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PHIMOSIS SURGERY

During a phimosis surgery, or foreskin plasty, a physician removes a narrowing of the foreskin. Phimosis prevents the foreskin from sliding off the penile glans, which can make it difficult to maintain hygiene, promotes development of infections and can be a source of considerable discomfort. Phimosis is usually caused by recurrent infections or skin injuries, and can also be congenital. In such cases, the only therapeutic method is a phimosis surgery.

A phimosis surgery consists in foreskin plasty procedure. Foreskin plasty consists in widening of the narrowed foreskin ring, so that the foreskin can slide freely behind the glans. The procedure can be performed during a traditional surgery, i.e. using a scalpel, or with a laser knife. The procedure is performed under topical anaesthesia and takes about 30 minutes.

AT WHAT AGE CAN PHIMOSIS CORRECTION BE PERFORMED?

The problem of phimosis may affect both young boys and adult men. In young children, there is a physiological phimosis, which is a narrowing of the foreskin opening. This problem usually resolves around the age of 3-4 years. The procedure in a child is indicated when physiotherapy treatment, i.e. regular foreskin retraction, does not bring desired results. Foreskin plasty can be performed from the age of two: of course the procedure is performed only with medical indication. There is a small risk that the problem will return at a later age (as a result of improper wound healing). Then another surgical correction is indicated.

IS A PHIMOSIS SURGERY AN INVASIVE PROCEDURE?

Phimosis plasty is a minimally invasive procedure. It requires interruption of tissue continuity, but only the skin is affected: the wound is not deep or extensive. The procedure involves making an incision in the foreskin to such an extent that allows the foreskin to freely slide off the glans. The incision can be made in a traditional way, i.e. with a scalpel or laser. In case of the latter method, the healing process is more efficient, the wound heals faster and the procedure is accompanied by less bleeding. This is due to the fact that a laser beam causes tissue coagulation. In order for the healing process to go smoothly, the Patient must strictly follow medical recommendations: otherwise adhesions may form and phimosis will return. The most important recommendations include regular change of the dressing, disinfecting the surgical site with an appropriate preparation, avoiding excessive physical effort for 2-3 weeks after the surgery and abstaining from sexual intercourse for four weeks.

PROCEDURE

During the consultation, we discuss the expected effect and chose the best method for the Patient. Before the treatment an anaesthetic ointment is applied, which significantly reduces pain sensations – the injections feel similar to mosquito bites. During the procedure botulinum toxin is injected with a very thin needle into the appropriate part of the muscle.

EFFECT

As a result of foreskin plasty, the foreskin can slide freely. This allows for much easier maintenance of hygiene and reduced risk of infection development. Possible problems with passing urine or achieving an erection are eliminated. If foreskin plasty is performed, then the penis after the procedure looks similar to that of a healthy man not undergoing the surgery. The effect can be assessed after about a month, when the wound has completely healed. The final effect is an individual matter, depending largely on the wound healing process. The procedure is performed once, the postoperative scar is practically invisible.

HOW SHOULD I PREPARE?

The procedure does not require much preparation.

Do not consume alcohol, caffeine or drugs 24 hours before the procedure.

One week before the procedure, do not take common painkillers, as they thin the blood and may cause more bruising after insertions. Garlic and onion have a similar effect.

If you take NSAIDs, talk to your GP and ask if you can discontinue them two weeks before your procedure. If your GP refuses, don’t discontinue your medication on your own! The procedure can still be performed, but you must expect more bruising.

Two weeks before the procedure, you can start taking vitamin C, which will strengthen capillary walls and thus reduce formation of bruises.

RECOVERY

Recovery runs smoothly. The post-operative wound should be cared for as indicated by a physician. Slight soreness and swelling may occur. Intercourse can be resumed after about 4 weeks.

CONTRAINDICATIONS

There are not many contraindications, but they must be taken into consideration. Below you will find the most important of them.

Asymptomatic carrier of hepatitis B or hepatitis C.

Viral hepatitis often affects autoimmune reactions. It mainly depends on the stage of the disease as well as its activity. Only your attending physician may decide whether you are eligible for an aesthetic medicine procedure. Ask them for a written consent for the procedure. Only then, we can perform the procedure.

Diabetes.

In case of advanced diabetes wound healing is impaired. However, when treated and controlled, diabetes is not a problem. If you have diabetes, please ask your attending physician for a written consent for the aesthetic medicine procedure and present it to us on the day of the procedure.

Active cancer.

Cancer that occurred less than 5 years prior to the procedure.

Chemo- and radiotherapy

Autoimmune diseases apart from thyroid disease, acquired vitiligo, and alopecia areata. For example, these diseases include psoriasis, rheumatoid arthritis, lupus, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis, sarcoidosis, Crohn’s disease, ulcerative colitis.

Treatment with Izotec or its substitutes less than 6 months prior the procedure date.

Steroids, except asthma medications and inhaled steroids, taken less than one month prior to the scheduled procedure.

Fungal medications or antibiotics taken less than one week prior to the procedure.

Tendency to keloids.

Hemofilia.

Epilepsy.

Asymptomatic HIV infection or active AIDS.

Skin diseases in the planned treatment site.

Fever, viral or bacterial infection on the day of the procedure.

WHY IS IT WORTH VISITING PRINCESSE?

EXPERIENCE

Our clinic was established in 2005, thanks to which we have gained vast experience. We have performed over 30,000 procedures. We are also one of the leading training facilities for physicians and cosmetologists in Poland.

QUALITY

At Princesse, we use only the highest quality preparations obtained directly from manufacturers. Avoiding wholesalers, we fully reduce the risk of purchasing inauthentic or substandard products.

SAFETY

We have all medical devices that are needed in case of sudden complications and we employ physicians with experience not only in treating aesthetic medicine complications but also in emergency procedures.

ABOUT PRINCESSE

Princesse is a modern aesthetic medicine clinic and training centre. It was established in 2005. Thanks to extensive experience and over 30,000 procedures performed to date, we have been able to select only the best procedures and equipment.
Princesse employs highly specialised medical and cosmetology staff, who continue to improve their skills by participating in seminars and conferences devoted to the fields they practice, both in Poland and worldwide.
At Princesse, we focus on naturalness and perfection as well as spectacular effects presented by models and celebrities. We believe that aesthetic medicine procedures are meant not to be a disguise, but to emphasise and highlight the strengths that each of us has.

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ul. Instalatorów 5a/U2

02-237 Warsaw

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Cracow, Old Town

ul. Józefa Dietla 50/15

31-039 Cracow

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