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Circumcision

 

1.What is Circumcision?

Circumcision entails surgical removal of part of the foreskin that covers the 'head' (glans) of the penis. The operation is usually carried out under general anaesthetic, as a day case. The remaining skin    is sewn together using suture that dissolves in a few days.

2. When is it indicated?

When fore skin is so tight that it cannot be retracted, leading to recurrent infections or splits/ becomes painful on intercourse. Also indicated when the tightness causes painful urination.

3. Is it painful?

The operation is relatively painless. While you are still under the anaesthetic, I usually, give a local anaesthetic block by an injection. I usually also recommend a suppository of anti-inflammatory drug- Diclofenac. This should take care f the pain and keep you comfortable. You will get some analgesic tablets containing Paracetamol + codeine, like co-codamol or co-dydramol to take home.

4. When can I eat & drink and get back to work?

You may eat and drink once you recover from the anaesthetic. However, you should not consume alcohol, drive or  operate machinery for 24 hours. You should take about 1 week off work. Avoid bike riding, swimming and sexual intercourse for 2 weeks.

5. What about dressings?

I usually wrap the operation site with non-adhesive 'tulle' gauze. It usually falls of by next morning. If not, you may soak it off in the shower next morning and remove it. There is no need for further dressings. You may find comfortable  to wear lose boxer shorts and trousers.

6. Are there any complications?

  • Bruising: It is not unusual for the penis to look red, swollen and bruised for the first few days. It may occasionally bleed. 
  • Pain: Mild to moderate - controlled by paracetamol or ibuprofen tablets 
  • Infection: As with any wound, there is a small risk of infection. If the wound looks red, feels hot and start oozing smelly fluid or you feel feverish, please get in touch with me at once so that I can arrange a supply of antibiotics
  • Increased or Decreased sensitivity: As the penis has been kept covered all along, after surgery it may feel extra sensitive when it touches the under clothes. Some people find it less sensitive or even numb. These changes usually  settle down with time.
  • Altered appearance: Of course  your penis will look different from what it used to! Some people may not be cosmetically satisfied with the appearance.

Hopefully none of these will happen to you! If you still have any questions, I will clarify when you come in for your operation.

 

         


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