Preparation

Adults

16 years+

Preparation for Adults

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For adult male circumcisions, we use the forceps-guided technique, sleeve technique or freehand technique. We perform the procedure with either stitches or suture-less circumcision – dermabond glue. We are now offering skin glue as an alternative to sutures. This method of skin closure has significant advantages in terms of less postoperative pain, faster recovery and no stitch marks. The cosmetic result is excellent & superior to sutures.  The suture-less method is preferred by many as there are then no stitch marks seen in the skin and is cosmetically more attractive.

This procedure is performed under local anaesthetic and patients are comfortable immediately after the procedure and can travel home as soon as the surgeon has performed a post-operative check. Glue will slough off within 10 days and stitches dissolve in 2 to 3 weeks time.

The procedure will take between 45 to 60 minutes to perform. You can expect to be in the clinic for around 2 hours to allow for the consultation and post-operative observation.

Aside from religious reasons, cultural reasons and lifestyle choice, a circumcision may relieve problems such as a tight foreskin that:

    • Is causing problems with passing urine and/or causing infections. Sometimes the cause of the tight skin or phimosis is a condition called Balanitis Xerotica Oblitarans (BXO)
  • Is causing pain during sexual intercourse.

It is important to speak with your doctor about why a circumcision is being recommended for you.

Under some circumstances, other treatments may be considered but circumcision remains the most common treatment option to relieve your symptoms. Alternatives to a circumcision include:

    • Frenuloplasty – this is an operation to cut and lengthen your frenulum, which is the small tag of skin on the underside of your penis, between your foreskin and the shaft of your penis. If the frenulum is short or torn, you may have problems pulling your foreskin back.
    • Dorsal slit – in this procedure the foreskin is cut to widen and loosen it, so it can be pulled back more easily.
  • Prepuceplasty – this is more of a minor procedure than a circumcision. The foreskin is cut and stitched to widen it.

Your surgeon can explain these treatments if they are suitable for you

We use local anaesthetic to numb the area. You will not feel any pain during the procedure. The anaesthetic will last for approximately 2 hours. Thereafter you will have some discomfort for the next couple of days and will require regular painkillers such as paracetamol or ibuprofen. Night time erections in the immediate post-operative phase can be extremely uncomfortable and also risk breaking stitches or pulling apart skin edges that have been glued together. In order to minimise this risk, we suggest ensuring you have emptied your bladder completely prior to going to bed.

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