Adult circumcision

What is the Best Circumcision Method for Male Adult

Methods and techniques of circumcision for boys age 16 anD over

What is the best circumcision method for men ?

Many patients are asking from surgeons or urologists about different ways of to circumcise male adult. Patients look into Google to find the answer, but they become more confused.

There are different techniques and methods for the circumcisions: 

  • Forceps guided method 

  • Sleeve method 

  • Clamp method

  • Freehand method

These procedures can be achieved by using glue, stitches, Shang ring device, ZSR or CircCurer (LangHe) staples, or combinations of these.

What is evidence in THE medical literature

Adult circumcision with Shang ring

Pros 

1.     Quick and bloodless

2.     Higher patient satisfaction 

3.     Lower operative pain

4.     Lower risks 

5.     Lower wound bleeding 

Cons

1.     Wound healing takes longer to heal

2.     Significant Wound gap 

3.     Healing by significant scar gap in some cases

4.     Require removal of the ring 

5.     More pain during recovery 

Circumcision with a Stapler device (ZSR or CirCurer) 

Pros 

1.     Less operative time

2.     Less operative pain

3.     Less complications 

4.     Lower infection rate

5.     Short healing time

6.     Less swelling 

Cons

1.     Residual stapler nails longer than 4 weeks 

2.     Staples requires removal 

3.     May leave stapler marks 

Circumcision with stitches

Pros

1.     Less expansive 

2.     Easy to use 

3.     Customised as patient requirements 

Cons

1.     Leave stitches marks 

2.     Take 2-3 weeks to fall off

3.     More painful 

4.     More chances of infection 

Circumcision with glue 

Pros 

1.     Waterproof 

2.     Less bleeding 

3.     Less chance of infection 

4.     Less painful

5.     Heals quicker

6.     Best in cosmetic outcome 

Cons

1.     Operation is longer

2.     Technically challenging

In conclusions, a recent report showed that the use of tissue glue in comparison to stitches is cosmetically better and has less complications.

By looking the medical literature, photos on the internet, our results with the Khan technique of circumcision were superior to all other methods and these results are endorsed by many patient’s feedbacks.

The Khan Technique of the Circumcision: He uses his own surgical techniques using mainly glue with 1-3 stitches, which is a custom made result for every individual patient. With his 26 years experience, the “Khan technique of the circumcision” is the best circumcision method of adult and boys over 16  years of age. 

Dr. Khan can discussed about the initial outcome and long term about the Khan technique of glue circumcision

Tight foreskin - what is the treatment

Phimosis (tight foreskin): What are the alternatives to full circumcision?

When there is a tight foreskin called phimosis, a person wonders whether he need to be circumcised.  There are many alternatives to full circumcision.

Following non-surgical treatments are an alternative to circumcision.

•          Children usually grow out of natural tight foreskin

•          Stretching exercises: It may help in some cases

•          Steroids - topical or local injections: There is medical evidence that steroid cream cures the phimosis

•          Stretching exercises with steroids:  Both treatments may be more effective than one only.

•          Vitamin E cream: More medical evidence may require its effectiveness.

Following surgical treatments are an alternative to circumcision.

 •          Frenuloplasty: Frenuloplasty provides releasing the frenulum which is a simple and effective treatment of dealing painful or torn frenulum

•          Frenular grafting: Free frenular skin grafting an alternative to circumcision in some men with a combination of tight frenulum and phimosis.

•          Preputioplasty: This operation is mainly to widen the ring noticed after retraction of the foreskin beyond the head of the penis

•          Partial circumcision: There are very limited role of partial circumcision in tight foreskin.

However, tight foreskin with balanitis xerotica obliterans (BXO) is treated with steroids, biopsy and full circumcision.

In conclusion, alternative treatments (surgery or no surgery) consider before male circumcision who have a tight foreskin. We have discussed a method of treatment and every treatment must be considered individually and carefully