Five stars reviews and feedbacks- Dr. Khan

Dr. Khan has received 200 feedbacks and reviews from parents and patients who have been given five star professional service by paediatric Surgeon / Urologist.  

Father says "Great Service, Highly recommend"

ET 2 months old baby : Father text to Dr. Khan  

They  have treatments like adult circumcision, children circumcision and other procedures under care of Mr. (Dr.) A R Khan 

These reviews have been variefied by I Want Great Care

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Optimal time for neonatal circumcision

Baby circumcision remains a widely practiced procedure. Therefore it is important for pediatric surgeons/urologists to perform circumcision safely with minimal trauma to the neonate. This study shows that painless circumcision is possible in almost all newborns if it is performed during the first week after birth.
— J Pediatr Urol. 2009 Oct;5(5):359-62. doi: 10.1016/j.jpurol.2009.01.002. Epub 2009 Feb 14.

This study shows that best age for painless circumcision in newborns is during the first week after birth.

Pain relief after newborn and baby boys circumcision

Lignocaine Gel- instillagel 2%

In addition to giving your child/young person painkilling medicine after circumcision, you will be given a tube of local anaesthetic jelly called instillagel to numb the area around the ring near the thread or the stitches. This may be used:

  1. If your child is in pain after circumcision. 

  2. If, before passing urine, your child/young person is frightened to do so.

  3. After passing urine.

You will be shown how to apply the jelly in the clinic by Dr. Khan before your child/young person leaves the clinic after circumcision at London Circumcision Clinic. It is very useful for the first 24-48 hours in babies or a few days in children. It can be applied every  4 hours up to a maximum of 5 times a day. It works within 5 - 10 minutes and lasts for up to 45-90 minutes.

If you think your child/young person is in pain after circumcision, please give the painkillers as directed. Please be reassured that you will not overdose him if you follow these instructions, nor will he become addicted to the medicines. It is best to give the painkillers regularly for the first 2 - 3 days after the circumcision and then as needed:

Paracetamol (Calpol, Disprol)
This can be given to your child/baby regularly 4 times a day for the first 2 days after going home, and thereafter as needed up to 4 times a day. Give amount as directed on the bottle or Dr Khan will calculate the dose for babies under 2 months old according to their weight. Paracetamol can be given under 2 months old child. 

Ibuprofen (Junior Nurofen) over 3 months child 
Give this to your child/young person after circumcision as needed up to 3 times a day. It is safe to give both Ibuprofen and Paracetamol together, or alternate Ibuprofen with regular doses of Paracetamol.

● If your child/young person is asthmatic, it may still be safe to give them Ibuprofen as they may have had it in hospital. If you are worried about this, please talk to the nursing staff or doctors before you leave. If your child’s/young person’s asthma gets worse at home, stop using Ibuprofen, but continue with the Paracetamol as prescribed. Rarely, Ibuprofen can cause indigestion; if this occurs, stop using it but continue with Paracetamol. Follow the instructions on the bottle for drug dosage. 

Please ask Dr. Khan if you have any question.

 The content on the Our website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice from Dr. Khan regarding any medical questions or conditions developed after circumcision  

Please see uptodate about newborn circumcision information for parents. 

Adult circumcision with Shang Ring Versus Glue

The Shang Ring circumcision is safe and effective, does not require suturing or electrocautery, and is simple enough to enable the procedure to be performed by non-physician healthcare providers
— Masson P, Li PS, Barone Ma, Goldstein M: The ShangRing device for simplified adult circumcision. Nat Rev Urol 2010;7:638–642
Conventional adult male circumcision can be easily performed by an experienced urologist and the complications are rare
— Yue Cheng, MD Chief, Professor of Urology and Andrology
The total postoperative complication rate in the circumcision with Shang ring  was 8.16% (55 of 674)
— Cheng Y, et al : Analysis and prevention of postoperative complications after Shang Ring adult male circumcision. Chinese J Clin 2012;6:e4474–e4476
The overall postoperative complication rate in shang ring circumcision was 7.11%
— Peng YF, Yang BH, Jia C, Jiang J: [Standardized male circumcision with Shang Ring reduces postoperative complications: a report of 351 cases]. Zhonghua Nan Ke Xue 2010;16: 963–966.

Chinese Shang Ring Male Circumcision: A Review by Urol Int DOI: 10.1159/000464449 (2017)

Please see the report as below: https://www.karger.com/Article/Pdf/464449


Glue Circumcision: Overall minor complication rate of adult circumcision with glue is 2.8% (5/181) at our circumcision clinic.
— Audit report 1 May 2016 to 30 April 2017 by Dr Khan

Adult circumcision with glue and stitches under local anaesthesia in our Thornhill clinic over 2 years ( Presented as a poster at London Healthcare Conference 2017)

Thornhill Clinic, 1-3 Thornhill Road, Luton, Bedfordshire, England

The widespread acceptance of adult local anaesthesia circumcision in the community remains debatable. We report outcomes (Glue and Stiches) from a dedicated GP clinic over two year period. Patient demographics, indications and postoperative complications were recorded prospectively.

Of 372 circumcisions (glue n=269 and stitches n=103), 230 (62 %) patients had medical indications including 63 (17%) balanitis xerotica obliterans and 11 (2.9%) had minor complications (infection n=6, bleeding n=2 and redo n=3) with no significant difference between the two groups.

Circumcision performed in adults remains a safe surgical option under local anaesthesia in dedicated GP surgeries. This could help ease pressure on local urology departments.

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