Phimosis issue
Hello, doctor.
I have congenital phimosis and I'm considering a circumcision during the winter break.
However, I have a green vein (is it a vein?) located slightly to the right side of my penis, extending from the base to the glans.
During the surgical procedure, is there a risk of cutting that vein? Or could its presence prevent me from undergoing the surgery? Thank you.
K, 20~29 year old female. Ask Date: 2016/11/05
Dr. Du Shixi reply Urology
Hello: The visible blood vessels are mostly veins.
In a circumcision procedure, the entire ring of skin is removed.
If the skin on top is to be cut away, the underlying blood vessels are often unavoidable, as they can be affected.
Therefore, postoperative swelling and bruising may last for a few weeks, but the blood vessels will regenerate and recover.
If you are very concerned, it might be a good idea to visit a urology department at a hospital to alleviate your worries.
Thank you for your inquiry.
Reply Date: 2016/11/05
More Info
Phimosis, a condition characterized by the inability to retract the foreskin over the glans of the penis, can often lead to discomfort, hygiene issues, and potential complications such as infections. Surgical intervention, typically circumcision, is a common treatment for phimosis, especially when conservative measures fail. However, your concerns regarding the presence of a prominent green vein along the shaft of your penis are valid and warrant careful consideration before proceeding with surgery.
Firstly, the green vein you are observing is likely a superficial vein, which is a normal anatomical feature. Veins in this area can vary in size and prominence among individuals. During a circumcision procedure, the surgeon will take great care to avoid cutting any major blood vessels, including veins. The surgical technique involves careful dissection and retraction of the skin, allowing the surgeon to visualize the underlying structures. Surgeons are trained to identify and preserve these vessels to minimize bleeding and complications.
Regarding your concern about whether the presence of this vein might prevent you from undergoing the procedure, it is important to note that the presence of superficial veins is quite common and does not typically contraindicate circumcision. Surgeons routinely perform this procedure on patients with varying anatomical presentations. However, it is crucial to communicate your concerns with your surgeon during your pre-operative consultation. They can provide you with a thorough examination and explain how they plan to approach the surgery, ensuring that all anatomical structures, including veins, are respected.
In terms of surgical risks, circumcision is generally considered a safe procedure with a low complication rate. However, like any surgery, it carries some risks, including bleeding, infection, and scarring. The risk of significant bleeding is minimal if the procedure is performed by an experienced surgeon, as they will take precautions to control any bleeding that may occur.
Post-operative care is also essential to ensure proper healing. After the surgery, you may experience some swelling and discomfort, which can be managed with pain relief medications as prescribed by your doctor. It is important to follow your surgeon's post-operative instructions carefully, including hygiene practices and activity restrictions, to promote healing and prevent complications.
If you have any underlying health conditions, such as bleeding disorders or infections, be sure to discuss these with your surgeon, as they may influence the timing and approach to your surgery. Additionally, if you have concerns about anesthesia or other aspects of the surgical process, do not hesitate to ask your healthcare provider for clarification.
In conclusion, while the presence of a prominent vein may raise concerns, it is unlikely to prevent you from undergoing circumcision for phimosis. Open communication with your surgeon will help address your concerns and ensure that you are well-informed about the procedure, its risks, and the expected outcomes. Proper surgical technique and post-operative care will minimize risks and promote a smooth recovery.
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