Many techniques has been described. Of late I find my patients are very much confused and always come with good “ In Depth” knowledge after googling for few hours. It has become extremely difficult when a person comes to me with pre formed knowledge of certain things.
I used to get disappointed with these patients and some people even argue and try their point of view to driven in to surgeons mind and some surgeons also started doing as per the patient demand . I have stopped doing these procedures. And request them to see some other surgeons.
But now patients are coming back to me after the surgery done by someone else and their choice surgery with many complications specifically after ZSR ( Stapler ) and LASER technique and that to done by many online promotions of health and medical aggregator. I wish good luck to all my fellow surgeons and also the Uberisation of medical facilities .
Today we had to do one young gentleman who had planned his circumcision well before his marriage he had circumcision by ZSR technique elsewhere and even after two months he has a non healing ulcer in the central part with induration of tissue. He also had some repair under local by primary surgeon. Look like some foreign body inside
We had to excise all the dirty tissue and redo that part.
I have seen many patients also after LASER the issue of non healing. Where as properly done conventional circumcision heal within a weeks time as penile skin is very vascular and healing is very fast.
Healing of procedure completely depends on the vascularity of the cut edge. While the newer techniques are compromised in vascularity. So I apprehend these non healing issues and it’s long term functional outcome.
