Circumcision is a procedure that removes the foreskin – a sleeve of skin covering the top of the penis. Circumcisions can be performed as an elective procedure, or as a treatment option for cases of phimosis (a condition where the foreskin cannot be fully retracted over the glans penis), balanitis (inflammation of the glans penis) and chronic urinary tract infections.
Patients select circumcision for a variety of reasons including increase self-confidence, the inability of the foreskin to be retracted behind the head of the penis or a buried penis.
The procedure is conducted under anaesthesia. The surgeon separates the glans and the foreskin exposing the ridge of the penis that defines the glans. The smegma (a white pasty substance which holds the foreskin and glans together) is removed and foreskin is moved to be covering the glans. A cut is made in the foreskin on the top and bottom side of the penis and the foreskin is cut and pulled back. The surgeon cut blood vessels off with absorbable stitches and the edges of the foreskin are stitched. The penis is not covered to allow the penis to swell without restriction.
Depending on the surgeon and the needs of the patient, the surgery can be day surgery whereby the patient can leave on the same day. Alternatively, patients may be required to remain in hospital overnight. Following the surgery patients may experience pain and feel uncomfortable, pain medication will assist in alleviating this. Patients are encouraged to allow time to recover and recuperate before resuming daily activities.