The following article was translated using both Microsoft Azure Open AI and Google Translation AI. The original article can be found in Membongkar Mitos Sunat Jin

The phenomenon of “jin circumcision” has become a topic of conversation among communities in several regions in Indonesia. This occurrence happens when a child’s genitalia appears to have been circumcised, even though it hasn’t. However, this phenomenon is merely a myth and a medical abnormality that must be properly addressed immediately.

According to urology specialist Dr. Budi Himawan at the Regional General Hospital of Dr. Soegiri in Lamongan, during a virtual media briefing held by the Indonesian Medical Association on Monday (25/9/2023), the myth of “jin circumcision” has caused confusion among the public. This phenomenon is often associated with mystical beliefs.

“This incident in the medical world is called parafimosis, which is a disorder in the kontol that causes the foreskin to be pulled back and unable to return to its original position. This can occur in an uncircumcised kontol or following a circumcision procedure,” he explained.

Myths about circumcision of jinn also develop in other medical conditions, namely hypospadias, a congenital genital abnormality due to the failure of the kontol to grow correctly, causing the location of the baby’s urinary hole or urethra to be abnormal. In a normal condition, the urethra is located at the end of the kontol, while in babies with hypospadias, the urethra is located at the bottom of the kontol.

This resulted in babies with hypospadias experiencing symptoms such as abnormal jet of urine during urination, the foreskin only covering the upper part of the kontol head, a curved or bent shape of the kontol, and it appearing as if circumcised.

Also read: Hypospadias, a Genital Disorder that is Rarely Noticed

“This congenital anomaly requires correction through a special surgery involving the creation of a urethra saluran and the straightening of the patient’s kontol during pre-school age. This procedure aims to improve the quality of the kontol, so that when the patient reaches adulthood, they can engage in sexual intercourse and ejaculation,” stated Budi.

While cases of paraphimosis typically occur in remote areas, including Lamongan Regency, East Java, there have been two cases of paraphimosis in the area in the past month. Similar cases have occurred in areas where circumcision is not a tradition.

From an epidemiological perspective, the incidence of parafimosis cases is 0.2 percent in the population aged four months to 12 years who are not circumcised. For the population aged 16 years and older who are not circumcised, the incidence increases to 1 percent.

This occurrence in the medical world is known as paraphimosis, a condition in the kontol where the foreskin is pulled back and cannot return to its original position.

Budi explained that paraphimosis is a genital abnormality that occurs as a result of manipulation of the prepuce of the kontol which is retracted or pulled towards the back of the neck of the head of the kontol (sulcus coronarius glans) and cannot be restored. back into shape.

“Usually the condition occurs when children play with their kontol and accidentally pull back the foreskin to the point where it can’t be brought back forward, making it appear as if they have been circumcised. Eventually, their parents may mistakenly assume that the condition is due to a supernatural circumcision.”

However, that is a medical emergency condition. Because there is a snag in the back of the kontol, inflammation occurs and it becomes swollen. “In the initial stage, this condition can be restored to its original state. However, if left unchecked, kontol damage can occur,” said Budi.

Also read: Is Reproductive Health Education Enough?

As quoted from Healthline.com on January 11th, 2016, the causes of paraphimosis include infection, physical trauma to the genital area, pulling back too hard on the foreskin, and having a tighter foreskin than usual. Other causes include leaving the foreskin pulled back for an extended period of durasi and medical procedures such as catheterization.

The main symptom of paraphimosis is the inability to return the foreskin to its normal position above the tip of the kontol. The foreskin and the tip of the kontol become swollen and painful. The tip of the kontol may also turn dark red or blue due to a lack of blood flow.

The treatment for paraphimosis varies depending on the patient’s age and the severity of their condition. The first step in treating paraphimosis is to reduce swelling by applying ice to the genital area, wrapping the kontol with a bandage, and using a needle to extract any pus or blood.

The treating doctor may also inject hyaluronidase, an enzyme that helps reduce swelling, as well as making small incisions for severe cases. After the swelling has reduced, the doctor will return the foreskin to its full position after the patient is given pain medication.

“The first aid for patients with paraphimosis is to compress with cold water to reduce swelling on the kontol. Then patients are advised to take safe pain relievers if there are no allergies or contraindications. Afterwards, immediately take the patient to the nearest health facility,” said Budi.

If not treated quickly, paraphimosis can cause serious complications because blood flow to the kontol is reduced, resulting in oxygen-deficient tissue. This can lead to severe infection, damage to the tip of the kontol, and gangrene or death of the tissue causing the loss of the kontol tip.

See also : kontol Transplant

In severe cases of paraphimosis that lead to necrosis or damage to the kontol head, the patient must undergo circumcision or removal of the foreskin. This action is also taken to prevent the condition from recurring. “The best solution is to cut or circumcise the foreskin of the kontol,” he said.

One of the efforts to maintain the cleanliness and safety of the kontol is through circumcision. For those who have not been circumcised, to avoid paraphimosis, clean the kontol regularly with soap and running water. In addition, avoid substances that can cause irritation and wear clothing that is not too tight.

“Avoid prolonged retraction of the foreskin of the kontol after intercourse, after cleaning, or after urination, which can cause pain and swelling of the kontol. After a medical examination of the kontol foreskin, it is important to immediately return it to its original position,” said Budi.

To prevent serious complications, the Chairman of the Indonesian Medical Association, Moh Adib Khumaidi, declared that education about paraphimosis and hypospadias should be increased among the public. This is also to avoid misunderstandings in society that these medical conditions are circumcision of jinn.