Circumcision

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Who is suitable for circumcision?

What are the advantages of circumcision?

How is circumcision performed?

What to expect after circumcision?

Procedure outcomes

INTRODUCTION

Male circumcision is the surgical procedure that is performed to remove the foreskin of the penis. The foreskin is the excess skin that covers the end of the penis; it is retractable, and a continuation of the skin that covers the entire penis.

Who is suitable for circumcision?

The decision to undergo circumcision is very personal decision and one that should be made with thorough consideration and consultation with your doctor. Mentioned below are the medical reasons for circumcision:
Circumcision is recommended in men who:

  • Have been diagnosed with phimosis – a condition where the skin is too narrow to retract
  • Have been diagnosed with paraphimosis- a painful condition where the skin cannot be returned to its normal position after it has been pulled back
  • Have been diagnosed with recurrent balanitis – an infection of the foreskin

What are the advantages of circumcision?

  • Circumcision alleviates the painful symptoms resulting from phimosis, paraphimosis and balanitis

How is circumcision performed?

  • Circumcision is performed general anaesthesia for patient comfort but may be performed under local anaesthetic for frail patients
  • The procedure is meticulously performed, often taking up to 45 minutes to complete
  • The redundant foreskin is cut away and the skin is accurately sutured, to create a shorter section of skin
  • Dissolvable stitches are used to seal the wound

What to expect after circumcision?

  • Circumcision is a day procedure, and in most cases light activities can be resumed the following day
  • Strenuous activity and sex should be avoided for 4 weeks
  • The most common side effects include bruising and swelling of the penis and painful or burning sensations with urination. These side effects may be present for up to 2-3 weeks
  • Nocturnal erections may be painful during the recovery phase

Procedure outcomes

  • Circumcision is an effective treatment for phimosis, paraphimosis and balanitis.
  • Whilst it is not common, some patients experience decrease a loss of some sensitivity in the penis, which can occasionally lead to difficulty in reaching orgasm
  • Your surgeon will conduct a thorough discussion about the expected outcomes and potential risks of this surgery

Circumcision Post-Operative Care Instructions

What to expect:

  • Local anaesthetic will be administered during the surgery, so that you are comfortable when you wake. This will wear off over a number of hours, so you may notice some discomfort. You will be prescribed pain medications. Some pain/discomfort is expected for around 6 weeks
  • Bleeding will likely be present form the wound for at least a few days, but may take longer to resolve. Try to leave the dressings in place for 24-48 hours or as advised by your surgeon
  • Penile sensitivity is common following surgery and usually resolves within 6 weeks, but may take longer
  • Some swelling and redness is to be expected around the wound as it heals. This typically resolves in 6 weeks but may take longer in some cases
  • Suture material is dissolvable and in some cases take up to three months to fall off.

Return to activity:

  • Driving – no driving for at least 24 hours and until you’re comfortable to do so
  • Work – you will require some time off work; the duration will depend on your occupation. You should plan to have at least one week off
  • Lifting – avoid heavy lifting for 2 weeks following your procedure to minimize secondary bleeding
  • Activities – walking is fine and encouraged following your procedure, however you should avoid strenuous activity for 4 weeks following your procedure
  • Sex – avoid for 4-6 weeks.

Pain Management:

You may take your prescribed pain medications, or ibuprofen or paracetamol if you are experiencing discomfort.

Head to your nearest hospital emergency department if you have:

  • Severe bleeding that cannot be controlled with light compression
  • Progressive and expanding swelling of the wound (this may indicate bleeding)
  • Inability to urinate (this is uncommon)
  • Fevers, chills or shakes (may indicate infection).

Follow-Up Information:

Our rooms will arrange a follow-up appointment with your urologist typically 6-8 weeks after your procedure

Your follow-up appointment is on: ____________________ at __________________.

Contact Information:

If you have any questions or concerns that are not addressed here or in the procedure information available on our website melbourneurologycentre.com.au contact our rooms on 1300 702 811 or [email protected]

Post-Operative information for this procedure can be found here: Circumcision Post-Operative Care Instructions

Written by Dr. Shekib Shahbaz and Dr. Tony de Sousa

 

European Association of Urology, (2021), Circumcision, [ [https://patients.uroweb.org/treatments/circumcision/], accessed 27/02/21.

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