Circumcision is a surgical procedure performed to remove the skin that covers the tip of the penis. Circumcision does not affect fertility or sexual satisfaction.
Circumcision is an elective procedure.
Circumcision is performed either in:
In the conventional method, clamps such as Gomco clamp or Mogen clamp are attached to the penis and the excess foreskin is cut. In the device-based method, a plastic ring called a plastic bell device is placed on the penis to allow the foreskin to fall off naturally within 7 to 10 days.
In some areas of the world, Circumcision is performed as a religious ritual. It is also performed for the following medical reasons are:
Circumcision is not performed if the individual has:
Investigations that are done for newborns before Circumcision include coagulation tests to check bleeding time and clotting time. For adults, the following tests are considered:
Preoperatively before Circumcision, the risks and benefits of the procedure are discussed.
Anaesthesia: Circumcision is done under local anaesthesia. In older children and adults it is done under general anaesthesia.
Duration: The procedure takes 10 to 15 minutes.
The patient is positioned on his back on the operating room table. Penis and the surrounding area is cleaned with an antiseptic solution. Anaesthesia is injected at the base of the penis. Topical anaesthesia can also be applied. A special clamp is used to separate the foreskin from the head of the penis and a scalpel is used to remove the excess foreskin. In other methods, the foreskin is separated and a plastic ring is placed on the penis that allows the foreskin to fall off naturally after 7 to 10 days. This is mostly performed in newborns. Antibiotic cream or petroleum jelly is applied around the penis and it is packed with gauze.
Postoperatively after the Circumcision:
Specific instructions are to be followed in newborns after Circumcision are:
Specific diet and exercise restrictions after a Circumcision procedure in adults include the following:
Circumcision is done in infants with very minimal complications. Circumcision done in adults can rarely lead to complications. Some of the complications of Circumcision include:
The overall prognosis of Circumcision is excellent.
Circumcision is performed in a hospital setting and the duration of the stay depends upon the medical condition of the individual.
Circumcision is performed in children for religious or cultural reasons. It is most common in Muslims and jews. It is performed as a religious ceremony at home by a person who is surgically trained to do ritual Circumcision.