Tight foreskin (Surgical treatment of a child's tight foreskin)
Circumcision is performed, if the foreskin is too tight and causes inflammations and urinary difficulties. However, the foreskin is saved with a dilating procedure, if possible. Such treatments include removing adhesions and a dorsal incision.
The procedure is performed under general anaesthesia. Depending on the case, either the adhesions are removed, which ensures that the foreskin is fully retractable, or a dorsal incision is performed, in which a widening incision is made on the contracting part of the foreskin and the skin is sewn back together with a few absorbable sutures. In a circumcision the entire constricting scarred foreskin is removed.
Treatment of pain
The patient experiences pain in the wound for a few days. It is recommended to give regular pain relief to the child for the first few days after the procedure.
The sutures are absorbable and do not require removal. They absorb by themselves within 1–2 weeks. Shower the operated area with warm water twice a day and always when the child goes to the toilet. If the child experiences pain when urinating, showering with warm water helps. After the shower you may apply a bland ointment or petroleum jelly (vaseline) on the operated area to prevent drying of the mucous membranes.
The area of the wounds does not require special protection. The child may go to sauna a week after the procedure. Choose loose-fitting clothes for the child and change the diaper of a baby often enough. After the procedure, swelling, bruising, and discharge of tissue fluid may occur on the operated area for several days. This is a part of a normal healing process.
The child requires rest and adult supervision on the day of the surgery. The child may move within the limits allowed by the pain. The child may go to day-care or school after 3–4 days, and should not participate in physical education for 2 weeks.
If problems in healing arise, contact:
- Day Surgery Unit
- Emergency Department
- Your own health centre or occupational health centre