Revision circumcision or redo circumcision in adult

Circumcision revisions performed due to unsatisfactory results with the original circumcision. Redo circumcision is an uncommon but sometimes necessary procedure.

A circumcision revision might be necessary for several reasons. The most common reason is that too much of the foreskin is left following a circumcision. This is called redundant foreskin. It can cause scar tissue to form and develops more fat in the area around the penis.

Circumcision revision may also be needed if the penis drops back into the fatty area surrounding it, seeming to “trap” it or hidden penis or buried penis  

Another reason circumcision revision may be required is if something called a “penile skin bridge” develops. This is when the shaft of the penis becomes attached to the round band near the tip of the penis.

You should seek medical attention if you notice any of these problems with his penis. Urologists do not recommend waiting if a circumcision revision is needed. The problem will not resolve itself and may become worse  

skin may loosen up over the time in later adulthood.  

Stitch marking and tunnels were another reason for redo or revision of circumcision in adults.  

Please contact to Dr. Khan directly to discuss about revision , redo or tight Circumcision in men. 

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Circumcision: 7 things about adult circumcision you did not know. You should know these before you decide to have the circumcision

At what age can circumcision be done? 

There is no age restriction. Many babies have circumcision. It can be done as old as even the seventies  

why do men ask for circumcision  

There are many reasons: tight foreskin, painful sex, BXO (Lichen Sclerosis), scarring, personal, hygiene, cosmetic, long foreskin and repeated infection  

How Painful is circumcision? 

Procedure after the local anaesthesia is pain-free 

What are the pros and cons? 

Pros: clean, no diseases of foreskin, good cosmetic look, less penile cancer, less sexual diseases transmission especially HIV  

Cons: risks of operation: like bleeding, infection, scarring, painful scar and revision surgery.  

What do women think about circumcision?  

Some women like more circumcised men as compared to uncircumcised men.  

Please contact to Dr. Khan directly +447527 314081 if you have further question.  

London circumcision Clinic, Leyton, London 

The Use of Tissue Glue for Circumcision in Children: Systematic Review and Meta-analysis 2018

 OBJECTIVE

To evaluate the efficacy of tissue glue in pediatric (children) circumcision.

 MATERIALS AND METHODS

A systematic review and meta-analysis of the English literature (1997-2017) was conducted according to the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) statement on children who underwent circumcision with tissue glue. Meta-analysis was conducted using RevMan 5.3, Comprehensive Meta-Analysis 2, and MedCalc 18. P values <.05 were considered significant.

 RESULTS

The search returned 15 studies for a total of 4567 circumcisions, of which 3045 (66%) were performed with tissue glue. The systematic review indicated that overall complication rates were 4.3% (tissue glue) and 5.9% (sutures). The use of tissue glue was associated with reduced postoperative pain, better cosmetic results, and reduced cost. Meta-analysis showed that there was no difference between the incidence of total postoperative complications (relative risk [RR] 0.86 [95% confidence interval {CI}: 0.62-1.19], P = .36) and wound infection and dehiscence between the 2 groups (RR 0.95 [95% CI: 0.59-1.56], P = .85). Postoperative bleeding and hematoma formation were reduced with the use of tissue glue (RR 0.55 [95% CI: 0.32-0.95], P = .03). Tissue glue also significantly shorten the operative time (mean difference −0.22 [95% CI: −0.39 to −0.05], P = .01).

 CONCLUSION

The incidence of postoperative bleeding and hematoma formation in pediatric circumcision is reduced with the use of tissue glue. Tissue glue has reduced operative time; furthermore, it might be associated with reduced postoperative pain, less overall cost, and superior cosmetic results.

Ref: UROLOGY 115: 21–28, 2018. © 2018 Elsevier Inc.