What is circumcision?

It is a procedure where preputial skin covering the glans of penis is removed surgically.

Why circumcision is done?

Circumcision is done in following conditions:

• Phimosis – Unable to retract prepuce over the glans; ballooning of preputial skin during urination; painful sexual activity without condom.
• Paraphimosis – Foreskin swollen, stuck and unable to slide forward to cover the tip of penis; can occur only in uncircumcised males.
• Balanoposthitis – Inflammation of foreskin and glans of penis; irritation or pain during urination and sexual activity.
• Religious rituals or family traditions – Especially in Islamic population.

What surgical procedure is performed for circumcision?

Latest procedure followed nowadays is Stapler Circumcision.

Disposable circular stapler is used which cuts and seals the foreskin of penis.

What are benefits of stapler circumcision?

• Blood-less
• Stitch-less
• Decreased pain
• Less surgical time
• Early recovery after surgery
• Early return to work
• Better cosmesis

What are other surgical options, except stapler circumcision?

Circumcision can also be performed using absorbable stitches.

Foreskin is cut using scissors and then cut edges are sutured using absorbable stitches.

Benefit – Decreased cost (cost of disposable circumcision stapler is omitted).

How is recovery after circumcision surgery?

Performed under local or general anaesthesia.

Discharged within 2-4 hours (Office procedure) or the same day (Day-care procedure) depending on type of anaesthesia.

Can wear undergarments and trousers, pass urine without difficulty, easily walk around and drive back car to home.

Follow up the next day of discharge for dressing removal.

Can resume office within 1-2 days after surgery as per your comfort level.

Staplers/stitches shed off their own within 2-3 weeks.

Can resume sexual activity after 3 weeks.

How do I know if I need circumcision surgery?

This is a surgical problem. No medicine can treat phimosis or paraphimosis. Balanoposthitis can temporarily be managed with antibiotics, but will require circumcision in later visit.

Patients with pre-mature ejaculation may be benefitted with circumcision.

You need to visit your surgeon who will do the examination and will suggest you accordingly.