Children and Teenage Boys Circumcision
London CircumcIsion Clinic by Child Surgeon
Dr Khan has performed more than 3000 older boys and adult circumcisions in the UK. He is at the top of his field with excellent results for stitches, glue, revision and redo circumcisions.
Dr Khan is an expert in methods of circumcision such as Circumplast or Plastibell circumcision, sleeve, suture-less (Glue), free hand, forceps guided method, stitches, dorsal slit, revision, and redo circumcision.
Local anaesthetist cream (EMLA or LMX4) is applied one hour before the injection. A local anaesthetic medicine is injected into the base of the penis and all around the shaft of the penis with 2-3 pricks. This provides safe and effective pain-relief during the operation. This is used as the sole form of anaesthesia around the wound and the patient is not put to sleep during the procedure. This minimises post-operative pain as well for 2-3 hour. The entire foreskin is removed using an incision just behind the head of the penis. This leaves the head of the penis completely exposed permanently.
Dr Khan also has vast experience of phimosis (tight foreskin) due to a condition called Balanitis Xerotica obliterans (BXO).
Leyton Healthcare, 4th floor, 75 Oliver Rd, London E10 5LG
Thornhill Circumcision Centre, 1-3 Thornhill Road, Luton, Bedfordshire, LU4 8EY
cost of Boys circumcision at Leyton clinic, London
Age 5-7 years £350
Age 8-12 years £400
Age 13-15 years £450
Age more than 16 years £550 with stitches or with Glue circumcision £625
Circumcision may be performed for the following reasons:
1. Hygiene, cultural or religious
2. Tight foreskin due to Balanitis Xerotica Obliterans
4. Tight foreskin during sexual activity
6. Balanitis or Balanoposthitis (infection of foreskin)
ALTERNATIVEs TO CIRCUMCISION
There are alternatives to full circumcision, such as frenuloplasty, excision of frenulum, V-Y plasty operation or medical treatments. These are personal preferences and can be discussed further with our specialist.
BEFORE OPERATION ASSESSMENT
You will usually attend the clinic on the same day for the consultation and for your surgery. After consultation, you will meet the nurse and Dr Khan. Before surgery we need to know if you have any of the following:
Family history of bleeding disorders
Allergy to any medication such as penicillin
You might experience discomfort for a few days after the procedure but painkillers help to reduce this. Absorbable stitches are normally used which can be allowed to fall off after 2-3 weeks. Vaseline should be applied to the tip of the penis. A dressing is applied around the wound line to prevent the wound from sticking to your underclothes and this stays in place for 24 hours in the case of glue circumcision or 2-3 days in cases of stitches. It is advisable to wear light clothing for 2-3 days. Passing urine is painless and is not affected by the operation.
If the circumcision is done with the Glue method (the Glue is called DERMABOND ADVANCED™), please follow the following instructions.
Please keep the wound dry for 24 hours
Do not scratch, rub, or pick at the wound or glue; doing so may loosen the film before the wound is fully healed
Please gently remove the bandage after 24 hours; you may take a brief shower or bath. After showering or bathing, gently blot the wound dry with a soft towel. Caution! Do not peel off the glue with the bandage
Do not soak or scrub your wound; do not swim until the adhesive film has fallen off naturally
Stay out of direct sunlight and do not use tanning lamps
Do not apply liquid or ointment medications or any other product to the wound while glue is in place. It could loosen the film before the wound is fully healed
You may have 1-2 stitches underneath the penis (at frenulum); these will dissolve in 3-4 weeks. There is no need to remove the stitches with the glue method
WHAT SHOULD I EXPECT WHEN I GET HOME
It will be at least 7 to 14 days before healing occurs and you may return to school or college when you are comfortable enough. Most people require at least a week off from school/college. You should refrain from any sexual activity for a minimum of 4 to 6 weeks if you are sexually active. When you leave the clinic, you will be given a GP letter if you have a condition called Balanitis Xerotica Obliterans (BXO) and need to send a biopsy of foreskin. This contains important information about your operation and BXO. Please take this letter and biopsy with you to allow the doctors to see details of the condition for further management. This is particularly important if you need to consult a urologist due to BXO foreskin or urethra after four weeks of your circumcision.
CARE AT HOME
There will be swelling of the penis for a few days after the procedure. This will last 8-15 days and will then subside gradually and should not be a cause for alarm. However, if you develop a temperature, increased redness, throbbing or discharge at the site of the operation, please contact us for advice.
CALL US IF YOU HAVE ANY QUESTIONs
Dr Khan will contact you the same working day.
FREQUENTLY ASKED QUESTIONS
What is forceps guided method?
This is the surgical removal of the foreskin (skin covering the head of the penis) guided by special forceps.
Do I have to come for consultation separately?
You usually attend the clinic on the same day for the consultation and your surgery.
What type of anaesthesia is used?
A local anaesthetic is injected into the base of the penis and all around the shaft of the penis with a single injection, but 2-3 pricks. This provides safe and effective pain-relief during the operation. This is used as the sole form of anaesthesia around the wound and the patient remains awake during the procedure.
What are the risks and side-effects?
Any procedure has a potential for side-effects. You should be reassured that the majority of patients do not suffer any problems after circumcision. Bleeding, infection and persistent swelling rarely happen.
What should I expect after the operation?
You might experience discomfort for a few days after the procedure but painkillers help to decrease the discomfort. Passing urine is painless and is not affected by the operation. There will be swelling and bruising of the penis for a few days after the procedure. This will last 7-10 days and will then subside gradually and should not be a cause for alarm.
How do I care for the wound?
A dressing is applied around the stitch line to prevent the wound from sticking to your underclothes and this will stay for 2-3 days. It is advisable to wear light clothing for 2-3 days.
What should I expect when I get home?
It will be at least 7- 10 days before healing occurs and you may return to work or school or college when you are comfortable enough. Most people require at least a week off work or school. You should refrain from any sexual activity for 4 - 6 weeks if you are sexually active boy.
What should I look for at home?
If you develop a temperature, increased redness, throbbing or drainage at the site of the operation, please contact us for advice.
Do I need follow up?
Patients do not normally require a follow-up appointment after circumcision unless this is felt necessary by the surgeon. We are happy to see you free of change after the operation within the first 6 months