Easy Circumcision: Without Fear, Without Pain and in a Minute. Interview with Dr. Giuseppe La Pera.

Andrological pathologies, contrary to what those who suffer from them may think, affect a large part of the male population. These are problems that, in addition to physical discomfort, cause psychological and emotional suffering. Today, thanks to the high andrological specialization and the innovative techniques used, the treatment and resolution of these pathologies is less and less invasive and more effective.

As is the case, for example, for the treatment of circumcision in cases of phimosis due to medical pathologies. Dr. Giuseppe La Pera, specialist in Andrology and Urology at UPMC Salvator Mundi International Hospital and professor of Andrology at the University of Rome Sapienza, talks about it.

This innovative technique used by Dr. Giuseppe La Pera at UPMC Salvator Mundi International Hospital is based on the use of a circular circumcision suture in the treatment of phimosis, in adolescents and adults. A problem that affects many men but that, many, for fear of pain or fear, neglect, postponing the intervention.

Dr. La Pera, what is the innovation of the circumcision technique you use?

The novelty consists in the type of automatic circular suture that is carried out under local anesthesia and that simplifies and greatly improves the surgical intervention.

Dr. La Pera what are the advantages of circumcision with automatic suture?

The advantages are important compared to the traditional intervention with manual suturing. Certainly, the significant reduction of intra and post-operative pain and the reduction of the time of execution of the intervention, or 1-3 minutes, against the 30 necessary for manual suturing. Another aspect much appreciated by those who have done the surgery with this technique is undoubtedly the faster healing and above all the best aesthetic results of the suture margin.

Dr. La Pera what are the critical issues of this new tool instead?

In some cases, the metal pins automatically released in the suture, usually fall on their own within 2 weeks, sometimes they must be removed by the doctor after 3-4 weeks and this makes it necessary a further post-operative visit. Speaking of costs, however, they are greater than the traditional intervention, as they require disposable tools.

Generally, in which cases do you advise against circumcision with the automatic suture?

It must be said of course that before establishing which type of intervention is most suitable for the individual person, a careful analysis of his situation and the type of phimosis in question is necessary. Generally, I do not recommend it in cases of infection in progress and in cases short frenulum, I carry out the plastic frenulum before using the suture.

In cases of tight phimosis and functional phimosis and chronic inflammation of the foreskin as in the cases of Lichen, I prefer other surgical techniques.

The discomfort caused by phimosis can now be resolved, therefore, at the right time, without fear of pain and with better aesthetic results.