Our Adult Circumcision in London services are provided to individuals aged 16 and above, addressing medical and nonmedical reasons. Medically, the procedure is recommended for conditions like tight foreskin, recurrent infections and cracked foreskin. Nonmedical reasons may include religious, personal, or cultural considerations. Anaesthesia options include local penile block with circumcision methods such as glue, stitches, or stapler techniques.

Indications

Circumcision is advised for medical conditions such as tight foreskin, tight when erection, recurrent infections, and scarring conditions like Balanitis Xerotica Obliterans (BXO). Circumcision also addresses issues like a tight or short frenulum and is performed for hygiene, cultural, or religious reasons.

Circumcision Pros and Cons

While medically recommended, debates surround the consequences of circumcision. Health benefits include a reduced risk of urinary tract infections, sexually transmitted diseases (STIs), and penile and cervical cancer. However, potential risks involve bleeding, infection, poor cosmetic results, and changes in sexual sensation. Trials in Africa suggest preventive benefits against STIs and HIV among men.

Anaesthesia

Local anaesthesia is administered with 2-3 pricks around the base and shaft of the penis, ensuring a pain-free experience during the operation. This method also minimises post-operative pain for a few hours.

Cost in the UK

Our transparent pricing includes a £150 consultation fee if the procedure is done at the same time and various circumcision options:

- Full circumcision with stitches £580

- Full circumcision with Glue £660

- Revision or Redo circumcision £980

Informed Consent

Informed consent is a priority. Patients receive comprehensive information about the irreversible nature of circumcision and its potential impact on sexual anatomy.

Full or Partial Circumcision

Both full and partial circumcision options are available. Full circumcision involves moderate removal of the inner and outer foreskin to expose the head of the penis, while partial circumcision leaves some loose skin.

Procedure Techniques

Various methods of circumcision are employed based on individual needs:

1. Dorsal slit method: Mainly for phimosis and paraphimosis.

2. Sleeve method: Freehand cutting.

3. Forceps-guided method: Use of forceps to cut the skin.

4. Freehand method: Cutting with scissors.

5. Shang ring: A disposable clamp.

6. Glue vs stitches: Glue or stitches are applied to skin edges, while glue involves using a medical glue to seal the skin. Each method has advantages, with glue known for better outcomes, less pain, less complication and precise closures.

7. Stapler circumcision: stapler techniques involve using a specialised device to cut and seal the skin simultaneously. The stapler techniques are known for being quick but may require the removal of staplers in some cases.

Recovery

Circumcision with glue promotes quicker healing than stitches. Swimming and weightlifting should be avoided for 2-3 weeks. Full recovery typically takes 4-6 weeks, with oversensitivity of the glans possibly lasting a few months.

Healing Tips

To minimize the impact of nocturnal erections on stitches, glue or staplers, empty your bladder before sleep and sleep on your side. Wear tight underwear, follow aftercare advice, and keep the wound dry for 3 days. Regular vitamin C intake for ten days and application of vitamin E or bio-oil after 15 days can promote healing and scar improvement.

Risks

Patients are informed about potential risks, including bleeding, bruises, hematoma formation, infection, accidental damage to the glans, aesthetically unpleasing results, and changes in sensation during intercourse and masturbation.

Post-operative Care

Expect discomfort for a few days, manageable with simple painkillers. Urination is usually painless and unaffected. Swelling and bruising subside within 7-10 days. Dressings remain for three days, and light clothing is advisable for 2-3 days. Return to work when comfortable, but refrain from sexual activity for 4-6 weeks.

Note: This information is a guide and not a substitute for professional medical advice. For further assistance, contact our doctor at +447527314081 for free telephone advice.