What is Circumcision Surgery?
BDS (Bachelor of Dental Surgery), 10 years of experience
What is the meaning of Circumcision Surgery?
The surgical removal of the foreskin covering the head (glans) of the penis is known as circumcision. The circumcision procedure is usually done in a newborn for religious, cultural, and medical reasons. Many baby boys get circumcised in the first week of their life. Adults can also get circumcised, although it is not very common.
In today’s article, we will be discussing circumcision surgery in detail –
- What is the purpose of Circumcision Surgery?
- What are the advantages of Circumcision Surgery?
- What are the disadvantages of Circumcision Surgery?
- How to prepare for Circumcision Surgery?
- What is the procedure for Circumcision Surgery?
- How to care after Circumcision Surgery?
- What are the complications of Circumcision Surgery?
- What is the cost of Circumcision Surgery in India?
What is the purpose of Circumcision Surgery?
A circumcision surgery may be performed for the following reasons:
- Religious beliefs
- Cultural ritual
- Family tradition
- Personal hygiene
- Aesthetic preference
- Preventive healthcare
- When the foreskin is too tight and cannot be retracted (pulled back) over the glans easily
- For reducing the risk of sexually transmitted diseases
- In older children and adults, circumcision may be done for the treatment of:
- Balanoposthitis (inflammation of the foreskin and tip of the penis)
- Balanitis (swelling of the foreskin)
- Paraphimosis (the retracted foreskin is unable to return to its original position)
- Phimosis (an inability to retract the foreskin) ( Know more about- What is Prostate Cancer? Causes, Symptoms, Treatment, Cost )
What are the advantages of Circumcision Surgery?
The advantages of circumcision surgery include:
- Decreased risk of urinary tract infections ( Know more about- What is Penile Burning Sensation ? )
- Decreased risk of penile cancer
- Decreased risk of sexually transmitted diseases like HIV ( Know more about- What are the symptoms of Sexually Transmitted Diseases? Types, Prevention )
- Decreased risk of cervical cancer and other infections in the female partners
- Prevents conditions like balanitis, balanoposthitis, paraphimosis, and phimosis
- Maintenance of good genital hygiene
What are the disadvantages of Circumcision Surgery?
The disadvantages of circumcision surgery include:
- May cause mild pain
- Is not aesthetically appealing to everyone
- Immediate health benefits are less
- Rare complications like bleeding, infection, poor healing, and cutting the foreskin too short or too long
How to prepare for Circumcision Surgery?
- The doctor will explain the benefits and risks of the procedure.
- A pediatrician, family doctor, urologist, pediatric surgeon, obstetrician, or neonatologist may perform a circumcision.
- An informed consent needs to be signed before the procedure. In the case of children, this consent needs to be signed by a parent or guardian.
- In the case of a newborn, the procedure is usually performed when the baby is still in the hospital.
- In the case of older children and adults, this procedure is usually done on an outpatient basis, that is, the patient can go home on the same day of the surgery.
What is the procedure for Circumcision Surgery?
- When circumcision is performed in newborns, the baby is usually awake during the procedure. The procedure is usually done in the hospital nursery within 10 days of birth.
- The baby lies on the back, with the arms and legs in a restrained position.
- The penis and surrounding skin are cleansed using an antiseptic solution before starting the procedure.
- A local anesthesia is generally used to numb the penis area. This could include a numbing cream or medicine that is injected into the penis by using a tiny needle. The numbing cream will make the needle insertion pain-free and comfortable.
- The baby may be given a sucrose pacifier, which is a pacifier dipped in sugar water, to reduce the discomfort. Sometimes, a pain killer like acetaminophen may also be given to reduce pain.
- In the case of adults, the procedure may be performed under general anesthesia, by which the patient is put to sleep during the procedure.
- Circumcision surgery may be performed in several ways. The most common methods protect the head of the penis with special medical devices when the foreskin is removed. The common techniques used for circumcision surgery include:
The Gomco clamp:
- A special instrument known as a probe is used for separating the foreskin from the head of the penis.
- A bell-shaped device is then fitted over the penis head and under the foreskin. An incision (cut) may be made in the foreskin for this.
- The foreskin is pulled up and over the bell, and a clamp is tightened around it in order to reduce the blood flow to this area.
- A scalpel (surgical blade) is then used for cutting and removing the foreskin.
The Mogen clamp:
- The foreskin is separated from the head of the penis using a probe.
- The foreskin is pulled out in front of the head and inserted through a metal clamp with a slot in it.
- The clamp is held in its position while the foreskin is cut with a scalpel.
- The clamp remains in its place for a couple of minutes till the bleeding has been controlled.
The Plastibell technique:
- This is a technique similar to the Gomco clamp technique.
- After the separation of the foreskin and head of the penis by a probe, a plastic bell is placed over the head of the penis and under the foreskin.
- A piece of suture (stitches) is directly tied around the foreskin. This cuts off the blood to the foreskin.
- A scalpel is then used to cut off the extra foreskin while keeping the plastic ring left on.
- The plastic ring falls off on its own after 6 to 12 days.
- The circumcision procedure usually takes about 15 to 30 minutes to complete.
How to care after Circumcision Surgery?
When the surgery is performed on newborns:
- The doctor will apply petroleum ointment over the wound after the procedure.
- The baby’s penis may be wrapped in gauze to prevent the wound from sticking to the diaper, except when the doctor has used the Plastibell technique which does not require any dressing.
- There may be very little bleeding after the procedure which generally stops on its own.
- It is normal for the baby’s penis to be sore for a few days after the procedure. It is therefore recommended to be gentle while bathing him and not use any special bath products.
- The penis is slightly red or bruised for a few days after the surgery.
- The surgical area is kept clean using warm water. If poop gets on the penis area, soapy water can be used to gently wash it away.
- If there is a dressing done on the incision, it is recommended to change the dressing every time you change the diaper of the baby for the first two days following the surgery.
- Once the dressing is not required, a dab of petroleum jelly can be applied in front of the penis for the next 3 to 5 days. This avoids any discomfort from the penis rubbing and sticking to the baby’s diaper.
- Keep the diaper slightly loose to help the tip of the penis to heal.
- The healing time for a newborn after a circumcision surgery is approximately 7 to 10 days.
- Call the doctor immediately if you notice any of the following:
- Increase in pain
- Extreme fussiness
- Trouble while urinating
- Foul-smelling drainage
- Persistent bleeding
- Increase in swelling
- Increased redness
- If the plastic ring does not fall off after two weeks
When the surgery is performed in adults:
- The doctor gives instructions on how to lessen pain and care for the incision.
- The patient can return to work and other daily activities as soon as he is comfortable.
- Avoid lifting heavy objects and other strenuous activities for four weeks after the surgery, or the surgeon gives you permission for the same.
- Go for walks regularly.
- Avoid sexual intercourse for six weeks following the surgery.
- Call your doctor immediately if you notice any of the following:
- Increase in pain
- Trouble in urinating
What are the complications of Circumcision Surgery?
The complications of circumcision surgery include:
- Allergic reactions to anesthesia
- Cutting the foreskin too short or too long
- Irritation on the tip of the penis
- Inflamed opening of the penis (meatitis)
- Penile adhesion (when the foreskin does not heal well and adheres to the penis end) which may require a second surgery
What is the cost of Circumcision Surgery in India?
The total cost of circumcision surgery in India can range from around INR 5,000 to INR 45,000. However, the cost of the procedure may vary across different hospitals. There are many big hospitals and specialized doctors in India for circumcision surgery. The cost varies across different hospitals.
If you are coming from abroad, in addition to the expenses of circumcision surgery, there will be a cost of staying in a hotel, cost of living, and cost of local travel. Apart from this, after the procedure, the patient is kept in hospital for 1 day and in the hotel for 7 days for recovery. So, the total cost of circumcision surgery in India will be around INR 6,500 to INR 90,000.
We hope that we were able to answer all your questions regarding Circumcision Surgery through this article.
If you need more information and treatment of Circumcision Surgery, then contact the General Surgeon.
We only aim to give you information through the article. We do not recommend medication or treatment in any way. Only a doctor can give you the best advice and correct treatment plan.