partial circumcision

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

 

Adult patient feedback from France

 "Excellent after service, called me late in the evening very quickly to respond to an email when I was expecting to a reply in the morning" 

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CQC published the case study- London Circumcision Clinic fulfils 95% standards

Case study – good practice for Newborn or Baby circumcision

This case study is taken from a GP practice that has conducted traditional circumcision for 28 years. ( published CQC website)

In this practice, parents receive written information and advice in advance of the procedure. This includes a consent form and information about aftercare. The practice requires both parents to give consent to the procedure.

Parents are advised not to feed the infant for two hours before the procedure. This ensures that the baby feeds immediately afterwards to provide comfort.

The doctor assesses the level and type of local anaesthesia appropriate for each infant, taking account of their age and weight and the requirements of the procedure. Pain relief is proportionate and appropriate for the individual needs of the infant.

If the doctor concludes that the procedure cannot be safely conducted in his GP practice, he advises parents of this and suggests alternative options (for example, referral to hospital care).

During the procedure, the infant is held comfortably still. Another person is always present to assist and respond to the infant’s needs if they are in any distress.

The family is advised to remain at the practice for at least an hour after the procedure and once the doctors is certain that the baby is not bleeding.

The doctor is available for aftercare and the arrangements for follow up are clear.

Written instructions for parents include a request to text or ring the doctor after their first check. The parents are advised to contact the doctor at any time by text or phone if they have any concerns. If this happens, the doctor will visit the baby at home or see him at the surgery, as is most appropriate.

The doctor encourages good practice among other providers by offering training in the procedure.

Ref: 

Advice for inspectors

Circumcision of male children

January 2016 Care Quality Commission

Feedbacks from patients and parents

  

Patients and parents have provided feedbacks to Dr  Khan at London circumcision centre and Thornhill Clinic, Luton 

Please read latest feedbacks on website "I Want Great Care"

Adult revision circumcision - feedback

"I had a revision circumcision for an ugly scar following my original adult circumcision (by a different surgeon). My greatest regret is not coming to Mr. Khan first-time around. A skilled surgeon who did the best he could given how badly the first operation was done (by a different surgeon)" 

 

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250 feedbacks on 22 June 2018