Information about Adult Circumcision:
Frequently Asked Questions (FAQs)
Circumcision is safer and a less hazardous procedure for adults.
What is circumcision?
Circumcision involves removing the foreskin covering the head (glans) of the penis.
Whether you are having circumcision for religious practice or 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 the 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 anesthetic injection using single-use disposable instruments. The pain from the injection using a tiny needle is for 60 seconds only.
Freehand open surgical method using sutures has been the gold standard and proven to be the safest technique. This is the technique used in an NHS hospital setting. Sutures are rapidly absorbable and fall off on their own in 2 to 4 weeks. We give antibiotics 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 bloodless 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 the 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 anesthetic 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 specialized clinic in dealing with all types of circumcision procedures. Some people classify circumcision as high and low cut; loose or tight cut etc. Others describe methods as sleeve, freehand, 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 the penis. In the NHS, it is standard practice to excise extra foreskin whichever way (sleeve or freehand, dorsal slit or forceps guided) using bipolar diathermy to make bloodless and stitching (or glue). In our center, we use special techniques to make bloodless and pain-free circumcision.
Cost/pricing of adult circumcision:
London Surgical Centre provides quality service at a cheaper price as we charitable commitment. Price starts from £500 depending on various factors and general health conditions and expectations. This includes consultation, medication, aftercare, and unlimited follow-ups and revisions if needed (in rare circumstances).
Healing after adult circumcision
Recovery time after adult circumcision varies from one week to two weeks to get back to work depending on the job. In some cases, this takes longer. Swelling, complete healing, and falling of stitches spontaneously, however, may take up to 4 to 6 weeks.
Circumcision for phimosis/tight foreskin, paraphimosis, balanitis, and other medical conditions:
These conditions are easily treated by circumcision. Please contact us for more information.
Complications are rare indeed. However, bleeding with erection after the procedure, swelling, and occasionally infection and cosmetic deformity can happen. We have audited our figures and the complication rate in our practice is very low. We advise you to take 2 weeks off work for recovery. You should ideally have a friend or family member to take you home by car, and we advise you to avoid public transport after the procedure. The pain is very minimal after the procedure as we apply a special dressing and use an adequate long-acting local anesthetic.
We provide the best after-care for all our patients. All the relevant information and best practice after the surgical procedure are provided by our lead doctor and surgeon. You can contact the surgeon/doctor at any time via phone/text/WhatsApp as you wish and as needed if there are any problems.
We have performed over 50,000 circumcision procedures over 15 years and we have wide expertise in performing circumcisions in all circumstances and conditions. If you had a penile implant, penile fillers, Injections of hyaluronic acid, or other procedures, and now you want to have circumcision, please consult us. We also perform revision and redo circumcisions for excess skin, uneven skin, loose skin, excess scarring, and of course can provide consultation for a second opinion.
Does NHS provide free circumcision?
No, unless someone has a medical condition requiring circumcision. Please consult your GP for this.