Urological Surgeries

Circumcision

Circumcision is the surgical removal of the foreskin, which covers the tip of the penis, called the glans.

Besides cultural or religious reasons, circumcision may be recommended for several medical reasons. Adult circumcision may be indicated in the following cases:

• Phimosis: The foreskin is too tight, making it impossible to retract over the glans.
• Painful intercourse due to foreskin.
• Paraphimosis: When the retracted foreskin cannot be returned to its original position.
• Inflammation or infections of the glans or foreskin, which persist despite good hygiene and antibiotic treatment (chronic balanitis).
• Recurrent condyloma, HPV infection.
• Penile malignant tumor: Red, wart-like growths or ulcers on the penis or foreskin.

What is the purpose of the procedure?

The goal of the procedure is to alleviate pain, infections, and difficulties with urination caused by phimosis. Circumcision also reduces the risk of sexually transmitted diseases (STDs) and lowers the occurrence of penile epithelial malignancies.

Procedure

The procedure is performed under local anesthesia, with the surgical area and, if necessary, the nerves running at the base of the penis being anesthetized (root block anesthesia). The edges of the incision are sutured with absorbable stitches after hemostasis. No stitch removal is required. The surgery usually takes about 1 hour.

On the 2nd day after the surgery, the dressing can be removed, and thereafter, the wound should be covered with gauze and undergo daily disinfection. The stitches will dissolve on their own after 2-3 weeks. The complete healing time is approximately 2 weeks.