Gauteng Urology Inc.

Procedures

Circumcision

A circumcision is a surgical procedure in which the foreskin of the penis is removed, exposing the glans (head) of the penis.

This procedure can be done for medical, cultural, or personal reasons.

The general procedure for a circumcision can vary slightly depending on whether it is performed in an adult or a child, but the process generally follows these steps:

  • Medical Evaluation: The patient will undergo a medical evaluation, which may include a discussion of the patient’s medical history, any medications they are currently taking, and any potential risks.
  • Anaesthesia: The procedure is typically performed under local anesthesia in adults or a topical anaesthetic or regional anaesthesia (e.g., a penile block) in infants and children. This numbs the area and ensures that the patient is comfortable during the procedure. General anaesthesia may be used in certain cases, especially for infants.

The area around the penis is cleaned and sterilized to prevent infection. The patient is positioned comfortably, either lying on their back or, for infants, sometimes on their back with their legs gently secured to ensure minimal movement.

The urologist or surgeon will mark the area where the foreskin will be removed. This helps ensure that the procedure is done symmetrically and that the correct amount of foreskin is removed.

  • Incision: The surgeon makes an incision around the base of the foreskin. In infants, this is typically done using a small scalpel, whereas in adults, the incision may be more refined depending on the surgical approach.
  • Separation of Foreskin: The foreskin is carefully separated from the head of the penis (glans), being mindful of any sensitive tissue.
  • Foreskin Removal: The foreskin is then removed, either through a surgical excision or using a specialized tool. In some cases, a clamp or a surgical device is used to ensure a clean and controlled cut.
  • Hemostasis: The surgeon ensures that any bleeding is controlled by cauterizing small blood vessels or using stitches.

The edges of the remaining skin are carefully stitched together. These stitches are typically absorbable and do not require removal, though in some cases, non-absorbable sutures may be used.

  • After the procedure, a sterile dressing or bandage may be applied to the area to protect the wound and promote healing.
  • Pain relief, usually in the form of over-the-counter or prescribed medication, is given as needed. A topical ointment may also be applied to reduce the risk of infection.
  • The recovery process usually takes about one to two weeks. During this time, the patient should avoid strenuous physical activities, especially those that may irritate or pressure the area.
  • In the case of an infant, parents are given specific care instructions, such as how to care for the surgical site and recognize signs of infection.

A follow-up appointment may be scheduled to monitor healing and check for any complications, such as infection or excessive scarring.

While circumcision is generally considered safe, as with any surgical procedure, there are risks, including infection, bleeding, or poor healing. It’s important for patients to follow all aftercare instructions provided by their surgeon or urologist to minimize these risks.

Procedures