Revision circumcision

Revision or redo circumcision is a surgical procedure involving removing additional foreskin tissue from the penis. The procedure is usually performed on patients who have undergone a previous circumcision but require further correction due to complications, dissatisfaction with the previous result, penile bridges, extra skin, stitch marks or poor cosmetic results. Here is some information, problems, procedures, and aftercare that patients should be aware of before undergoing revision or redoing circumcision

Information

Revision circumcision is a surgical procedure usually performed under local anaesthesia, although general anaesthesia may be used for some patients in the hospital. The procedure typically takes between 45-60 minutes to complete. Patients may experience discomfort and swelling following the procedure, which should resolve within a few days. Following the surgeon's aftercare instructions is essential to minimise the risk of complications.


Procedure

Before the procedure, the patient will be given local anaesthesia to ensure they do not feel any pain or discomfort during the surgery. The urologist will then make incisions in the foreskin to remove the excess tissue and create a more aesthetically pleasing result. Once the procedure is complete, the patient will be given instructions on caring for their circumcision site during recovery.


Aftercare

Patients should keep the area clean and dry and avoid wearing tight clothing that could irritate the penis. Follow-up appointments will be scheduled to monitor the healing process if required and ensure no complications.


Risks and Benefits

As with any surgical procedure, circumcision revision carries certain risks, including those associated with bleeding, infection, scarring and potential issues with excess skin. On the positive side, the benefits include a reduced risk of infection and aesthetically pleasing results with glue.

Recovery and Outlook

Circumcision revision is generally a successful procedure. The urologist will guide patients on whether you would benefit from it. Post-surgery, some discomfort can be expected for a few days, but pain relief is available. Swelling and bruising may occur but should gradually subside within 7-10 days. The patient can usually return to work when comfortable, but sexual activity or physical exercise should be avoided for at least four weeks.

Frequently Asked Questions

What is the Revision Circumcision Method?

  • The surgical removal of the scar at previous circumcsion site, closed with glue.

What is the Price of Adult Revision Circumcision?

  • Full revision circumcision costs £975 with glue, while partial revision is £775.

Do I Have to Come for Consultation Separately?

  • Consultation and surgery usually happen on the same day.

What Type of Anaesthesia is Used?

  • Local anaesthesia is administered, providing effective pain relief while the patient remains awake.

What are the Risks and Side Effects?

  • Potential side effects are rare, with bleeding and infection being infrequent.

What Should I Expect After the Revision Circumcision?

  • Discomfort for a few days, manageable with painkillers. Swelling and bruising may occur but will subside gradually.

How Do I Care for the Wound?

  • A dressing is applied, and care includes wearing light clothing, taking Vitamin C, and applying bio-oil and Mederma gel for scar reduction.

What Should I Expect When I Get Home?

  • Healing takes 7-10 days, with a minimum of one week off work and a refrain from sexual activity for at least four weeks.

What Should I Look for at Home?

  • Monitor for signs of infection and contact the medical team if temperature, increased redness, throbbing, or drainage occurs.

Do I Need Follow-up?

  • Follow-up appointments are typically not required unless the surgeon deems it necessary, with the option for a free check-up within the first three months.

In summary, revision or redo circumcision is a surgical procedure that can improve the results of a previous circumcision. Patients should be aware of the risks and benefits of revision circumcision and carefully follow the aftercare instructions provided by their urologist to ensure a successful recovery.

I had a revision (circumcision) by Dr Khan in Leyton Clinic, and I felt relaxed during the operation. He removed the scars and excessive skin left from my previous operation at a different clinic. I highly recommend Dr. Khan and his assistant; they were very polite. The post-operation care was very good, and everything appropriately healed.
— Written by an adult at Leyton clinic, London
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