Information about Adult Circumcision:
Frequently Asked Questions (FAQs)
Circumcision is safer and a less hazardous procedure for adults.
What is a circumcision?
Whether you are having circumcision for religious practice or for general hygiene and well-being, the London Surgical Centre is here to help you through the process. We carry out circumcisions for all age groups in a sterile and safe environment, at our clinic in Whitechapel, East London.
Circumcisions help to prevent sexually transmitted infections and diseases, such as HIV. The World Health Organisation has said it reduces risks of HIV in heterosexual males by at least 60%. The Center for Disease Control and Prevention (US) has released draft guidelines recommending male circumcisions. Circumcisions also reduce the risk of genital herpes and certain strains of human papillomavirus by 30%. Furthermore it lowers the risk of urinary tract infections during infancy, and penile cancer in adulthood and cervical cancer risks among the partners.
Adult Circumcision Procedure
Circumcision of adults has not changed much over the years except the procedure has become relatively painless. It is performed under local anaesthetic injection using single-use disposable instruments. The pain from the injection using a tiny needle is for 60 seconds only.
Free hand open surgical method using sutures has been the gold standard and proven to be safest technique. This is the technique used in a NHS hospital setting. Sutures are rapidly absorbable and fall off on their own in 2 to 4 weeks. We give antibiotic to prevent infection before the procedure. You may need painkillers such as paracetamol and Ibuprofen if you are not allergic to them, and it is recommended that you buy them before the procedure. We use special instruments to make the procedure a relatively blood less technique. Many operators use Glue to close the wound, which is prone to bleed postoperatively. Some use rings for adults, which linger the process of healing and cause more pain during the recovery and this is not the standard practice.
What is a short frenulum?
The frenulum of the penis is a band of tissue located underneath the penis. When the frenulum is tight or short, this is called a frenulum breve. This restricts the movement of the foreskin and causes discomfort during sex. A tight frenulum can exist in both circumcised and uncircumcised men and can create a restriction that is susceptible to trauma during erection and can cause bleeding and painful erections.
Penile Frenulectomy & Frenuloplasty
Penile frenulectomy and frenuloplasty are procedures that can alleviate the pain and improve erection associated with a tight band of the penis on its underside. The procedure involves the removal of the restricting tissue to improve to reduce the restriction of penile skin. It may be requested as an additional procedure to be performed with a circumcision.
At London circumcision Clinic, the procedure is done in less than 20 minutes and is performed using a short and long-acting local anaesthetic and pain is only for 20 seconds from injection and generally results in immediate relief with a very short recovery period.
Types of circumcision procedures for adults
London Surgical Centre is a specialised clinic in dealing all types of circumcision procedure. Some people classify circumcision as high and low cut; loose or tight cut etc. Others describe methods as sleeve, free hand, forceps guided, dorsal slit, using glue, staplers etc. These are not always proven to be beneficial or anatomical. In simple terms, in circumcision, you have to have glans exposed where possible (i.e. if no sunken penis in obese people) and there should be enough skin left (either inner or outer) to allow adequate erection without covering the glans or head of penis. In the NHS, it is standard practice to excise extra foreskin whichever way (sleeve or free hand, dorsal slit or forceps guided) using bipolar diathermy to make blood less and stitching (or glue). In our centre, we use special technique to make blood less and pain free circumcision.