Circumcision Surgery: Procedure, Healing Time, and Benefits 

Circumcision surgery is a medical procedure that involves the removal of the foreskin, the retractable fold of skin covering the head of the penis. It is commonly performed for medical, cultural, religious, and personal reasons. 

If you are thinking about getting circumcised, this guide will walk you through everything you need to know so you can make a decision with confidence. 

Contents

What is Circumcision Surgery?

Circumcision surgery is a procedure where the foreskin covering the head of your penis is removed. This is one of the oldest and most commonly performed procedures worldwide. 

During the procedure, a qualified surgeon like Dr Giulio Garaffa will remove the foreskin using surgical tools, laser techniques, or specialised devices. The procedure is performed under local or general anesthesia. 

Circumcision treatment for lichen sclerosus (BXO) in the genital area

Common Reasons for Undergoing Circumcision

At Dr Garaffa’s private urology clinic, men choose to undergo circumcision for several reasons, including: 

  • Medical Necessity: If you have phimosis, recurrent infections, or inflammation, circumcision can provide relief and prevent further complications. 
  • Hygiene Benefits: Without the foreskin, it’s easier to keep the head of the penis clean, reducing the risk of infections and unpleasant odors. 
  • Health Advantages: Studies suggest circumcision lowers the risk of urinary tract infections (UTIs), sexually transmitted infections (STIs) like gonorrhea and chlamydia, and certain dermatological conditions. 
  • Personal or Cosmetic Preferences: Some men opt for adult circumcision for aesthetic reasons, comfort, or improved sexual experience. 
  • Cultural & Religious Traditions: Circumcision is a common practice in many cultures and religions, including Islam and Judaism. 

Pediatric vs. Adult Circumcision

Circumcision can be performed at any age, but the procedure differs between infants and adults. Pediatric circumcision is usually done within the first few weeks of birth, as healing is faster and complications are minimal.  

In contrast, adult circumcision involves more tissue development, a longer healing time, and a greater need for post-surgical care.  

Circumcision Types

There are different types of circumcision, each with distinct techniques and outcomes. The right choice depends on medical needs, personal preference, and the surgeon’s recommendation. Below are the most common types of circumcision: 

1. Conventional Surgical Circumcision

This is the most widely used method, performed with a scalpel or surgical scissors to remove the foreskin. The wound is then closed with dissolvable stitches. This technique is commonly used for adult circumcision and requires local or general anesthesia. 

Best for: Adults and older children requiring precise foreskin removal. 

2. Plastibell Method

A plastic ring (Plastibell) is placed over the glans, with the foreskin tied off using a suture. Over the course of a few days, the excess foreskin naturally detaches, and the ring falls off. This method is mainly used for infants and young children, as it requires minimal surgical intervention. 

Best for: Pediatric circumcision. 
Healing time: 7-10 days. 

3. Shang Ring Circumcision

A newer, minimally invasive technique, the Shang Ring is a two-piece device that clamps the foreskin, allowing for quick and precise removal. It reduces bleeding, swelling, and pain compared to conventional surgery. This method is gaining popularity for adult circumcision, as it requires no stitches and has a faster recovery period. 

Best for: Adults looking for a quicker, less invasive procedure. 
Healing time: 7-10 days. 

4. Laser Circumcision

This technique uses a high-precision laser to remove the foreskin with minimal bleeding and reduced pain. The laser cauterises the wound instantly, leading to faster healing and a lower risk of infection. It’s an option for both pediatric and adult circumcision, though it is not as commonly used as traditional surgical methods. 

Best for: Patients looking for reduced bleeding and quicker healing. 
Healing time: 7-10 days. 

Each circumcision type has unique advantages, and the choice depends on your age, health condition, and personal goals. A consultation with an expert like Dr Giulio Garaffa will help you determine the most suitable option for a safe and successful procedure. 

Risks & Benefits of Circumcision Surgery

Like any medical procedure, circumcision surgery comes with both benefits and potential risks. Understanding these can help you make an informed decision about whether the procedure is right for you. 

Benefits of Circumcision Surgery

Improved Hygiene

Without the foreskin, it is easier to keep the penis clean, reducing the risk of bacterial buildup, infections, and conditions like balanitis (inflammation of the glans). 

Reduced Risk of Infections

Circumcision lowers the likelihood of urinary tract infections (UTIs) and sexually transmitted infections (STIs) such as HIV, chlamydia, gonorrhea, and human papillomavirus (HPV). Studies suggest that circumcised men have a lower risk of HIV transmission. 

Treatment for Medical Conditions

For those experiencing phimosis, recurrent infections, or balanitis, circumcision provides permanent relief and prevents complications. 

Lower Risk of Penile Cancer

Although rare, studies indicate that circumcision reduces the risk of penile cancer, as well as lowering the chance of developing cervical cancer in female partners due to decreased HPV transmission. 

Cosmetic & Personal Preference

Some men choose adult circumcision for aesthetic reasons or personal preference. It may also be done for cultural or religious reasons, as it is widely practiced in many communities. 

Risks of Circumcision Surgery

Pain & Discomfort

Pain is manageable with anesthesia and painkillers, but mild discomfort, swelling, and sensitivity can last for a few days. 

Bleeding & Infection

Whilst rare, minor bleeding or infection can occur, especially if postoperative care instructions are not followed properly. A qualified surgeon like Dr Giulio Garaffa ensures a sterile and safe procedure to minimise these risks. 

Scarring or Cosmetic Concerns

Some men may experience minor scarring or uneven healing, which can be addressed with follow-up care or minor corrections. 

Temporary Sensitivity Changes

The glans may feel more sensitive or numb after surgery. This usually improves over time as the skin adjusts. 

Longer Recovery for Adults

Adult circumcision requires a longer healing time compared to infants. Full recovery can take 4 to 6 weeks, during which you must avoid sexual activity and strenuous exercise. 

By choosing a highly skilled andrology specialist like Dr Giulio Garaffa, you can rest assured that your case is in safe hands.  

Talk to Dr Garaffa today to determine the best course of action! 

Circumcision Healing Time & Recovery 

The healing process varies depending on factors such as age, overall health, and adherence to aftercare instructions. 

Healing Timeline

  • First Few Days: You may experience mild pain, swelling, and tenderness around the surgical site. The glans might be extra sensitive. Pain medication and cold compresses can help manage discomfort. 
  • First Week: The initial swelling begins to subside, and any stitches or surgical glue used in the procedure starts dissolving. You must keep the area clean and dry to prevent infection. 
  • Two to Three Weeks: Most of the visible healing is complete, and scabs, if any, start to fall off. Redness and minor sensitivity may persist. 
  • Four to Six Weeks: Full recovery is usually achieved. At this stage, you can resume sexual activity and strenuous physical exercises as advised by your surgeon. 

Essential Recovery Tips

  1. Keep the Area Clean 
    Gently wash with warm water and mild soap, avoiding harsh chemicals. Pat dry rather than rub to prevent irritation. 
  2. Manage Swelling & Discomfort 
    Applying a cold compress (wrapped in a cloth) to the area can help reduce swelling. Over-the-counter pain relievers may be prescribed by your doctor. 
  3. Wear Loose-Fitting Clothing 
    Tight underwear or pants can cause friction and discomfort. Opt for soft, breathable fabrics like cotton to allow proper healing. 
  4. Avoid Sexual Activity 
    Refrain from intercourse or masturbation until the area is fully healed—usually around four to six weeks. Premature activity may disrupt healing and cause complications. 
  5. Watch for Signs of Infection 
    Mild redness and swelling are normal, but if you experience persistent pain, excessive bleeding, pus, or fever, contact your doctor immediately. 
  6. Follow Up with Your Surgeon 
    Regular check-ups with Dr Giulio Garaffa ensure that your recovery is on track and any concerns are addressed promptly. 

FAQs About Circumcision Surgery

What is the best age to get a child circumcised?

The optimal age for circumcision is typically within the first few weeks after birth, usually between 1 to 4 weeks old. At this stage, the procedure is simpler, quicker, and has a shorter healing time compared to later in life. 

Whilst foreskin restoration techniques exist, they do not fully restore the original foreskin structure, nerves, or function. These methods involve tissue expansion but cannot regenerate lost nerve endings or specialised tissue. 

Yes, conditions like phimosis or balanitis may sometimes be treated with topical steroid creams, stretching exercises, or preputioplasty (a minor surgery that loosens the foreskin without removal). However, in severe cases, circumcision is the most effective and permanent solution. 

No, circumcision does not affect sperm production or male fertility. The procedure only involves the foreskin and does not interfere with testicular function or reproductive health. 

Most patients heal within 4 to 6 weeks, with noticeable improvement in the first two weeks. Following post-operative care guidelines ensures a smooth and complication-free recovery. 

Why Choose Dr Giulio Garaffa for Your Circumcision Surgery?

Undergoing circumcision surgery is a personal decision that requires expert care and precision. As a renowned andrology expert, Dr Giulio Garaffa has extensive experience in performing adult circumcision with advanced surgical techniques that minimise discomfort, reduce recovery time, and provide optimal cosmetic results.  

Schedule a consultation with Dr Giulio Garaffa today to discuss your options and receive expert guidance on the best treatment for you. 

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DR. GIULIO GARAFFA
LONDON’S TOP UROLOGIST

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