Circumcision for Adult Men

Causes, Diagnosis and Treatment

London Circumcision Clinic – Expert Care from Consultant Urologists

Welcome to the London Circumcision Clinic, a specialist clinic offering expert circumcision services for adult men and older boys. The clinic has Dr Khan and top consultant urologists with over 30 years of combined experience. We provide safe, innovative techniques, a state-of-the-art clinic and painless procedures tailored to our patients’ needs.

 We specialise in treating foreskin conditions such as phimosis, balanitis xerotica obliterans (BXO), frenulum breve, and complications from previous surgeries or after filler injections. Our clinic is registered with the UK Care Quality Commission (CQC) and maintains high hygiene, safety, and patient care standards with a “good” rating on CQC's last inspection.

Why Choose Us?

✅ Experienced Surgeons: Over 8,000 successful circumcisions performed in the UK.

✅ Advanced Techniques: Glue, ZSR stapler, CirCurer, sleeve, freehand, and revision methods available.

✅ Painless Procedures: All procedures are conducted under local anaesthesia for pain-free procedures.

✅ Medical Expertise: Consultant-led urology care for complex cases, including BXO and penile webbing.

✅ High Patient Satisfaction: Read the testimonials from our satisfied patients to learn about their positive experiences.

We offered Services

1. Adult Male Circumcision

Techniques: Glue, stitches, ZSR stapler, CirCurer, sleeve, freehand, forceps-guided

Options: High/low cut, tight/loose styles discussed during consultation

2. Preputioplasty

For mild to moderate tight foreskin (phimosis) without full circumcision

Preserves the foreskin while improving mobility

3. Frenuloplasty

Treats short frenulum (frenulum breve)

Allows improved flexibility and function

4. Revision / Redo Circumcision

Corrects uneven scars, skin bridges, or unsatisfactory prior results

5. Circumcision for BXO (Balanitis Xerotica Obliterans)

Specialised management of this scarring condition affecting the foreskin and glans

6. Circumcision After Penile Fillers

Safe removal of scarred or damaged tissue following dermal filler injections

7. Penoscrotal Web Repair

Corrects congenital or acquired penoscrotal webbing for improved appearance and function

Common Causes of Circumcision in Adults

While some men are circumcised in infancy, many adults choose or require circumcision later in life due to:

• Phimosis (tight foreskin)

• Recurrent balanitis (inflammation/infection)

• Balanitis Xerotica Obliterans (BXO)

• Paraphimosis (trapped retracted foreskin)

• Sexual health concerns (e.g., STI prevention, easier hygiene)

• Cosmetic or personal preference

Clinic Locations

Where can I go to get circumcised in the UK?

• London Circumcision Centre,142 George Lane, South Woodford, London, E18 1AY

• Leyton Healthcare, Oliver Road Polyclinic,4th floor, 75 Oliver Road, Leyton, London E10 5LG

• Cambridge Circumcision Clinic, Maris Lane, Trumpington, Cambridge CB2 9LN

MEET THE TEAM

All doctors are registered with the UK General Medical Council (GMC) and work in NHS hospitals.

Dr. Khan, Paediatric Surgeon / Urologist

Specialist in Circumcision, Revision Circumcision, Stapler Circumcision, Foreskin Issues

● 7,000+ successful UK circumcisions

●  7 years as Consultant/Assistant Professor in Saudi Arabia

●   Extensive NHS experience at various levels of responsibility since 2003

Dr. AQEEL SAFDAR

Specialists in surgery and phimosis

●  A highly experienced Paediatric Surgeon

●  Professor with over 25 years of successful surgeries, including 5,000 procedures.

Dr. Raveen Sandher and Dr. Nkwan Nkwan - Consultant Urologists

Specialists in adult urology

●    Medically complicated circumcisions like BXO and revisions

●    Expertise in addressing tight foreskin and frenulum issues

Video Consultation before Circumcision or other procedures

Dr Khan offers a convenient and cost-saving option of having a video consultation before adult circumcision, frenuloplasty, or preputioplasty. There is a separate fee of £150 for the video consultation. This saves you an extra visit and the associated costs of travel, missing work, and time.

No needle (for needle-phobic patients), local anaesthesia for Adult male circumcision-

We provide needleless local anaesthesia for patients who are scared of needles. Please ask for the details. Small changes apply

The Revision or Redo of Previous Circumcision

Redo, or revision of the previous circumcision, changes the adult's life, as they are worried about the scarring from an earlier botched circumcision. Many adults who have been circumcised in childhood or later in life are not happy with the appearance of their penis. Re-circumcision is an available option.

At the London Circumcision Centre, Mr Khan will correct the following problems from previous circumcisions: Uneven skin, scarred Frenulum, Excessive and uneven circumcision scar, and excess scarring. A second opinion about the prior circumcision is given.

Preoperative circumcision assessment

You will usually attend the clinic on the same day for the consultation and surgery. After the consultation, you will meet the nurse and Dr Khan. Before surgery, we need to know your medical history as follows:

• Family history of bleeding disorders

• Medication such as antiplatelet or blood-thinning medication, steroids

• Allergy to any medication, like penicillin

• Urinary problems

• Diabetes

• Heart surgery

• An artificial joint or any other implanted foreign body

• A neurosurgical shunt

Consider starting vitamin C, 500 mg, thrice a week before surgery.

Circumcision procedure

A local anaesthetic is injected into the base of the penis and all around the shaft of the penis with an injection with 2-3 pricks. This provides safe and effective pain relief during and after the operation. This is used as the sole form of anaesthesia around the wound. The patient is not put to sleep during the procedure. This anaesthesia minimises post-operative pain for 1- 4 hours. The entire foreskin is removed using an incision just behind the head of the penis. This leaves the head of the penis exposed permanently.

Dr. (Mr.) Khan is the first doctor in the UK to have had simulation training on a simulation model using the CircCurer device ZSR staplers (a disposable circumcision stapler device) since 2019. Adult male circumcision with a circular stapler device is available on request.

What is the Cost of ADULT Circumcision and other procedures

What is the cost of circumcision, or an alternative to circumcision? There is free frenuloplasty with circumcision on the same day. 

• Separate remote video consultation £150

• Separate Face-to-Face Consultation £250

• Full circumcision and frenuloplasty (Glue) £700 for personal and hygiene reasons

• Full Circumcision with condition BXO (Glue and Stitches) £760

• Adult circumcision with a stapler device (CircCurer or ZSR) £780

• Adult circumcision (previously filler in place) £875

• Frenuloplasty of prepuce of penis £500

• Preputioplasty: an alternative to circumcision £780

• The revision or Redo of circumcision £975

• Penoscrotal web repair £1350

• Biopsy, if required £150 in case of BXO

• A follow-up visit is £150

Testimonials

Information about Circumcision

ADULT MALE CIRCUMCISION

Adults require circumcision and alternative treatment for foreskin problems. This information is only for guidance and does not replace professional consultation.  

INDICATIONS (reasons men have CIRCUMCISION)  

Circumcision may be performed for the following reasons:

1. Hygiene, cultural or religious

2. Tight foreskin due to Balanitis Xerotica Obliterans (BXO), frenulum breve or scarring 

3. Paraphimosis

4. Tight foreskin or pain during sexual activity

5. Phimosis

6. Balanitis or Balanoposthitis (infection of foreskin or glans)

7. A tight or short frenulum causes the head of the penis to bleed during sex or  tilt down during erections

Religious and cultural circumcision

Expectations for people who have circumcision due to religious and cultural reasons are to expose the whole head (glans) of the penis. This is possible in most cases. Some people have a very short penile shaft skin, a mobile shaft of penis skin and a partially buried penis due to many factors. Exposing the head of the penis is not the best option for these patients as they may require some extra skin for normal erections.

FULL OR PARTIAL CIRCUMCISION

Full circumcision means moderate cutting of the inner and outer foreskin to expose the head of the penis. Partial circumcision leaves some loose skin, which might partially cover the head of the penis and is very similar to loose circumcision. Full circumcision might give a false impression of loose/partial circumcision when the penis is flaccid. Partial circumcision is possible, but it has a few complications in the long term. These can be discussed with our specialist.

Styles of Circumcision

1.     High and low “cut” circumcision

This concept style of circumcision is due to the scar line from the groove (sulcus) of the head of the penis (corona of the glans) and depends on how much inner skin is removed. High “cut” means excess outer skin, and a shaft of the penile skin is cut, leaving long inner skin. Low “cut” means to cut more inner skin so that the scar line is very close to the groove of the head of the penis. Some men think the opposite of this concept completely. They may feel the “cut” or scar line is taken to the base of the penis.  These high or low styles are not possible in all men. Put a scar line in the middle of the shaft or close to the base of the penis is not recommended as it leaves too long inner skin, which can swell up due to lymphatic drainage (lymphoedema) and also, over time, the inner skin stretches to become a loose fold of skin which gives unsatisfactory results in the long term. This also involves cutting too much shaft of the penile skin. That is, we do not recommend performing high and tight circumcision.

2.     Tight versus loose circumcision

This might depend upon many factors, such as how much total foreskin is removed, the mobility of penile shaft skin and attachment of the skin at the base of the penis at the abdomen (penoscrotal junction). The tightness of skin around the penis is sometimes not possible, no matter how much foreskin is removed during the circumcision. This is due to the loose attachment of skin on the shaft of the penis. Congenital reasons or the ageing process might cause this. Tight circumcision should not be confused with the quality of erection, which depends upon many factors. The erection is not affected by circumcision. Loose circumcision may also be similar to partial circumcision. These concepts should be taken according to the flaccid and erect state of the penis. Tight circumcision is impossible for those with a considerable size difference between a fully flaccid and a fully erect penis. They might have a painful erection during sexual activity if tight circumcision is performed.

ALTERNATIVE TO CIRCUMCISION 

There are alternatives to full circumcisions, such as excision of the frenulum, V-Y plasty operation called preputioplasty, frenuloplasty, partial circumcision or medical treatments. These are personal preferences and can be discussed further with our specialist.

FAQs for Adult Circumcision

Aftercare for adult circumcision

IMMEDIATE CARE

You might experience discomfort for a few days after the procedure, but painkillers help to reduce this. Absorbable stitches are typically used, which can be removed after ten days to minimise the stitch marks or can be allowed to fall off after 2-3 weeks. Vaseline should be applied to the tip of the penis. A dressing is applied around the wound line to prevent the wound from sticking to your underclothes, which stays in place for 24 hours in the case of glue circumcision. It is advisable to wear light clothing for 2-3 days. Passing urine is painless and is not affected by the operation. 

Glue Circumcision 

If the circumcision is done with the Glue method (Dermabound Advanced™ or Derma+flex®). The glue contains  2-octyl cyanoacrylate or Octyl and Butyl cyanoacrylates. Please follow the following instructions.

• Please keep the wound dry for three days.

• Do not scratch, rub, or pick at the wound or glue; doing so may loosen the film before the wound fully recovers.

• Please gently remove the bandage after three days; you may take a brief shower. After showering, gently blot the wound dry with a soft towel. Caution! Do not peel off the glue with the bandage.

• Do not soak or scrub your wound or swim until the adhesive film has fallen off naturally.

• Stay out of direct sunlight, and do not use tanning lamps

• Do not apply liquid, ointment medications, or any other product to the wound while the glue is in place. It could loosen the film before the wound is fully healed

• You may have 2-3 stitches underneath the penis (at the frenulum); these will dissolve in 3-4 weeks. There is no need to remove the stitches with the glue method

CALL US IF YOU HAVE ANY QUESTIONS

Dr Khan or the private Secretary will contact you on the same working day.

Please see our dedicated Website for adult circumcision in London (click here)

Please fill out the form if you need to contact us

Please see our dedicated website for grown-up boys and men

Adult Circumcision

Please read more information for adult circumcision 

NHS Choices

If you are a health professional, read more

Circumcision information 

This information is only for guidance and does not replace professional consultation. 

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