NEs(Nerve Sparing Aestethic circumcision)
Respect for tissue… Respect for sensation…
NES (Nerve Sparing Aestethic circumcision)
Circumcision is the surgical removal of the foreskin that covers the tip of the penis in an appropriate manner and length. It can be a matter of religious, socio-cultural (ethnic or family tradition, personal cosmetic choice, etc.) or preventive health care (personal hygiene). Approximately one quarter of men in the world undergo circumcision operation by these reasons. About 58 percent of infants born in the United States were circumcised at the hospital at birth. According to the U.S. Centers for Disease Control and Prevention (CDC) roughly 80% of American men are circumcised. The American Academy of Pediatrics (AAP) says that the benefits of circumcision outweigh the risks.
The procedure must only be performed by a pediatrician, family doctor, urologist, neonatologist, or even a pediatric surgeon who are well-educated and trained. Risk-reduction strategies including improved training of providers, and provision of appropriate sterile surgical equipment and hygienic medium are essential. The operation can also be done at home or in a private clinic as well as in a hospital. In case of existence of an important disease, the baby must not be circumcised. In the Nerve-Sparing Esthetic Technique of circumcision (NES), the tissue which contains superficial nerve structures and larger vessels are spared. As this unique operation is much more dificult to perform than the other techniques, advanced surgical skills, practice and labour are needed to not to cause any major complications.
One of the utmost important points is that the baby or child must not be traumatized physically or psychologically due to circumcision. Parents must search quite well about techniques and performers about circumcision as children will undergo this operation only once in their life span. Children must not suffer negative effects of wrong decisions in their future lifes.
(NES) Sparing Esthetic Circumcision
Circumcision in newborn
The circumcision procedure is fairly common for newborn boys in certain parts of the world, including the United States. In the U.S., about 55% of newborns are circumcised shortly after birth.
Benefits of circumcision
Decreased risk of urinary tract infections. The risk of urinary tract infections in circumcised males is much more lower than uncircumcised males. Severe infections early in life can lead to kidney problems later.
Phallic stage and ideal age range
The phallic stage which is the most important one of five stage in the child development begins when the child becomes three years old and continues until the child is five years.
Caring for the circumcised baby
Bebeklerde sünnetten sonra, sık kanama kontrolü yapmak şartıyla, alt bezleri bağlanabilir.Pansuman sargısında ve bebek bezinde biraz kan görülmesi normaldir.
Advantages of NES
Prepucium provides sensation and lubrication for the penis and contains numerous (between 20.000 and 70.000) super-specialized nerve endings and nerve corpuscules.
Surgical techniques in which the prepucium is cut out as full-thickness (Techniques of dorsal slit, double insizyon, Gomco clamp, guillotine, Mogen clamp, etc…)
Advantages of NES
Painless operation without bleeding
Prepucium provides sensation and lubrication for the penis and contains numerous (between 20.000 and 70.000) super-specialized nerve endings and nerve corpuscules. These tiny structures are related to the perception of fine-touching, erogenous stimulus followed by orgasm and ejaculation. Thus, prepucium is one of the most sensitive part of penis.
In the standard circumcision techniques, the full thickness of the foreskin is removed. Namely the skin (epidermis) and the underlying dermis and adventitial tissue which are rich with superficial nerves-nerve corpuscles, blood vessels and lymphatic vessels all removed. As a result, sensitivity of glans penis is reduced dramatically in comparison to uncircumcised one.
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