OVERVIEW

Circumcision is a minor operation to remove the foreskin from the penis, with this the glans remains permanently uncovered.

 

Reasons to make a circumcision:

  • Phimosis (tight foreskin) when the foreskin is very narrow and does not allow you to discover the glans
  • Repetitive balanitis, when the foreskin swells frequently due to fungal and bacterial infections.
  • To prevent the spread of sexually transmitted diseases such as human papillomavirus and HIV.
  • As an auxiliary treatment of human papillomavirus infection in man.
  • By the patient’s own decision.

Benefits of circumcision

Improves hygiene and appearance of the penis It decreases the probability of getting the human immunodeficiency virus (HIV) and human papillomavirus (HPV) Eliminates glans moisture and fungal infections in the foreskin (balanitis) It decreases the chance of having penile cancer.

When the foreskin is removed, the glans microenvironment changes, from being wet to dry. This helps improve hygiene because the patient can wash the glans more easily and moisture is not stored.

Over time, after circumcision, the tissue that lines the glans becomes more resistant to infections.

Circumcision can be performed at any age, from the first day of life, to older adults.

Risks and complications

The possible complications that may arise when performing a circumcision are the same as those that can occur with any surgical procedure and these are: bleeding, damage to nearby organs, reactions to anesthesia etc. However, these complications occur infrequently and can be resolved in the operating room during the same surgery.

Alternatives to circumcision

In case of phimosis, the patient can decide between a conventional circumcision or a dorsal slit, that is, cutting the foreskin longitudinally, exposing the glans, but the foreskin remains in the penis.

What to expect from circumcision?

Day of surgery: the day of the operation you will arrive to the hospital in the morning with your stomach empty.

The surgery takes about 40 minutes, however, this time is variable.

The anesthesia for this procedure is spinal (in the back) and sedation, so you will not feel pain and you’ll be relaxed during the operation.

The pain after the surgery is minimal and can be effectively controlled with oral pain killers.

 

Food: the same day of surgery you can eat in the afternoon, there are no food restrictions, however, it is recommended to have a balanced diet.

 

Hospital stay: Circumcision is an outpatient surgery, that is you can go home after recovering from anesthesia. You will be in the hospital for a total of 4-6 hours.

 

Physical activity and sex life: On the same day of the surgery you can walk in the afternoon. It is recommended to wait 4-6 weeks after circumcision to resume sexual activity. If you want to travel by plane, you can do it one day after circumcision.

 

Scar: the circumcision scar is very discreet, an absorbable suture is used to join the wound together, so it does not require withdrawal, it falls off itself, leaving a scar that is barely noticeable.

 

Sensitivity: there will be hypersensitivity of the penis the first weeks after circumcision. Gradually the hypersensitivity is normalized, it is recommended to wear loose and soft clothes after surgery to tolerate these changes.