The Barbarity of Circumcision as a Remedy for Congenital AbnormalitySnow, Herbert
Philosophy
The Barbarity of Circumcision as a Remedy for Congenital Abnormality
Snow, Herbert
Circumcision; Penis -- Abnormalities
To the case of boys past the early years of childhood, and still more to
that of adults, the arguments in favour of the substitution of a simple
dilatation-process for the unnecessarily severe operation of
circumcision, apply with redoubled force. As in these no symptoms
directing attention to the phimosis have previously existed for any
length of time, it may be taken at once for granted that, however tight
the so-called 'contraction' may seem on inspection, the condition is
present in only a minor degree; that under an anæsthetic the adhesions
will yield to very slight force, and satisfactory retraction, with
subsequent free mobility, be procured without the slightest difficulty.
With adults, moreover, the avoidance of any need for confinement to bed,
of even to the house, is an important consideration. In such the tissues
are necessarily more elastic and less fragile than in young infants;
there is much less prospect of laceration, with consequent tenderness
and swelling.
An operation for the relief of congenital phimosis advocated by Mr.
Furneaux Jordan (_British Medical Journal_, May 2, 1863) may be here
alluded to.
Mr. Jordan passes one blade of a small round-pointed scissors
(Critchett's strabismus-scissors answer well) through the orifice;
skin and mucous membrane are divided to the length of a quarter of
an inch on one side, the same being repeated on the other. The
prepuce is now retracted as far as possible; this exposes more
lining membrane between the lips of the wound, and this again is
divided by a second incision on each side. The operation is now
complete, and the foreskin may easily be retracted.
The incisions which were made in the long axis of the penis after
retraction become linear in a vertical direction, and almost
imperceptible in the circular folds of retracted foreskin. In the
after-treatment the prepuce should be kept back, or frequently
retracted. In children retraction once daily for a week or ten
days, till the wounds have healed, is quite sufficient. The extent
of the incisions should, of course, be a little less in children, a
little greater in the adult.
Public-domain text, read in full here on John Shaqi.
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