Circumcision

Circumcision is the surgery to remove a circular segment of foreskin. It is also called Bris, Brit Milah, Khitan, or Khatna in certain countries. Circumcision is indicated for national tradition, religious tradition, family tradition, phimosis, long prepuce, recurrent balanitis, recurrent posthitis, or other prepuce diseases. There are many different circumcisions. Please ask your doctor for advice.

Traditional Circumcision

After local or general anesthesia, the foreskin is stretched, clamped, and secured, and then cut away with scissors or a scalpel. Bleeding usually occurs and requires electrocautery or ligation of bleeding capillaries, and the wound requires surgical stitches. There will be a lot of exudate in the wound after surgery. The wound needs to be cleaned and cared for after urinating. Use saline, distilled water, or disinfectant to clean the wound. The wound is very painful, and you will need to take at least one to two weeks off after surgery before returning to office work or school.

Patients can do gentle exercise 4 to 6 weeks after surgery. If the wound heals well, patients can have sex about 4-6 weeks after surgery. Please ask your doctor for advice.

Baby Boys or Little Boys Plastibell Circumcision

After local or general anesthesia, the foreskin is dorsally cut. The foreskin and glans are separated and cleaned. A tight suture is applied over the prepuce and fixed in the narrow groove on the plastibell. The excess foreskin is trimmed and removed. After surgery, your surgeon will check and confirm the good circulation of the head of penis and no bleeding from the prepuce cut wound. Long-acting local anesthesia is usually injected into the wound area before and during surgery, so postoperative pain is usually minimal. Wounds need to be cleaned and cared for after urination. Use saline, distilled water or disinfectant to clean the wound. Dead skin and bell rings usually separate from the body and fall off within one to two weeks after surgery. Please ask your doctor for advice.

［plastibell of different size］

Post Operation

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    1-6 days after surgery

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      7-14 days after surgery

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        10-14 days after surgery

        Male Teenage or Adult ring circumcision

        Male Teenager or Adult ring circumcision surgery is to place the inner ring of the adult foreskin ring between the foreskin and the head of penis, and use the outer ring to compress on the prepuce against the inner ring. This will stop the blood flow of the distal prepuce. With ischemia, necrosis, and dead skin spontaneous separation from the patient, circumcision is done. After the dead skin falls off, there will be a ring-shaped wound on the main body of the penis with a width of less than 1-2mm, which will take an extra few days to heal. Its advantages are: 1. there is no need to wash the wound after every urination, 2. the postoperative pain is slight, 3. the wound is circular, 4. there are no stitch marks, and 4. patients can go to school or work the same day after circumcision. Patients can do gentle exercise 4 weeks after surgery. If the wound heals well, patients can have sex about 4 weeks after surgery. Please consult your doctor for advice.

        ring circumcision

        Laser Circumcision

        During laser circumcision surgery, a carbon dioxide laser is used to cut and burn the prepuce wound edge. The foreskin wound is sutured with surgical needles and surgical rapid glue (a sterile cyanoacrylate glue) is used to protect, strengthen, and cover the wound. This surgery can be performed under local anesthesia or general anesthesia in a clinic or hospital.

        After laser cutting and burning the wound edge, the free nerve endings at the edge of the wound are covered with a very thin layer of burned tissue, so the pain sensation is much less compared with the cut wounds by scissors or scalpels.

        Surgical rapid glue protects, strengthens, and covers wounds. The wound is relatively fixed during an erection, reducing the risk of wound dehiscence and bleeding. After surgery, patients do not need to clean the wound every time after passing urine. They just need to keep the wound clean and dry. The surgical rapid glue will fall off with dead skin within a few weeks after the surgery.

        The advantages of laser circumcision are:

        • There is less blood loss during the operation.
        • There is no need to wash the wound after urination.
        • The pain after the operation is mild.
        • The wound is aesthetically pleasing.

        Patients can go to school or work immediately after the operation. Patients can do mild exercise 2 to 3 weeks after surgery; if the wound heals well, patients can have sex about 4 weeks after surgery.

        This new circumcision method has been used in thousands of patients and proven to be safe and effective. There is less than a 1% bleeding rate after laser circumcision, and the bleeding needs to be stopped. There is no need to clean the wound every day after surgery. Edema distal to the wound is rare. Please consult your doctor for advice.

        Staple gun circumcision

        This surgery can be performed under local anesthesia or general anesthesia in a clinic or hospital. Before surgery, the surgeon will use a skin marker to mark the skin cutting site of the staple gun and make sure there is enough skin left behind for erection after cutting and stapling by the staple gun. Circumcision with the staple gun is a quick surgery and the cut edge is neat and clean. The advantages of using staple guns for circumcisions are: 1. the pain after the operation is mild, 2.the wound is good looking, 3. there are no sutures marks but narrow and shallow staple marks. You can go to school or go to work within a few days after the operation. Patients can do gentle exercise 3 to 4 weeks after surgery; if the wound heals well, patients can have sex about 4 weeks after surgery. The immediate bleeding rate after staple gun circumcision is a few percent. Surgical sutures are needed to close the bleeding points to stop bleeding immediately after staple gun circumcision. You may need to clean the wound once or twice daily after surgery. Staple gun nails usually need to be removed. Edema distal to the wound is common. Please consult your doctor for advice.

        FAQs

        Q. If I have repeated infection of my prepuce and head of penis, do I need circumcision?
        A. Repeated infection of the prepuce (posthitis) and repeated infection of the head of penis (balanitis) are common indications for circumcision. Please consult your doctor for advice.
        Q. If I have posthitis and balanitis and I do not want to have treatment, what will happen?
        A. You may have pain, itchiness, redness, skin cracks, skin ulcers, bleeding or pus discharge from the prepuce or head of penis. Experienced doctors can find out the cause(s) of the infection and cure the disease in one to two weeks. Why don’t you seek help from your doctor? Not receiving proper medical attention is unwise. Please consult your doctor for help.
        Q. Is circumcision safe?
        A. Yes. Current circumcision is very safe.
        Q. During and after circumcision, is it painful?
        A. 15-30 minutes before surgery, local anesthetic cream will be applied to the planned local anesthetic injection sites. When the local anesthetic cream starts working, the local anesthetic injection pain with a small needle will be minimized. The effect of the long-acting local anesthetic drug will last for 12 – 16 hours. Post operatively, the patient will take oral analgesics. Most patients can return to school or office in one to few days with minimal pain.
        Q. After circumcision, is it difficult to take care of the wound?
        A. Our experienced surgeon and nurses will teach you how to take care of the wound. Most patients can take care of the wound by themselves.