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Male Circumcision - Is It Necessary?


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#41 easyhard

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Posted 09 April 2009 - 02:48 AM

How would you know if a doctor specializes in circumcision? Is circumcision something that any doctor in the field of 'General Surgery' can do?


Most doctors, including medical interns, would be competent to perform circumcision.
However, not all of them are adept in the different techniques of circumcision. Usually, the dorsal slit technique is performed. It is easier and faster to do. It is the preferred method in medical missions. However, this technique leaves excess skin underneath the penis (we call this "lambi" in Pilipino).

Surgeons are trained to perform most techniques other than the dorsal slit. Some prefer other cuts.
Also, surgeons are in a better position to handle of complications from the procedure as they receive complications of the procedure performed by other physicians.

In the practice of mainstream surgery, your best bet for circumcision would be doctors who had general surgery training or urologic training.
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#42 johnlove

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Posted 09 April 2009 - 07:30 AM

Circumcision & vasectomy - can the two operations be performed on the same day?

#43 peterparker

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Posted 09 April 2009 - 09:47 AM

Circumcision & vasectomy - can the two operations be performed on the same day?



yep, they can be done on the same day-- they`re basic procedures naman kasi...

are we talking about an adult male patient here...? :hypocritesmiley:



:mtc:

#44 johnlove

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Posted 30 April 2009 - 08:02 PM

yep, they can be done on the same day-- they`re basic procedures naman kasi...

are we talking about an adult male patient here...? :hypocritesmiley:



:mtc:


adult, about 40 year old.

#45 peterparker

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Posted 30 April 2009 - 08:30 PM

adult, about 40 year old.



here are some info regarding the risks and complications of a vasectomy and circumcision for an adult male :

Vasectomy Risks and Complications

Vasectomy is a safe, simple and effective birth control method.


What are possible vasectomy complications and risks?
...What are the causes for any post vasectomy pain?

Any surgical procedure carries some risk, but vasectomy is considered to be low-risk, typically not painful, and vasectomy complications are uncommon. It is important to note that vasectomy should be considered a permanent form of birth control, and it does not protect against sexually transmitted diseases or AIDS.

Discuss any concerns and risks associated with vasectomy with your physician. The following is a list of most, but not all, of the risk issues to consider.

Allergic Reaction - Rarely, some men may experience itching and hives, as an allergic reaction to local anesthetic.

Antibodies - Sperm which are no longer released through ejaculation and absorbed by the body may attract antibodies produced following vasectomy.

Bleeding - Generally painless bleeding may occur following vasectomy and collect under the skin, so that the penis and scrotum appear bruised and/or swollen. The scrotum skin is very thin, which may make bruising appear worse than it actually is and is a normal reaction after vasectomy.

Chronic Orchialagia- A rare vasectomy complication - the patient may experience a dull post vasectomy pain or ache in the testicles that is thought to be caused by a congestion of the epididymis with dead sperm and fluid. If this condition occurs, it usually disappears within six months.

Congestion - A common name for chronic orchialgia (see above).

Epididymitis - One of the more common of the vasectomy complications, epididymitis is a condition which occurs when the larger tube behind the testicle, connected to the vas, becomes inflamed and swollen. The application of heat and the use of anti-inflammatory medication with or without antibiotics usually clear this up within a week.

Failure - Pregnancy may result if a man fails to abstain from sex or use alternative forms of birth control during the waiting period, until the testing for live sperm is completed. There is also one chance in 10 thousand that the cut vas will spontaneously rejoin.

Hematoma - Bleeding may occur inside the scrotum causing post vasectomy pain or swelling. When it occurs, it is usually within the first week of the vasectomy. While seldom serious, it should be reported to a physician.

Immune Reactions - Following vasectomy, the immune system may recognize the absorbed sperm cells as foreign proteins and produce antibodies in response. While many men may experience this immune reaction, current evidence indicates that this reaction generally is not harmful. Immune reactions can also contribute to the development of clogging of arteries, which in turn could lead to heart attacks. However, there is no evidence of an increased risk of atherosclerosis because of a vasectomy.

According to the National Institutes of Health, research that examined this issue found no evidence that vasectomized men were more likely than others to develop heart disease or any other immune illness. (NIH Publication Number 96-4094, April 1996)

Infection - If blood collects under the skin following vasectomy, it can become infected. Post vasectomy infection at the incision site or in deeper tissue occurs in less than 5 percent of all cases. Such vasectomy infections usually respond favorably to antibiotic treatment, antimicrobial creams and hot baths, usually within a week.

Postoperative Pain - Some degree of post vasectomy pain or ache is normal following a vasectomy. The use of acetaminophen (Tylenol), with or without codeine frequently is recommended over aspirin, which can cause bleeding. Any painful discomfort normally resolves within a day or two, while a slight ache may remain longer.

Prostate Cancer - Studies looking at the association of prostate cancer with vasectomy have demonstrated conflicting results in the past. To answer this question, a major study involving over 2000 men was performed and reported in the Journal American Medical Association (JAMA 2002; 287:3110-3115). The conclusion was clearly that there is no increased risk of prostate cancer with vasectomy (NIH News Release).

Sexual Difficulties - It is usually reported that men who undergo vasectomy and their partners express greater enjoyment and spontaneity of sex. However, occasionally a man may experience sexual problems after vasectomy, but these almost always have an emotional basis. Counseling usually alleviates the problem.

Sperm Granulomas - One of the more typical vasectomy sequelae, sperm granulomas occurs when sperm leakage from the testicular cut end of the vas causes a small and usually painless lump. This lump does not pose a danger and frequently resolves over time.

In Summary:

Although a simple, safe and common surgical procedure, any surgical procedure includes some risk.
Vasectomy complications are usually uncommon.
Some post vasectomy pain and discomfort may be expected, but this normally decreases and disappears within days, given routine post operative care.
Itís important to review possible vasectomy complications and risks with your physician.



:mtc:

#46 peterparker

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Posted 30 April 2009 - 08:34 PM

adult, about 40 year old.



Risks/Complications

As with all surgical procedures, there is a risk for bleeding and infection when performing a circumcision. Other risks include severe bruising (hematoma), poor cosmetic result, and a change in sensation during sex.


Complications that can occur following adult circumcision may include the following:

Buried penis (penile shaft buried below the surface of the pubic skin)
Chordee (abnormal downward bend of the penis)
Complications from the anesthetic
Meatal stenosis (narrowing of the urine channel [urethra] at the top of the penis)
Poor cosmetic appearance
Skin bridges (foreskin reattaching to the glans)
Tearing of the sutures, usually due to erection




:mtc:

Edited by peterparker, 30 April 2009 - 08:35 PM.


#47 johnlove

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Posted 01 May 2009 - 10:17 PM

Thanks Peterparker

#48 powerpuffgirls

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Posted 26 August 2009 - 12:34 AM

ok pa din ba ang "pukpok" tuli procedure? It was my big brother used to say when i asked him,ano procedure sa kanya. ouch... la pang anesthesia sa kanya that time...

docs, my nephew will be turning 9 next year,how will i know if he is ready for circumcision?.... Will it be proper for a nurse to do the procedure since here in our place (tertiary hospital) i sometimes see nurses do the suturing...

Edited by powerpuffgirls, 26 August 2009 - 12:35 AM.


#49 peterparker

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Posted 26 August 2009 - 10:01 AM

ok pa din ba ang "pukpok" tuli procedure? It was my big brother used to say when i asked him,ano procedure sa kanya. ouch... la pang anesthesia sa kanya that time...

docs, my nephew will be turning 9 next year,how will i know if he is ready for circumcision?.... Will it be proper for a nurse to do the procedure since here in our place (tertiary hospital) i sometimes see nurses do the suturing...



hmm.. strictly speaking nurses should not be doing the job of a physician, in your case performing circumcision which is supposed to be done by a surgeon.. nurses are not properly trained and qualified for this and should not be condoned even if there is a shortage of qualified physicians in your place.. mahirap na lalo na kung magkaroon ng problema at komplikasyon..


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#50 daxmd

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Posted 02 June 2010 - 09:57 PM

Traditionally, circumscision is done on the summer before entering first-year high school. That way, the boy's penis is large enough to be manipulated and mahihiya syang pumasok ng hindi pa tuli. But nowadays, it's only done for traditional purposes.

#51 daxmd

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Posted 02 June 2010 - 10:00 PM

Traditionally, circumscision is done the summer before entering first-year HS. For one the boy's penis would be large enough to be manipulated so to speak and he would be embarrased to go to school not yet circumcised as compared to his classmates. But nowadays it's only done for tradional reasons.

#52 audiman

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Posted 22 June 2010 - 11:29 PM

not having been circumcised never did me any harm! The presence of the foreskin adds a certain something, IMO, during masturbation.

Circumcision & vasectomy - can the two operations be performed on the same day?

If you need or the other, make sure you give the right word.............

#53 boy uhog

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Posted 24 January 2011 - 08:36 PM

sympre dapat ka magpatule gusto mo ba na amoy bulok na balot sisiw yang uten mo hahaha

#54 ladyboy

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Posted 21 June 2011 - 08:59 AM

mabaho kaya pag supot lalo na sa weather natin

#55 romyg

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Posted 21 June 2011 - 11:34 PM

circumcision also has hygienic effect both for the man and his partner...studies have shown that HPV the virus that cause cervical cancer among women is higher among uncircumcised male....hence magpatuli na kayo..

#56 erwinrommel

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Posted 04 July 2011 - 09:07 AM

Pero hindi necessary na magpatuli. Proper hygene is till best wether circumsiced or not. Tradition lang natin ang nagdidictate na dapat tayo mag pa circumcise.



#57 AdmiralKizaru

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Posted 04 July 2011 - 06:56 PM

tama tama, for hygiene lang talaga...
pag hindi ngpatuli, dami kupal.. :lol:

#58 the_passerby5981

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Posted 05 July 2011 - 08:53 AM

Circumcision is culture-bound. Ours is a culture that expects it in every male. It is also a rite of passage when a male member (pun intended) is finally proclaimed as an adolescent by its immediate communities (home, school, etc.).

Popularly, it has something to do with hygiene, where the circumcised is said to have clean-smelling penises.

#59 erwinrommel

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Posted 07 July 2011 - 09:41 AM

The patient should always be given the choice kung gusto nya mag pa tuli or hindi. Kaya hindi dapat tinutulian ang mga bata below 15 yrs old. The school should teach the children about this. Dami na nag papatuli na nagkakaroon ng psychological problems dahil takot na takot mag patuli at na pilit lang ng parents or because of peer pressure.



#60 cream machine

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Posted 08 April 2012 - 11:39 AM

on this side of the globe, for religious and health reasons, males should be circumcised; mabaho pag supot.
puede ko ba ikwento ng tinule ako?

so we went to pgh my mom waitd outside with another parent, chinika na niya ang parent na isa.

while i was inside a doctor, not sure if he was just an intern or clerk or a surgeon operated on me, i was already tall going into my 1st yr high school and i was just looking at the ceiling and tried to ignore the pain coming from the needle. ng tym na un, medyo madami na ko public hair after the operation u know what the paking doctor did? he suddenly says " ok girls tapos na"
taena nagsipasok ang mga female interns ata un, ang gaganda, akala ko hihimatayin ako sa hiya, say ng isa, ah german cut. taena talaga, pinigil ko mag 12 oclock ci peter, say ko sa kanya mahiya ka mahiya ka.

pag labas ko, ung nanay ko na kausap ung isang parent na madami dalang gasa and medical supplies, nasa nanay ko na ang kalahati, say ni ermat cinabi ko masyado madami binili niya masasayang.

finito




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