Pediatric Surgeon Specialist Op. Dr. Teoman Şen provided information on circumcision and hernias from daily operations.
Kiss. Dr. Teoman Şen said: “Circumcision is one of the major turning points in boys’ lives. For the sexual health of the child in adulthood, it is very important to perform circumcision with the rigor of surgery. Circumcision performed in the operating room with appropriate anesthesia is a day case procedure. The child does not have to stay in the hospital for a long time. After the procedure, 2-3 hours follow-up in the hospital is usually sufficient. Although circumcision is a medical procedure that can be performed at any age, its timing is of great importance to the child’s psychological world. From the point of view of the psychological development stage, it is believed that circumcision performed under inappropriate circumstances between the ages of 2-5 years, when children begin to realize their sexual identity, may have psychological effects. For this reason, if there is no medically unavoidable situation, circumcision is recommended before the age of 2 years or after the age of 5-6 years.
Listing the Benefits of Circumcision in a Few Items, Op. Dr Sen said:
“Circumcision makes it easier to wash the penis. However, children with uncircumcised penises can be taught to wash regularly under the foreskin. Reduced risk of urinary tract infection: Circumcision in boys under 1 year of age reduces the risk of urinary tract infection by 8 to 10 times Urinary tract infection in the early stages “The risk of penile cancer in circumcised men is 22 times lower than in uncircumcised men. However, cervical cancer is also less common in female sexual partners of circumcised men.”
NEWBORN CIRCUIT REDUCES THE RISK OF URINARY TRACT INFECTION IN BABIES
On the other hand, the most important condition for newborn circumcision, which is often requested, is that the child has no additional health problems and that the genitals are suitable for this procedure. Dr Şen said: “The risk of urinary tract infection is reduced in babies who have undergone neonatal circumcision. In fact, it has been shown in many scientific studies that uncircumcised babies are 8 to 20 times more likely to have a urinary tract infection than the circumcised group. It can be done with local anesthesia. Care after circumcision is easy. Recovery after circumcision is fast. There will be no psychological impact,” he said.
Kiss. Dr Teoman Şen said, “Hernias can be seen at any stage of childhood from newborn to adolescence. The protrusion of the abdominal organs from a weak point of the abdominal wall is called hernia. The most common hernias in children are inguinal hernias, umbilical hernia and umbilical hernia Abdominal hernia (epigastric) Swelling in the navel when laughing, crying or straining can be a sign of an umbilical hernia and swelling in the groin can be a sign of an inguinal hernia It can usually be detected by swelling in the inguinal canal.These walnut-sized swellings go away on their own when the baby is asleep.This swelling becomes apparent when the child cries, laughs or exerts herself, and then softens or disappears.Similarly with inguinal hernia;When the child cries,laughs or pushes, swelling in the groin becomes visible this time. It may disappear as intra-abdominal pressure decreases. In boys, this swelling can penetrate into the scrotum (scrotum). Although hernia is more common in boys, some diseases are known to cause hernia cause. In addition, hernias can be seen in children of families with a certain family history.
APPEARING SWELLING IN THE ABDOMEN OR IN THE GROIN indicates an umbilical hernia or inguinal hernia
Saying that hernias are usually easy to understand after a manual examination, Op. Dr Şen said: “The swelling that occurs during crying or straining returns to its normal state when the child calms down. The presence of swelling in the navel or in the groin suggests an umbilical hernia or inguinal hernia. Examination by a doctor is sufficient to make the diagnosis. We may also benefit from imaging methods such as ultrasound. After the diagnosis has been made. Surgery should be performed in the most appropriate manner and as soon as possible. Under normal circumstances, inguinal or umbilical hernia operations in children are called day surgery. child who’s is operated on in the morning, is discharged on the same day after hospitalization of several hours Procedures such as aesthetic suturing, removal of stitches or dressing The child undergoing surgery can resume normal life after 1-2 days of rest Umbilical hernia is expected to resolve on its own until the age of 3-4 years.If it does not heal at this age, it is operated.Inguinal hernias do not heal spontaneously and definitely require surgery. A mini-incision must be made in the groin. Surgery can be performed by open surgery or laparoscopic (closed) method. All seams are aesthetically closed.