Circumcision: Pros and Cons of the cut best piece
Small cut, big effect? When clipping, the movable flap, which surrounds the glans is partially or completely removed. This is possible by means of a surgical procedure under local or general anesthesia. When removing the foreskin is useful and what effect the circumcision on your sex life, click here.
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Why are men circumcised?
Worldwide, about 30 percent of men are circumcised, in Germany it is around 10 percent. The reasons for this are varied: some were already circumcised as young boys, mainly for religious reasons. The removal of the foreskin has been practiced by the ancient Egyptians and belongs to the religious tradition of believing Jews and Muslims today. In many African countries, the so-called circumcision is part of the cultural identity and serves as a rite of passage for young men.
Strange but true: In the US, the circumcision of newborn boys until the 70-year was almost a matter of course, since the trimmed element was considered very hygienic and circumcision was seen as a kind of pre-treatment for the taboo masturbation. Today, the numbers are there, however, declined because there are now quite critical of the circumcision of children: Some feel as adults uncomfortable with their circumcised penis and the decision would have preferred to hit for or against the foreskin itself.
When grown men decide to have perform the procedure, they have either religious, cosmetic or medical reasons. The former is especially the case when a man converts to another faith, which provides for the circumcision. Others find the trimmed element simply aesthetic - as possible because it is reminiscent of the erect penis or because the partner expresses a desire for a circumcision. Medical reasons for circumcision are particularly if foreskin and glans repeatedly ignite (balanitis) or a foreskin (phimosis) is.
Who should be circumcised?
The foreskin is a product of evolution. Its emergence owes less imperative need, rather it is a luxurious optional equipment. This is most evident in the circumcision - it is no consequence at first glance. Do not worry so if your doctor suggests you to remove the foreskin: you can spare the few centimeters skin well. Especially if a phimosis is present, circumcision is often unavoidable because no longer can be optimally withdraw by the narrowing of the skin flap. This can lead to complications during sex and also in micturition. In addition, the so-called smegma, an accumulated under the foreskin mixture of skin, urine and semen remains often leads to inflammation of the glans and finally the formation of scar.
Other medical reasons for circumcision are recurring inflammation of the urinary tract (urethritis, cystitis) or the so-called Spanish collar. This refers to a urological emergency in which the narrowed foreskin clamps the glans of the penis. This also Paraphimosiscalled incident makes immediate surgery necessary because the foreskin may swell so much without treatment that the acorn dies.
What forms of circumcision are there?
When pruning the entire foreskin must be removed not inevitable. Physicians distinguish the following forms of circumcision:
Through a small incision in the skin flap can be this retreat again. The foreskin is retained.
It is separated only a small flap of skin. The acorn remains, at least in part, covered by the prepuce. However, a new phimosis is formed at each fifth to tenth patient if only the cicatricial constriction is removed at the end of the prepuce.
The foreskin is removed completely and the penis thereby completely exposed. Visible is a fine seam in height of the groove between the penis and penile shaft. This method is the safest and at the same time most hygienic form of circumcision. Important to know: Once performed a circumcision is hardly reversible. "The excised skin must then be replaced by a so-called advancement flap. To tissue is displaced from the surrounding region of the body in this area"Explains Professor Andreas Gross, Chief of Urology at the Asklepios Clinic in Hamburg-Barmbek.
Pros and cons of circumcision
By circumcision, the risk of infections of the urinary tract and sexually transmitted diseases can reduce. The risk of HIV infection during sex decreases 60 percent, according to an analysis by the World Health Organization. Possible reason: The foreskin is particularly vulnerable, which makes them very vulnerable to viruses. Of course, circumcision does not replace the condom. The researchers of the WHO see the big picture more global: 5.7 million infections and 3 million deaths could be avoided within 20 years if all male adolescents in southern Africa would be circumcised. Another advantage of the circumcision: For your sexual partner increases the risk of infection with HPV (human papillomavirus) is significantly reduced. This virus is responsible for, among other mucosal infections and Feigwarzenbildung.
As a circumcision on the sex life affects, is controversial. Apparently, it is a myth that circumcised men feel more desire than uncircumcised. Because Canadian scientists have studied circumcised and uncircumcised men, each in energized and normal condition. Result: No desire difference detectable. Touch and impulses such as pain rated all subjects equal. "The results indicate that prejudices about sensory differences between circumcised and uncircumcised men may be unfounded," said study director Kimberley Payne of the Department of Psychology in Montreal. She notes however that circumcision scar could be a factor acting indirectly on the sensitivity of the penis, similar to the frequency of intercourse.
And how the sex without foreskin feel? For some men, the trimmed element is initially used to, as it feels naked and unprotected, reports Men's doctor Professor summer. Two to three weeks after surgery, but you can already be sexually active, provided the wound is completely healed. On sexual sensation to a circumcision but has no effect. Claims that circumcised men were more popular with women or have a better stamina could not yet be confirmed scientifically so far.
Like any surgical procedure also brings the circumcision, the risk of complications: There may be allergic to the anesthetic occur as well as swelling, pain and bleeding around the scar. Some men also report of sensation in the glans. Possible reason: so-called nerve endings (connections between nerves in the skin) go through the procedure lost, which in turn reduces the feeling of pleasure, a Korean study. Every second man standing in front of his Circumcision already had sex feels later masturbating less desire, the researchers report. Two-thirds of men reported in the survey to even masturbation trap them heavier than before. 20 percent of men complained that their sex life had suffered through circumcision. Not even one in ten men reported that masturbation and sex life after the procedure would be more fun than before.
Requires a circumcised penis more hygienic?
The purification of a circumcised penis is easier, as can accumulate fewer bacteria automatically. Although sebum, urine and sloughed skin cells can clump together into a foul-smelling, whitish mass called smegma, which is under a reputation for favoring penile and cervical cancer under the foreskin. To prevent this, but it does not require removal of the foreskin - thorough showers just fine. "The emergence of smegma has primarily to poor hygiene toward"Explains Dr. Helmuth Schuster, Consultant Urologist in Hamburg. "Who cares thoroughly enough before Smegma needs and the risks that may be related to not be afraid."
What should be considered at a circumcision?
To make a circumcision reversed, a complicated operation is required -
It takes about two weeks until the wound has healed. Any possible swelling can be treated with anti-inflammatories, analgesics and sitz baths. Should occur during the healing phase redness or fever, it is best to consult a urologist. Threads must not be taken as a rule, since the material used is self-dissolving. Be careful if you have sex after surgery for the first time and use lube.
By the way: The cost of a medical justified circumcision be covered by health insurance, a cosmetically or religiously motivated circumcision pay themselves. Your Urologist expects in this case after the medical fee schedule (fees for doctors) from. Depending on whether the operation under local or general anesthesia takes place are usually due 200-850 euros. If you suffer from a slight phimosis and only in the personal hygiene, but will not have problems during sex, you can also try to treat phimosis with cortisone or dexpanthenol-containing ointments. If, after about a month there is no improvement, surgery is indicated.
Who can perform a circumcision?
Look for a skilled surgeon who performs at least 15 to 20 circumcisions a year. An inexperienced doctor could remove too much skin - not just the foreskin, but also parts of the penile shaft. In this case, a complex skin grafting is required to correct the error. It is best to consult a urologist or to the urological department in a hospital.
Clipping? Yes, but for the right reasons
Circumcision of children is highly controversial - especially when it is carried out by traditional circumcisers with no medical training and without anesthesia. In adult men, the foreskin is removed primarily for medical reasons - a small complication safe procedure, which greatly eases the lives of patients with phimosis. The myth that circumcised men may experience longer or more intense orgasms, but could not yet be confirmed scientifically. A voluntary circumcision for cosmetic or sexual reasons should therefore be carefully considered.