PHIMOSIS SURGERY

The condition

Phimosis means narrowness of the foreskin to various degrees, that makes retraction of the foreskin difficult or impossible. It therefore interferes with hygiene and sexual activity. The illness may be congenital but may also develop at any time throughout life, usually as a complication of inflammation of the foreskin.

Treatment options

Gradual dilation of lower degree, congenital phimosis may be succesfult but the definitive treatment is usually surgical. The surgical procedure is "circumcision" that essentially means the circumferential removal of the whole foreskin. In lower degree adult phimosis the restriction can be resolved by preputial plasty. Outcome of timely surgery is very good. The average recovery time is 3-4 weeks.

One day surgery

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by a helper, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (I.e.: good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation, home care, must have phone to contact the clinic or the surgeon if necessary, etc).

Preparation for surgery

Surgery is always preceded by an examination by the urologist.Next the patient is informed whether from a surgical standpoint he or she is candidate for same day surgery. It is at this point that the patient is acquainted with the concept of one day surgery. It is also here, that the patient is informed about laboratory and other accessory studies (Imaging, ECG, abdominal ultrasound, medical) that might be required for surgery, options for anesthesia, possible complications, home care-related issues, stages of recuperation, i.e. all the information that is relevant for the patient to make a decision on which treatment method, or surgery to choose.

The procedure

On the day of the surgery, the patient signs the consent form, then the necessary lab tests are done and the surgery fee is paid. Immediately before the operation, the patient is premedicated with an injection containing analgesics and sedatives. The operation can be performed under local anesthesia, spinal anesthesia or general anesthesia. The majority of our surgeries are performed with local anesthesia, which means infiltration of the surgical field with 1% Lidocaine.During the procedure circular incisions are made behind the narrowing on both layers of the foreskin and the narrowed skin is removed. After careful hemostatsis the two layers of the prepuce are united with interrupted absorbable sutures.

Possible complications

No doctor can guarantee a complication-free surgery. Complications can arise even following the most carefully performed procedures. The early complications: postoperative bleeding, inflammation are however treatable. Therefore if you experience any sign of complications call your doctor day or night who will make sure the problem is resolved. At different stages of home recovery patients may experience various changes that are not necessarily abnormal. Wound pain, maybe low grade fever in the first days, swelling or discoloration of the skin of the penis are are part of the normal healing process and are not cause for concern. Late complications can be prevented by appropriate techniques and careful surgery.

Postoperative care

The surgery is commonly followed by 6-8 hours of observation, during which time the vital functions (blood pressure, urine output) stabilize, the sedative effects of the premedications wear off, and patients are able to leave the center on their own feet, with the help of an escort. During the first week the patient should refrain from physical exertion, however constant bed rest is not necessary. Sutures are removed at the one week follow-up. Full recovery takes about 3-4 weeks, meaning that normal activities can be resumed at that time.

Fees

Charge for examination and consultation: 10.000 HUF > Euro
Surgery performed with local anesthesia: 100.000 - 120.000 HUF > Euro
Spinal or general anesthesia: 80.000 HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro

50% of the fee is due at the time the operation is scheduled, as a prepayment.
These are estimated prices; the severity of the case also influences the overall cost.

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766