West Coast Urology  –  Geelong   |   Hamilton    |   Colac   |   Winchelsea

A. PROF RICHARD GRILLS

DR KATHRYN MCLEOD

MR PATRICK PREECE

Urological Surgeons

Circumcision

To download a PDF document about circumcision please click:

Reasons for performing circumcision

  • Circumcision may be performed for cultural or religious purposes.

  • It may be recommended for a medical reason, such as:
    • Recurrent inflammation or infection of the penis (balanitis)
    • A tight foreskin (phimosis) which causes pain or spraying of urine
    • Skin conditions that cause scarring of the foreskin (lichen sclerosis/ BXO)

  • Persistent difficulty with a tight foreskin beyond the age of 16 is very unlikely to improve without treatment. Occasionally it can be managed with corticosteroid creams. Otherwise, circumcision is the standard recommendation.


The procedure

  • Circumcision is a common surgical procedure.
  • The foreskin covering the head of the penis (glans) is removed, leaving the glans exposed.
  • The edges of the skin are repaired with a row of dissolvable stitches.

TO FIND OUT MORE 

  • Altered sensitivity (either increased or decreased). With time, any ‘hypersensitivity’ usually settles.
  • Infection – some redness is expected, and yellow ooze around the stitches is common. True infection is uncommon but sometimes antibiotics maybe needed.
  • Bleeding – some spotting is common for the first 1-2 weeks. If there is more troublesome bleeding this usually settles with gentle pressure (apply for 15 mins), very rarely a return to the operating theatre is required.

Pre-operative tests

  • Unless specified, none are usually required.


Anaesthetic

  • The operation is generally done under a ‘general anaesthetic’. Local anaesthetic is also given to numb the area for 4-6 hrs afterwards.

Wound care

  • Stitches are dissolvable and will fall out in 1-3 weeks but it doesn’t matter if they come out earlier
  • Some slight “gaping” of the wound and gaps between the stitches is not uncommon
  • Keep the wound clear and dry until the day after surgery, after that you can shower or bath normally but ensure the wound is dry afterwards (pat dry with a towel or use a hair dryer)
  • If you have had a small plastic (opsite) dressing on the wound leave it on for 48 hours then gently remove in shower or bath.
  • If the wound oozes with clear fluid that sticks to underwear applying a small amount of Vaseline or Kenacomb ointment can help.


Recovery

  • Some pain for several days and discomfort for 7-10 days is common
  • Swelling and bruising can last up to a week
  • It can take 6-8 weeks before complete healing and the final appearance of the penis occurs


Exercise and activity

  • Wear tight / supportive underwear for 2 weeks. It is often more comfortable to also insert a small sanitary pad
  • Rest and very limited activity for 3 days after surgery.
  • After 3 days can resume gentle walking and non-physical work (not strenuous)
  • Avoid strenuous activity, physical work, sexual activity and exercise for 4 weeks


Driving

  • Safe to resume driving after 3 days


Medications

  • For children only regular Panadol or Nurofen is required
  • For adults sometimes stronger pain relief for 1-2 days such as endone or tapentedol (Palexia) maybe needed


Follow up appointment

  • You will reviewed in the rooms around 4-6 weeks after your surgery.
  • If you did not receive an appointment when leaving hospital, please contact our staff at West Coast Urology to make one.