Adult circumcision

Adult Male Circumcision by an Experienced Surgeon

Dr (Mr) Anwar Khan has performed more than thirteen thousands adult/children circumcisions in the UK. He is an experienced surgeon with brilliant results for revision and redo adult circumcisions.

Dr (Mr) Anwar Khan is skilled in methods of circumcision such as sleeve, free hand, forceps guided method, stitches, dorsal slit, revision, redo circumcision, and frenuloplasty (helps to release/division of a short tight frenulum which makes the head of the penis to lean down during erections. This is also known as Frenulum breve. Circumcision helps in treatment of tight foreskin (Phimosis).

Dr (Mr) Anwar Khan is skilled in the characteristics of high and low cut, tight and loose cut types or styles of circumcision.

CIRCUMCISION METHODS

Male circumcision is one of the oldest and safest procedures.

It is defined simply as the surgical removal of a fold of skin (the `foreskin’ or `prepuce’) that covers the head (glans) of the un-erect penis.

The procedure is pain free because it is carried out under local anaesthesia.

SLEEVE RESECTION METHOD

It is quite a common method of circumcision and only takes around an hour to perform. It is appropriate for infants, young boys and adults, though it is more suitable for young boys and adults.

Sleeve Resection Circumcision Method

This involves incisions made with a scalpel in both the outer and mucosal surfaces of the foreskin. First the foreskin is slid back along the shaft and a freehand cut is made around the shaft as far back as the scar line is to be placed. The foreskin is then returned to cover the glans and another cut is made around the shaft at the same position along its length as the first. A longitudinal cut is made between the two circumferential cuts and the strip of  skin is removed. Any bleeding during the procedure is stopped with the use of Bipolar Diathermy (electrocautery). The two edges are then pulled together and fine absorbable sutures on an atraumatic cosmetic surgery needle are  applied. At the end of the procedure the wound is first covered with Gelonet (a gauze lubricated generously with petroleum jelly) and finally by a clean gauze on top.

The recognised but rare risks of the procedure are: bleeding (rare), infection, and residual excess skin remaining.

CIRCUMCISION POSTOPERATIVE CARE

Circumcision is a minor surgical procedure that requires little postoperative in the first few days to prevent any problems.

Bleeding is a recognised complication – though extremely rare in this age group, it is possible following the procedure. Significant bleeding may require a review. You will be asked to stay for at least half an hour after the procedure after which the boy will be checked again for any active bleeding before you will be allowed to set for home.

The stitches will fall off within 7-14 days and there is no special care that needs to be taken regarding that. Care should be taken when the bandage is being taken off. If it is tightly adhered with the skin then it should be soaked with some clean lukewarm water until it becomes soft and peels off easily. If it is pulled off roughly then it can tear the stitches which can cause opening and disruption of the wound line.

The local anaesthesia wears off in few hours. You will be advised to take pain control medication for a few days. This will keep you pain free.

A detailed written advice sheet will be provided after the procedure.

FRENULOPLASTY

It is a surgical treatment of a short penile frenulum by dividing the skin across and re‑stitching it in a lengthwise fashion.

You will have your procedure performed under local anaesthesia.

The procedure takes 20 minutes to perform.

Details of the procedure

The frenulum is divided across and re-stitched in a lengthwise fashion, which results in lengthening the frenulum.

Bipolar diathermy (Electro cautery) is used to control bleeding.

Absorbable sutures on an atraumatic cosmetic surgery needle are applied which usually disappear within two to three weeks.

At the end of the procedure the wound is wrapped in a loose bandage.

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