Circumcision: Procedure, Benefits & Recovery

Circumcision Procedure

Circumcision is a surgical operation in which the foreskin, which is a fold of skin that encloses the head (glans) of the penis, is removed. It is regularly conducted because of religious, cultural, medical or personal purposes.

Types of Circumcision Procedures:

Conventional Surgical Circumcision

• Accomplished using a scalpel or surgical scissors.
• The form of anaesthesia – local or general – is one that is employed.
• Involves suturing (stitches) to stop bleeding and to aid in healing.

Device-Assisted Circumcision

• Plastibell device: A plastic ring is placed below the foreskin; the foreskin is tied and left to drop with the ring.
• Gomco clamp or Mogen clamp: For crushing and cutting the foreskin fast.
• Found among infants and young children.

Laser Circumcision (Laser Surgery)

• Employs a laser of high precision, rather than a scalpel.
• Fewer losses and short healing time.
• Desirable in selected adult instances for cosmetic or curative purposes.

Circumcision Benefits

Circumcision has a number of medical, hygienic and preventive health benefits; however its necessity is in question in regard to the cultural, religious and personal standpoints.

Circumcision-Medical and health benefits of circumcision:

Improved Hygiene

• Easier to clean the penis.
• Relieves accumulation of smegma (mixture of dead cells, oils and humidity) under the foreskin.

Prevented occurrence of UTIs

• Especially in infants.
• According to studies uncircumcised males are at a higher risk of UTIs within the first year of life.

Prevention of Certain Penile Conditions

• Phimosis (tight foreskin which cannot be pulled back).
• Paraphimosis (retracted foreskin unable to return in normal position).
• Balanitis (inflammation of the glans)
• Balanoposthitis (affection of glans penis and foreskin).

Low Risk of Certain Sexually Transmitted Infections (STIs)

• HIV: WHO/CDC records marked females’ to males’ transmission risk reduction.
• HPV (Human papillomavirus): Associated with penile and cervical tumours.
• The risk for syphilis and herpes simplex virus (HSV-2) is also minimized to a little aspect.

Lower Risk of Penile Cancer

• Rare as it is, circumcision lowers already the low risk.
• Also indirectly prevents female partners from cervical cancer due to low transmission of HPV.

Prevention of Foreskin-related Medical Emergencies

• Prevents possibility of having foreskin complications during adult life.

Useful for Men with Disabilities

• Makes hygiene easier if self-care is challenging because of disabilities on the body or mind.

Circumcision Recovery Time

Circumcision recovery time depends on the patient’s age and the type of surgery implemented. Here's a detailed breakdown:

Infant Circumcision Recovery

• Initial healing: 5–7 days
• Full recovery: About 1 week
• Care: Do not let the area remain dirty and wet; rub petroleum jelly at the base of the diaper so it doesn’t stick.
• Common symptoms: Mild swelling, redness and yellowish scab (healing response).

Adult Circumcision Recovery

• Initial wound healing: 2–3 weeks
• Full recovery: 4–6 weeks
• Stitches (if used): Normally dissolve by themselves within 2–3 weeks.
• Pain: Mild to moderate in the initial days; treated with pain killers.
• Swelling & bruising: Common for 1–2 weeks
• Sexual activity: Avoid at least for 4–6 weeks for complete healing.

Circumcision Surgery for Adults

Pre-Operative Preparation

• Physical exam and blood work
• An avoidance of alcohol, smoking and some medications prior to surgery is necessary.
• Fasting in case of planned general anaesthesia

Anaesthesia Options

• Local anaesthesia: Numbs the penis; you're awake
• Regional anaesthesia: Numbs from the waist down
• General anaesthesia: You are out in a deep sleep (less common)

Surgical Process (Duration: ~30 to 60 minutes)

• The foreskin is pushed forward, marked and is removed surgically.
• Haemorrhage is checked by cautery or stitches.
• Dissolvable sutures are usually used
• The penis is rubbed with sterile gauze and antibiotic ointment.

Circumcision Healing Process

After undergoing the circumcision procedure, there is a healing process which unfolds in several stages with a different kind of variation depending on an infant or an adult. Here is a clear guide in terms of what to expect and what to do in caring for the wound as it recovers.

Healing Stages After Adult Circumcision:

Day 1–3: Immediate Post-Surgery

• Symptoms: Swelling, redness, and light bleeding; mild pain

What’s Normal:

• Mild oozing
• Shaft or scrotum swelling and bruising
• Slight discomfort during urination

Care:

• Apply prescribed antibiotic ointment
• Wear loose underwear
• Do not get the area wet (first 24-48 hours).

Day 4–7: Early Healing

• Symptoms: The swelling is decreased slowly and the stitches may come out loosened.

Care:

• Wash gently using warm water (wash without using soap directly on the wound)
• Put ointment and change dressings as directed.
• Do not engage in any form of physical activity, masturbation, or sex.

Week 2–3: Tissue Repair

• Symptoms: The formation of scabs with their fall out and stitches dissolving themselves.

Care:

• Most discomfort gone
• Look for skin infection (presence of pus, spreading haemorrhage-like redness, foul smell)
• May resume light exercise or work (in case not physically strenuous).

Week 4–6: Full Healing

• Symptoms: Skin looks smooth and pauperized; small scar can be seen.

Care:

• Restart the sexual activity and masturbation upon complete healing (usually at 6 weeks).
• Apply doctor tested and approved cream to scar area if needed for moisture.

Pain after Circumcision

Pain after circumcision is normal; particularly among the adults, but the pain is normally mild to moderate and bearable with proper treatment and medication. Here is an overall glance at what to expect and the procedures for managing pain effectively.

Typical Pain Timeline (Adult Circumcision)

• First 1–3 days: Soreness, throbbing, tenderness, tightness
• Day 4–7: Dull ache, occasional stinging
• Week 2–3: Discomfort with erections or movement
• Week 4+: Minor sensitivity or itching (healing)

Circumcision Side Effects

Circumcision is mostly safe especially in the hands of a trained individual. However as well as any, this surgery has possible side effects and risks- most of which are minor and short-term, but, in rare cases, can be more serious.

Common Side Effects (Usually Temporary):

• Pain or Discomfort
• Swelling and Redness
• Bruising Around the Penis or Scrotum
• Scab Formation
• Stitches Irritation

Possible Complications (Less Common):

• Infection
• Excessive Bleeding
• Poor Cosmetic Outcome
• Reduced Sensitivity
• Painful Erections During Healing

Factors Affecting Circumcision Treatment Cost

There are some important factors that determine the cost of circumcision treatment widely. Whether you are interested in it for medical, religious or personal reasons, knowing the factors can help you prepare better – especially when financially paying for it or going for medical tourism.

• Type of Facility
• Surgeon's Experience and Reputation
• Patient's Age
• Surgical Method Used
• Type of Anaesthesia
• Inpatient vs. Outpatient
• Geographic Location
• Post-Operative Care & Medications

Circumcision Consultation

A circumcision consultation will be your first step in determining whether having the procedure is right or not for you (or your child). It will include a review in-depth with a doctor typically an urologist, pediatric surgeon, or general surgeon to evaluate needs, describe the options and direct the next course of action.

How a Circumcision Consultation Runs?

Medical History Review

The doctor will ask about:

• Any existing medical problems (e.g., diabetes, the bleeding disorders)
• Previous surgeries
• Allergies to medications or anaesthesia
• Current medications or supplements

Physical Examination
Examination of the penis and the foreskin
Assessment from such conditions such as phimosis, paraphimosis, infections or scarring issues.
For infants, screening for anatomical problems or urogenital anomaly.
Discussion of Reasons & Expectations
Medical purposes, cultural needs, cosmetic needs or hygiene needs.
Anticipated results, benefits, as well as possible complications
Surgical Method Options
Your doctor will explain:
Conventional surgical circumcision
Laser circumcision (if available)
Device-aided alternatives (Plastibell in infants, for example)
Advantages and disadvantages of each method.
Anaesthesia Options
Local anaesthesia vs. regional anaesthesia vs. general anaesthesia
Depending on age, anxiety level, and health, in general.
Cost & Insurance Information
Total cost estimate (surgery, hospital cost and meds).
What is insured (if at all).
Institutional payment plan/options and medical tourism packages (if applicable)
Surgery Scheduling & Pre-op Instructions
When and where the process will be carried out
Fasting and medication instructions
What you should bring to surgery day and what to expect on surgery day.
Best Circumcision Doctors
Dr. Rajiv Yadav
Dr. Gagan Gautam
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