Circumcision, a surgical procedure to remove the foreskin and penis from an adult male penis, is called. It can be performed in a hospital or outpatient clinic by an experienced urologist.
Most adults who are circumcised have a medical reason. They may also choose to have circumcision as part of their religious or cultural tradition.
The Procedure
Circumcision is the removal of skin around the head of a penis or foreskin. This procedure is most often performed on infants but can also take place on adults for a variety reasons.
Your doctor will use a scalpel to remove the foreskin. This will reveal the penis head. The foreskin edges will be either cauterized or stitched using dissolvable stitches. Usually, the stitches will disappear in two to three weeks.
This procedure is typically performed under local anesthesia. However your doctor can give you general anesthesia if necessary. Your foreskin will then be removed. To keep it in position, a clamp is attached to your penis.
After your foreskin is removed, a dressing will be applied to the area. A pain medication will be prescribed to ease the swelling and bruising.
It is important to refrain from sexual activity during recovery. This is to ensure that your penis heals properly and does not become damaged.
It is possible for the foreskin to become irritated by clothes or underwear. To prevent this, it is a good idea to apply petroleum jelly (Vaseline), to your tip of your penis. You should wear loose-fitting, comfortable underwear while you heal.
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Circumcision can bring many benefits to a person, including better hygiene and a lower chance of getting urinary tract infections. Before you decide to undergo the procedure, discuss the pros with your doctor.
There are many reasons to circumcise, including health benefits. Some men may opt for the procedure because it enhances their sense of arousal and sexual pleasure. Some men choose the procedure to lower their risk of developing male penile carcinoma.
Post-Operative Health Care
Circumcision requires post-operative care. It is important that you follow all instructions after surgery to prevent complications and speed up healing. It is recommended that this type of surgery is performed at a hospital that has experience.
The procedure is usually performed under local anaesthesia. The anaesthesiologist may administer medication to relax you and make the procedure more comfortable. Once the anaesthetic is administered, the doctor will place a bandage on your penis to protect it from blood loss and help reduce swelling.
The doctor will measure how much skin needs to be removed at circumcision. This will vary from one person to another. The doctor may need to move the foreskin towards the glans in order to make the necessary cuts.
This is usually done with a forceps or another tool. This can cause some minor bleeding. This is normal and will disappear in a few days.
As you heal, you should drink plenty of water to keep your body hydrated and flush out any excess fluids that have built up. You should avoid alcohol as it can hinder your recovery.
It is a good idea to eat foods rich in iron and protein to support the body’s ability to create new blood cells. These cells are needed for tissue repair and to help your wound heal.
You should try to keep up with a healthy diet and exercise routine. This is especially beneficial if you have undergone a major surgery as it will help you to recover faster.
Your body is also going to need some time to rest and recuperate, so it is a good idea to plan for some downtime. This can be at home or in the hospital and is recommended to be from 2 to 7 days after the operation.
The most important part in your recovery is to make sure you are well hydrated. These steps will make you feel great as you begin your recovery.
Complications
Circumcision has a relatively low rate of complications, but they can occur. These risks can be affected by many factors including the patient’s weight and experience as a health care professional performing the procedure.
The most common complications with adult circumcision are bleeding, infection, or wound dehiscence. These problems can all be treated with antibiotics, pain medication, and other treatments.
Infections – Bacteria and other microorganisms can form on the skin, or in the groin, after a circumcision. They can cause symptoms such a fever, chills (rarely more severe), nausea, vomiting, and blood in the urine. Although most infections resolve themselves, they can be severe and may require IV treatment.
Penile problems: Some men may have posthitis or balanoposthitis. This is an inflammation of the penis’ foreskin, or head, that can make sex uncomfortable. Other problems, such as phimosis (when the foreskin becomes difficult or impossible to retract), can be painful and lead to problems with sexual activity.
Excessive skin removal, a ring which doesn’t close properly and urethral leakage are all common complications of circumcision. These conditions can be prevented or treated with a careful examination of the glans before surgery.
Glans amputation is a less common, but more common, problem that can occur when traditional ritual circumcision is performed by untrained barbers. The trauma of having to have your penis shaft reinserted can be very distressing. Expert reconstructive surgery is required.
Although it is not usually necessary, surgical amputation can be used to treat some recurring penile problems. It can be dangerous and should only ever be performed under the guidance of a qualified surgeon.
Insufficient skin removal can also be a complication of circumcision, especially when the practitioner does not remove enough skin to expose the glans. The resulting scars can become too deep and can cause a phimosis. This can lead to inflammation of the foreskin and head. This can cause a scrotum to grow into the foreskin, making sex more uncomfortable.
Results
Circumcision, a relatively straightforward surgical procedure, involves separating your foreskin from your penis head and cutting it off. There may be some bleeding around your incisions for a few hours to days after the procedure. After the numbing medication wears off, you may feel some discomfort. This should resolve in a few days.
Health benefits: Research shows that circumcision has a positive impact on a man’s chances of contracting HIV, Genital Herpes, and certain strains HPV associated with cancer. Also, circumcision reduces the chance of developing penis squamous cell carcinoma.
Sexual function: Although the majority of the studies included in this review found that medical circumcision did not improve male sexual function, some reported a negative impact on erectile dysfunction, premature ejaculation and other factors related to sensitivity, drive or ease of reaching orgasm. These findings are subjective and may not reflect the true nature of male sexual function.
Some studies also included participants who had undergone mainly medical circumcision. These studies did not adjust for penile pathology or stratification. Such risk of selection bias and confounding is best avoided in future observational studies evaluating circumcision.
Our randomized, controlled trial compared the circumcised group (n=58) with the control group. Comprehensive counseling was given to circumcised males about STIs and risk reduction. They were also provided unlimited supplies free condoms.
We examined data from the initial year of follow up visits. There were no significant differences between the control and circumcised groups in all measures of sexual functioning. However, circumcised people had a lower rate than the control group for all measures of sexual function. This could be due to repeated assessment or increased familiarity with the questions.
We also found that the circumcised group had a higher rate of sexual satisfaction at the first and sixth months of follow-up than the control group. This is likely because the circumcised group was more familiarized with the questionnaires and had more opportunities to answer. The circumcised men also had a lower rate for premature ejaculation, and were less likely not to report sexual dysfunction at any follow-up visits. These results suggest that integrating adult male circumcision into programs for preventing STIs will not adversely affect sexual function over time.
