Male Circumcision and Its Benefits
Male circumcision is a procedure done on the prepuce or foreskin which covers the glans penis. It is excised so that smegma and other wastes do not accumulate. In infants, it is offered as an elective procedure. It can also be indicated to patients with medical conditions (male genilalia) such as phimosis, paraphimosis, and infections of the foreskin and glans that are all recurrent in nature.
The foreskin or prepuce has a thin inner layer that lines the preputial sac, which serves as a collecting sac of used or shed cells, urine residue, and secretions. This potentiates an infection, thus becoming one of the indications of its excision.
Several studies revealed that there has been a 60 percent decrease in transmission of Human Immunodefficency Virus in males who were circumcised compared to males who elected not to get circumcised.
Male Circumcision Infection
Infection may be caused by inadequate or improper cleansing of the sutured area, leading to bacterial growth. Moist areas are also great breeding grounds for bacteria. For infants wearing diapers soaked from time to time, it would really be a problem to keep that area dry for a few days.
- There may be a purpuric discoloration, a red and firm penile shaft, and swelling around the surgical area. The scrotum may have bluish discoloration, a condition known as cyanosis.
- Difficulty, pain or burning sensation when trying to urinate can also be experienced by patients. Prompt attention is recommended.
- A circumcised infant may develop ‘scalded skin syndrome’. The circumcised penis may appear erhythematous, swell, and may be covered with thick, yellow-green exudates. Fever, lethargy, cyanosis, and diarrhea may also be present.
- The infant may exhibit irritability and anorexia.
Male Circumcision Infection Prevention and Management
The area should be kept dry for the first few days. The patient should have regular changes in dressing or sterile gauze. Petroleum jelly should be applied to prevent friction from the dressing or diaper. The sutured area should be monitored for at least 48 hours to note any sign of infection such as pus, red discoloration, and severe swelling. After monitoring for two days, the area should be kept clean and washed for 5 to 7 days with warm water and soap.
In other cultures and practices, it is believed that guava leaves help prevent infection. Some studies revealed that guava leaves have antibacterial properties, thus intervening with the formation infection.