complication

Benefits Of Circumcision

Circumcision is a common procedure with minimum risks of complications by trained professional doctors. There are different opinions whether there is a need for a male to be circumcised.

Many medical studies and research showed that boy under 1 year is an optimal time for clinical circumcision. In our experience ideal age of circumcision is in babies under 4 weeks because a baby’s low movement facilitates the use of local anesthesia, usually sutures are not required, healing is quick, cosmetic outcome is usually excellent, costs are minimal in this age group (ranges from £250) , and risks of complications are uncommon. Infant circumcision is safe, simple, convenient and cost-effective procedure.

The benefits of infant circumcision include prevention of urinary tract infections (a cause of renal scarring), reduction in risk of inflammatory foreskin conditions such as balanoposthitis, foreskin injuries, phimosis (tight foreskin) and paraphimosis ( foreskin stuck behind the head of penis)

When the men later becomes sexually active he has substantial protection by circumcision against risk of HIV and other viral sexually transmitted infections such as genital herpes and oncogenic human papillomavirus, as well as penile cancer. The risk of cervical cancer in his female partner(s) is also reduced.

Tight foreskin in adolescence or adulthood may evoke a fear of pain, sexual pain or reduced sexual pleasure. Tight foreskin may be due  Balanitis Xerotica Obliterans (BXO) which may required  circumcision. Balanitis Xerotica Obliterans (BXO) is a penile skin condition which affects the foreskin, It may also affect the rounded head of the penis (called the ‘glans penis’) and, less commonly, the urethra (the tube which carries the urine from the bladder out of the body).

In BXO there is long term (chronic) inflammation of the glans penis; referred to as ‘balanitis’.  Patches (called lesions) appear on the affected skin which have an abnormally dry appearance (referred to as ‘xerotica’) and are seen as white, thickened plaques.  Lesions start in the foreskin but then can extend to the surface of the skin on the glans penis causing the involved areas of skin to fuse together.  As a result, the foreskin can become firmly adhered to the glans so retracting the foreskin (pulling it back) becomes difficult or impossible. This is called phimosis. Issues or concerns passing urine, painful erection and tight foreskin.

In summary, circumcision is the procedure which can be done under anesthesia with minimum risks of complications by professional trained doctors.

Ref:  surgical guide for circumcision 2012 DOI 10.1007/978-1-4471-2858-82

 

Baby Circumcision- Frequently Asked Questions

Baby Circumcision- Frequently Asked Questions

frequently ask questions about baby circumcision

London Circumcision Clinic by Paediatric Surgeon/Urologist  

Annual audit has improved outcomes of circumcisions

Annual audit has improved outcomes of circumcisions with disposable rings in children in a community clinic under local anaesthesia - Thornhill clinic and Leyton clinic, London


PURPOSE

To evaluate the early postoperative complications particularly impaction of disposable devices in children’s circumcision procedures under local anaesthesia in a community clinic in this year’s audit versus previous 3 audits. 

MATERIAL AND METHODS

In our current audit cycle, the outcome of circumcisions (n=1222) was prospectively studied over a 1-year period (May 2017 to April 2018) and were compared with the last 3 audit cycles. Circumcision was performed under local anaesthesia, by trained doctors in a community clinic using Circumplast (CC)(n=310) and Plastibell (PC)(n=912).  Early postoperative complications especially ring impaction were compared among the four audits. Follow-up was arranged if required.

RESULTS

The mean age was 4.4±0.3 months (median 1.5). Complication rate in this year’s audit was 5.1%(62/1222). There is no significant difference in overall complications rate in CC(6.8%n=21/310) versus PC(4.5%n=64/979)(p>0.5). Delayed ring separation/impaction is significantly lower in CC (1% n=3/310) versus PC (2.4% n=22/912) (p<0.05) and has significantly improved from the previous three audits. In current year, 202 (16.5%) children were followed and mean duration was 10±2.6 days (median 6).

CONCLUSIONS

The annually conducted audit has shown improved outcomes of circumcisions with disposable rings in children in a community clinic under local anaesthesia over successive years.

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Ref: Accepted as presentation and poster in ESPU 30th Meeting, Lyon, France.

Balanitis (Foreskin Inflammation) In men

  • What is balanitis or balanoposthitis in men ? 
  • Balanitis in diabetic men  
  • what are other cause?  
  • What is the Treatment for Balanitis?
  • How Effective is Circumcision In case Balanitis in men?
  • What are the complication of banalitis   

Please call Dr. Khan if you are suffering from infection of foreskin or Balanitis    

Information about the adult circumcision before and after the procedure.