Circumcision is one of the most common surgeries for male children in Iran and many countries of the world. This surgery is usually performed without any particular problem, but in some cases, complications such as extra meat of the foreskin may occur, which causes concern for parents. In this article, we fully explain what extra meat is foreskin, why it occurs, how it is diagnosed, and what are the best ways to treat and prevent it. Also, at the end, we examine the role of the doctor's experience and expertise in reducing this complication. What is extra circumcision meat? Foreskin is the extra tissue that remains or grows in the circumcision area after surgery. This tissue is usually seen as a bump or extra skin around the head of the penis. Sometimes parents mistake this for swelling or infection, while the extra meat is usually not painful and poses no immediate danger, but if it is large or gives an unsightly appearance, it needs to be investigated and treated. The cause of extra foreskin Various reasons can cause extra meat in the foreskin. The most important factors are: - **Improper circumcision technique:** If circumcision is performed by a non-standard method or by non-specialists, the possibility of excess skin remaining or the formation of extra meat will be higher. - **Not removing the excess skin completely:** In some cases, the doctor may intentionally leave a part of the skin for better coverage, but if the amount is large, excess meat will be created. - **Inflammation and adhesion:** In cases where post-circumcision care is not done well, inflammation or adhesion can lead to the growth of extra flesh. - **Specific physical conditions of the child:** Some children genetically have extra skin or their body is prone to the formation of extra tissue (keloid). Symptoms of extra foreskin The diagnosis of extra foreskin is usually simple. Parents usually notice a bump or extra skin around the head of the penis. Common symptoms include: - Presence of abnormal skin folds - Uneven and irregular appearance of the skin - Changing the shape of the head of the penis - In rare cases, mild inflammation or redness The important thing is that extra meat is usually not painful and does not have symptoms such as fever or purulent discharge. If there are such symptoms, there is a possibility of infection, which requires immediate treatment. What problems does the extra meat of the foreskin cause? In many cases, the extra meat is not a functional problem. But some parents go to the doctor because of inappropriate appearance or concern about the impact in adulthood. Possible problems include: - Unpleasant appearance of the penis - The possibility of infection in the extra tissue (if hygiene is not followed) - Mental and psychological concerns in children at older ages Does the extra meat of the foreskin disappear by itself? In some children, as the penis grows and enlarges, much of the extra foreskin naturally retracts or becomes less visible. For this reason, in mild cases, doctors usually wait until the age of two to three years. But if the excess meat is large or does not shrink over time, reconstructive surgery is recommended. Treatment methods for extra foreskin The treatment depends on the size of the extra meat and the condition of the child: - **Expectant treatment:** In mild cases, there is no need for immediate surgery. Parents should observe the hygiene of the area and the size of extra meat should be checked during periodic visits. - **Reconstructive surgery:** If the extra meat is large or changes the appearance of the penis clearly, a pediatric surgeon or a doctor with experience in circumcision can fix this problem with a small surgery. This is usually simple and done in a short time. - **Treatment of adhesions:** If the excess flesh is caused by skin adhesions, the problem can be solved by using special creams or releasing the skin adhesions. Care after treatment or reconstructive surgery - Full hygiene of the area - Use of ointments prescribed by the doctor - Preventing impact or pressure on the penis - Periodic visits to check the improvement process Prevention of excess meat in the foreskin The most important point in prevention is to perform circumcision by a specialist and experienced doctor. Choosing the right method of circumcision (such as ring circumcision or surgery) based on the child's physical condition plays a big role in reducing complications. It is also very important to observe post-circumcision care, such as washing regularly, using antibiotic ointment, and following up on subsequent visits. The doctor's role in reducing the complications of circumcision The specialist who performs the circumcision must have enough experience in this field to use precise and less complicated techniques. Dr. Kambiz Herman Moghadam, with years of experience in the field of infant and child circumcision, using scientific and up-to-date methods, tries to perform this surgery with minimal complications. In case of any complications such as excess meat, timely follow-up and treatment by a doctor is very important. When should we see a doctor? If you notice the following after circumcision, it is better to see a doctor: - The extra meat is so much that it has changed the appearance of the penis. - There are signs of infection (such as purulent discharge, high swelling, fever). - The child has unusual pain or discomfort. - Excess skin does not decrease over time. final word Excess meat in the foreskin is one of the preventable and treatable side effects of circumcision that should not cause parents too much worry. Choosing an experienced doctor, observing post-circumcision care and regularly following up on the condition of the baby or child is the best way to prevent and treat this problem. Dr. Kambiz Herman Moghadam is ready to help parents in the path of safe and complication-free circumcision with detailed advice and specialized services. To receive advice, you can contact the office through the communication channels of the website.