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What is Circumcision?

Circumcision is a procedure in which the foreskin i.e. skin covering the tip of the penis is removed.

Why circumcision is done?

Circumcision is commonly done as a religious or cultural ritual, family tradition, personal hygiene or preventive health care. Sometimes there is a medical indication, like when the foreskin can’t be easily pulled back over the glans penis. It is also done to reduce the transmission of sexually transmitted diseases.

What are the benefits of circumcision?
  • Easy washing penis
  • Risk of urinary tract infection is decreased
  • Risk of sexually transmitted diseases is decreased
  • Provides protection against penile cancer
  • Prevents balanitis (inflammation of glans) and balanoposthitis (inflammation of the glans and foreskin)
  • Prevents phimosis (the inability to retract the foreskin) and paraphimosis (the inability to return the foreskin to its original location)
What is the procedure?

The procedure is simple and requires only an injection without any surgery. During the treatment, you are made to lie on the back with legs elevated. The doctor cleans the area with an antiseptic solution and inserts a small needle into the vein. A solution called a sclerosant is then injected into the vein. You may feel burning, tingling, or nothing at all during the injection. The injection is followed by massaging the area by the doctor to prevent blood from re-entering the vein.

How to prepare for the procedure?

Circumcision is a small procedure done in the office of the doctor. It is mandatory to fill the consent form.

What is the procedure of circumcision?

The surgery is fairly simple. You are made to lie on the back. Penis and surrounding areas are cleaned with an antiseptic solution and an anesthetic is injected either into the base of the penis or applied as cream over the penis. The doctor then frees the foreskin from the head of the penis and removes it with a scalpel. The wound is stitched with absorbable sutures or cauterized. An ointment such as petroleum jelly, topical antibiotic cream is applied on the penis and loosely wrapped with gauze. The procedure takes about an hour.

What care is to be taken after the procedure?

Penis heals in about 7 to 10 days. It might look red, swollen, and feel sore in the beginning. A small amount of yellow fluid may also be noticed on the tip. Any strenuous activity such as running should be avoided for the first four weeks after surgery. Try walking as much as you can. Sexual activity should be avoided for six weeks after the procedure. You should apply petroleum jelly around the tip to prevent it from sticking to the underwear and should wear loose-fitting underwear. Erections can be painful during recovery. To minimize nocturnal erections empty your bladder before going to bed, lie on the side, rather than on the back and draw the knees up into a foetal position. No discomfort or pain should be felt while passing urine. You can take prescribed analgesics in case of pain. In case of temperature, painful urination, bleeding or increased redness contact the doctor.

What risks are associated with the procedure?

Common risks associated are bleeding, infection, and pain.

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