In Office Adult Circumcision

Adult Circumcision - In Office

Adult Circumcision - In Office

Don’t risk general anesthesia.  Take care of this issue with a local block in the office.

Dr. Brandeis has developed an in office adult circumcision technique that is virtually painless.   Avoid sedation or general anesthesia and get a great cosmetic result.  

Please watch Dr. Brandeis in this 10 minute Educational Video

Male circumcision is the surgical removal of the foreskin.

The foreskin is the retractable fold of skin that covers the end of the penis. It’s a continuation of the skin that covers the whole penis.

 

Other treatments

In most cases, circumcision will only be recommended when other, less invasive and less risky treatments have been tried and haven’t worked.

Mild cases of phimosis can be treated with topical steroids to help soften the skin and make it easier for the foreskin to retract.

In paraphimosis, a healthcare professional may rub a local anaesthetic gel onto the glans to help reduce pain and inflammation.

They may then apply pressure to the head of the penis while pushing the foreskin forward.

In severe cases of paraphimosis, local anaesthetic gel can be applied to the penis and a small slit is made in the foreskin to help relieve the pressure.

Balanitis and balanitis xerotica obliterans can sometimes be successfully treated using corticosteroid ointment, gel or creamantibiotic creams or antifungal creams.

There have been several studies into male circumcision and the risk of other STIs, but the evidence to date has been inconclusive and conflicting.

The procedure

Circumcision is usually carried in the office.  You’ll be asked to sign a consent form to confirm you agree to the surgery.

You will have a local anaesthetic, which will numb your penis and the surrounding area.

Circumcision is a relatively simple procedure. The foreskin is removed just behind the head of the penis using a scalpel or surgical scissors.

Any bleeding can be stopped using heat (cauterisation), and the remaining edges of skin will be stitched together using dissolvable stitches.

Recovering after male circumcision

It usually takes at least 10 days for your penis to heal after circumcision.

You’ll probably be advised to take at least a few days off work to recover.

You should avoid having sex for at least 4 weeks after your operation.

For 3 or 4 days after your operation, it’s likely you’ll experience some discomfort and swelling around the head of your penis.

Contact BrandeisMD if you have a temperature, increased redness, bleeding, persistent pain or throbbing of your penis, as it could be a sign of infection.

Applying petroleum jelly (Vaseline) around the tip of your penis will stop it sticking to your underwear.

Wearing light, loose-fitting clothing for 2 or 3 days after your operation will also help avoid irritation to your penis while it heals.

You shouldn’t feel any pain or discomfort while passing urine, but contact your medical team if you do.

Risks of male circumcision

Complications after circumcisions carried out for medical reasons are rare and most men don’t experience any significant problems.

Apart from the initial swelling, bleeding and infection are the 2 most common problems associated with circumcision.

There’s a 1 in 50 chance that you’ll experience bleeding or infection.

Other possible complications of circumcision can include:

  • permanent reduction in sensation in the head of the penis, particularly during sex
  • tenderness around the scar
  • the need to remove stitches that haven’t dissolved
  • occasionally, another operation is needed to remove some more skin from around the head of the penis