sensory, and sexual.
During infancy, the foreskin is attached to the glans and protects it from urine, feces, and abrasions from diapers. Throughout life, the foreskin keeps the glans soft and moist and protects it from trauma and injury. Without this protection, the glans becomes dry, calloused, and desensitized from exposure and chafing.
Specialized nerve endings in the foreskin enhance sexual pleasure. The foreskin may have functions not yet recognized or understood.
When and why did doctors in the
Doctors in the English-speaking countries started cir-cumcising babies in the mid-1800s to prevent masturbation, which some doctors claimed caused many diseases, including epilepsy, tuber-culosis and insanity. Doctors have given other reasons since then, but all of them, including the claim that circumcision prevents cancer of the penis, cancer of the cervix and venereal diseases, have been disproven. Cutting off the foreskin to keep the rest of the penis clean is like pulling teeth instead of brushing them. We know that the foreskin is a normal, sensitive, functional part of the body.
The Pros and Cons
On the plus side, circumcised infants are less likely to develop urinary tract infections (UTIs), especially in the first year of life. UTIs are about 10 times more common in uncircumcised compared with circumcised infants. However, even with this increased risk of UTI, only 1% or less of uncircumcised males will be affected.
Circumcised men may also be at lower risk for penile cancer, although the disease is rare in both circumcised and uncircumcised males. Some studies indicate that the procedure might offer an additional line of defense against sexually transmitted diseases (STDs), including HIV.
Penile problems, such as irritation, inflammation, and infection, are more common in uncircumcised males. It's easier to keep a circumcised penis clean, although uncircumcised boys can learn how to clean beneath the foreskin once the foreskin becomes retractable (usually some time before age 5).
Some people claim that circumcision either lessens or heightens the sensitivity of the tip of the penis, decreasing or increasing sexual pleasure later in life. But neither of these subjective findings has been proved.
Although circumcision appears to have some medical benefits, it also carries potential risks — as does any surgical procedure. These risks are small, but you should be aware of both the possible advantages and the problems before you make your decision. Complications of newborn circumcision are uncommon, occurring in between 0.2% to 3% of cases. Of these, the most frequent are minor bleeding and local infection, both of which can be easily treated by your doctor.
Perhaps one of the hardest parts of the decision to circumcise is accepting that the procedure can be painful. In the past, it wasn't commonplace to provide pain relief for babies being circumcised, but because studies have indicated that it benefits the infant to receive anesthesia, most doctors will now provide it. Also, the
SMART KLAMP
Smartklamp is circumcision methods and techniques introduced since 2001 in
This tool consists of 2 components, plastic tube and clamp ring. Tube consists of several sizes that can be used from the age of the baby until the age of consent. This tool is used one-time, with the benefits of more secure, fast and comfortable.
Benefits of using this tool are: to protect the head of the penis during circumcision, bleeding a little so that the risk of infection and does not require antibiotics, the tool is easy to use, to prevent injury at the time of the circumcision.
Circumcision process only take 7 minutes, with the "click" closing mechanism then does not need stitches, cosmetic results are better and more symmetrical, safe for the patient with diabetes, hemofilia, autism or hyperactive.
After circumcision, patients can do their activity as usual. However, it remains advisable to perform activities that are not excessive. After 5 days, the tool can be removed by the parents or go see your doctor.
The glans is first measured using the Size-O-Meter to determine which size device is required.
Any adhesions are broken down and the tube part is inserted between the glans and the foreskin, which is pulled up onto the tube.
The outer portion is passed over the tube and rotated half a turn to lock the tube to it. The locking arms are then half-closed to lightly hold the foreskin.
The foreskin is adjusted over the tube so that it will be clamped at the desired place.
The locking arms are clicked completely shut and the excess foreskin is removed from in front of the locking ring.
The device can be left to fall off by itself in about a week or the doctor can remove it after a few days.
