First Private Clinic in London, UK, that Offers Circumcision with this Novel CircCurer (LangHe) staples Device
Many patients are asking Dr Khan to circumcise with ZSR or stapler devices. Adult circumcision can be performed by CircCurer (LangHe) or ZSR staples suture device. Dr Khan has simulation training in CircCurer (LangHe) staples suture device.
Dr Khan offers circumcision with this new CircCurer (LangHe) staple device at The London Circumcision Clinic, Leyton, London.
Adult circumcision with CircCurer stapler is a quick procedure. When it was compared with conventional circumcision with stitches, stapler circumcision is associated with shorter surgical time, higher patient satisfaction with penile looks, lower operative pain, less operative blood loss, and lower wound bleeding post-operatively. However, wound healing takes longer than traditional circumcision in adults.
Anaesthesia
A local anaesthetic is used for the circumcision with staplers and injected into the base of the penis and all around the shaft of the penis. This provides safe and effective pain relief during the circumcision. This also minimises post-operative pain for a few hours.
Men's Circumcision Cost with CircCurer in the UK (16-YEAR-OLD AND ABOVE)
Circumcision with stapler Device £780 includes consultation on the same day and one free follow-up visit.
Informed Consent
We provide the patient with all the information about the stapler circumcision ahead of time. Stapler Circumcision is an irreversible procedure and makes the head of the penis exposed permanently. Informed consent is taken before the procedure.
Full or Partial Circumcision
Full circumcision means moderately cutting the inner and outer foreskin to expose the full of head of the penis. Partial circumcision leaves loose skin, which partially covers the glans (head of penis). Partial circumcision may not work in all adults.
Full circumcision might give a false impression of loose/partial circumcision when the penis is in a flaccid state, especially in patients with a buried penis. Partial circumcision is possible, but it has a few complications in the long term. These can be discussed with Dr Khan at the Adult Circumcision Clinic in London, UK
Procedure Technique
The following are methods for adult and boys over 16-year-old for circumcision:
After local anaesthesia, the foreskin was retracted, and assess the suitability.
If there is scarring due to BXO, stapler circumcision is not advisable to perform.
Apply the bell of the instrument inside the foreskin
Secure the right position of the stapling device
Cut the skin and staples applied at the same time
Apply the bandage around the wound at the end of the circumcision
Recovery for Adult Circumcision with staplers
Circumcision with a stapler heals quicker than one with stitches. Swimming and weight lifting should be avoided for 2-3 weeks. Full recovery following circumcision generally requires 4-6 weeks. Over-sensitivity of the glans may take a few months to resolve.
Adult Circumcision Healing Tips
To reduce the effect of night erections, pull on the staplers during the first few days after the adult circumcision, empty your bladder before retiring and a few times during the night. Sleep on your side or back. It may be helpful to draw your knees up a bit into a more foetal position. Wear tight underwear after the circumcision to prevent unnecessary movement. Follow the aftercare advice and keep the wound dry for five days.
Please take vitamin C regularly for ten days to promote healing. If the staplers are completely off, apply vitamin E cream, Mederma gel, or bio-oil to the scar after 15 days. This will improve the scaring. Please contact us at The London Circumcision Centre for further advice.
Medical evidence
Five recent studies involving 2026 men were included in comparing the stapler and conventional circumcisions with stitches. The statistically significant incidence of circumcision with staplers was intra-operative blood loss, operating time, the mean pain score on the operation day, the mean pain scores on post-operation days and wound healing time. The majority of the patients (88.0%) required the removal of residual staples postoperatively after four weeks.
References:
Brazilian Journal of Medical and Biological Research (2015) 48: 577-582
Asian Journal of Andrology (2017) 19, 362–367
Scientific Report (2016) 6, 25514
Risk of Adult Circumcision
The risks of circumcisions are explained to the patients. Risks are failed staple procedure requiring traditional circumcision, bleeding, bruises, haematoma formation, infection, retaining of staplers for more than four weeks, unintentional damage to the glans, removal of too much or too little skin, lymphoedema, aesthetically displeasing results and a change of sensation during sexual activity.
The patient should also be informed that, during the postoperative period, erections can cause pain, bleeding and discomfort. There are slight chances of disruption of the staples or scarring of wounds, which might require a redo or revision circumcision.
Postoperative Care
You might experience discomfort for a few days after the circumcision, but painkillers help to decrease the pain. Passing urine is not usually affected by the circumcision. There will be swelling and bruising of the shaft of the penis for 2 to 3 weeks after the stapler circumcision. This will then subside gradually and should not be a cause for alarm. Bleeding after circumcision can be stopped by applying pressure or a bandage.
A dressing (bandage) is applied around the wound line to prevent the wound from sticking to your underclothes. A bandage with self-adhesive stretch gauze will stay for three days (Cobain). The wound will be at least 2-3 weeks before healing is completed, and you may return to work when you are comfortable enough.
Most people require at least 2-3 days off work. You should gently wash the wound daily after one week if the wound is dry and shower regularly. It would be best to stop going to the gym or lifting heavy weights for 2 weeks. You should avoid any sexual activity for 4-6 weeks after the circumcision to avoid the breakdown of the wound.
Follow up visit
Some of the staplers come off themselves. However, some staples remain over the wound after 3 weeks. All patients require arranging an appointment after 3-4 weeks so that we can remove the residual staples.
PS: This information is for suggestions only. It is not a substitute for professional medical advice. Please call Dr. Khan at +447527314081 for free telephone advice without any obligation.
