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Title:Best age for child's (circumcision) Khatna

ختنة‎) is the Islamic term for circumcision. Male circumcision is widespread in the Muslim world. Circumcision is a procedure in which the foreskin covering the tip of the penis is removed. During a circumcision, the foreskin is freed from the head of the penis and the excess foreskin is clipped off by the surgeon. Circumcision is the common surgical operation in males and has been performed since time immemorial. It is obligatory in religions like Islam and Jewish. According to pediatric surgeons, it should be performed by a pediatric surgeon instead some quakes or barbers which leads to surgical complication in cutting of penis in some cases. Circumcision Benefits It has been reported by the American Academy of Pediatrics (AAP) that the benefits of circumcision outweigh the risks. Studies have shown that the circumcision procedure lowers the risk of getting HIV. The foreskin of the penis has Langerhans cells, which are more likely to attach to HIV cells. In circumcision, the foreskin is clipped off which reduces the risk of developing HIV. Circumcision also reduces the chance of other diseases that are passed through sex. Circumcision has various benefits some of which are as follows: Circumcision results in easier hygiene as it makes simpler to wash the penis. It decreases the risk of urinary tract infections. UTIs are more common in uncircumcised males. Circumcision decreases the risk of sexually transmitted infections including HIV. It results in prevention from numerous penile problems. It decreases the risk of penile cancer and it's less common in circumcised men. The pathological reasons for circumcision are:- 1. Recurrent Balanitis. Repeated infection of the foreskin can give rise to urinary tract infection. It can also lead to fibrosis and scarring and make the prepuce non-retractile causing difficulty in erection. Sometimes, severe Balanitis may result in oedema and virtual obliteration of the urinary stream in which case a dorsal slit is made as a first step. 2. Phimosis. The foreskin is tight in all neonates and gradually becomes retractile over the first few months. If thft does not occur and attempts to retract the foreskin fail, phimosis is diagnosed. Although a phimosis may be dilated gradually, circumcision is by far the better solution to this problem. 3. Paraphimosis. Somtimes the retracted foreskin forms a tight ring around the penis with resultant swelling of the glans distally. Heavy sedation, local anaesthesia, gentle squeezing of the glans between the fingers and thumb of the left hand and simultaneous gradual reduction of the prepuce with the right hand may be tried under local anaesthesia and heavy sedation. Alternatively a dorsal slit followed later by a circumcision or even an emergency circumcision may be performed. 4. Genital hygiene. Accummulated smegma is a potent cause of infection and has been incriminated in carcinoma of the cervix in the female. 5. Lesions on the foreskin angiomas and warts are good indications for circumcision.


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