A Comprehensive Guide to Adult Circumcision

Medically reviewed by Dr Zubair Wani, MBChB, MRCS (Eng), MRCGP.

Introduction

Circumcision is a medical procedure that involves the removal of the foreskin, the tissue covering the head of the penis (also called the glans penis, or just the glans). Adult circumcision is a significant procedure for various medical, cultural, and personal reasons. At Circumcision Centre Wales, we aim to provide you with all the necessary information to make informed decisions about adult circumcision.

What is Circumcision?

Circumcision is the surgical removal of the foreskin (also called the prepuce). In adults, this procedure is typically performed under local or general anesthesia and involves making an incision around the foreskin, which is then removed. The remaining skin is stitched back, allowing for healing. The procedure has been practiced for centuries across different cultures and religions for various reasons, including health, hygiene, and ritualistic purposes.

When is Circumcision Necessary?

Adult circumcision may be necessary or recommended for several reasons, including:

1. Medical Conditions: Conditions like phimosis (tight foreskin that cannot be retracted), paraphimosis (trapped retracted foreskin), balanitis (inflammation of the head of the penis), and recurrent urinary tract infections can necessitate circumcision.
2. Hygiene: Some men opt for circumcision for hygiene reasons, as it can make cleaning the genital area easier and reduce the risk of infections.
3. Sexual Health: Circumcision can reduce the risk of sexually transmitted infections (STIs), including HIV, HPV, and herpes.
4. Cultural or Religious Reasons: Many cultures and religions advocate for circumcision as a rite of passage or a religious obligation.

The Circumcision Procedure

The adult circumcision surgery is relatively straightforward and usually takes about 60 to 90 minutes. Here’s what you can expect:

• Anaesthesia: The procedure is performed under local or general anaesthesia to ensure you are comfortable and pain-free.
• Incision: The surgeon makes an incision around the foreskin.
• Removal: The foreskin is removed, and any bleeding is controlled.
• Stitching: The remaining skin is stitched back using dissolvable stitches.
• Postoperative Care: You will receive instructions on how to care for the area during the healing process.

The Cost of Adult Circumcision

The cost of adult circumcision can vary widely based on factors such as location, healthcare provider, private insurance, and the specifics of the procedure. On average, the cost ranges from £600 to £3,000. Check out this article which goes into more detail about costs of circumcision.

Who Performs Adult Circumcision?

Adult circumcision should be performed by a qualified healthcare professional. This can include:

• Urologists: Specialists in urinary and male reproductive health.
• General Surgeons: Trained in various surgical procedures, including circumcision.
• General Practitioners: GPs trained in minor surgical procedures, such as circumcision.

At Circumcision Centre Wales, our experienced medical team ensures that the procedure is performed safely and effectively, prioritising patient comfort and care.

Where Can I Get a Circumcision?

Adult circumcision can be performed in several healthcare settings, including:

• Private Clinics: Clinics dedicated to circumcision and minor surgical procedures.
• Hospitals: Larger medical centers that offer a range of surgical services.

At Circumcision Centre Wales, we offer a dedicated service with state-of-the-art facilities to ensure your procedure is handled with the utmost professionalism and care.

What Does a Circumcision Look Like?

After circumcision, the penis will look different. Immediately after the procedure, you can expect some swelling and redness, which are normal and will subside as healing progresses. The foreskin will no longer cover the head of the penis, which will be exposed. Stitches, placed below the head of the penis, if used, typically dissolve within a few weeks. It’s essential to follow post-operative care instructions to ensure proper healing and minimise the risk of complications.

How Long Does Adult Circumcision Take to Heal?

Healing time can vary, but most adults can expect a recovery period of 4 to 6 weeks. During this time:

• Initial Healing: Swelling and discomfort are most significant in the first few days. Pain relief can be managed with prescribed medications.
• Resuming Activities: Light activities can usually be resumed after a few days, but strenuous activities, including sexual intercourse and vigorous exercise, should be avoided for at least 4 to 6 weeks.
• Follow-Up Care: Regular follow-up appointments are crucial to monitor healing and address any concerns promptly.

Proper hygiene and following the post-operative care plan provided by your doctor are essential for a smooth recovery. This includes keeping the area clean, avoiding friction, and monitoring for signs of infection.

Conclusion

Adult circumcision is a procedure that can offer significant health, hygiene, and cultural benefits. At Circumcision Centre Wales, we are committed to providing comprehensive care and information to help you make informed decisions. Whether for medical necessity or personal choice, our expert team is here to support you through the entire process, from consultation to recovery.

If you have any questions or wish to book a consultation, please contact us at Circumcision Centre Wales. Your health and well-being are our top priorities.

Frequently Asked Questions

Can adult circumcision improve sexual health?

Yes, adult circumcision can reduce the risk of sexually transmitted infections (STIs) such as HIV, HPV, and herpes.

How painful is the circumcision procedure for adults?

The procedure is typically performed under local or general anesthesia, minimizing pain during surgery. Postoperative discomfort can be managed with prescribed pain relief.

Is adult circumcision safe?

Yes, when performed by a qualified healthcare professional, adult circumcision is a safe procedure. Proper postoperative care is essential to ensure a smooth recovery.

How do I prepare for adult circumcision?

Follow your healthcare provider’s instructions, which may include fasting before surgery if general anesthesia is used. You will need to book time off work if you are in a physical job.

What are the potential complications of adult circumcision?

Complications are rare but can include infection, excessive bleeding, and scarring. Following postoperative care instructions and attending follow-up appointments help minimise risks.

Can I resume normal activities immediately after circumcision?

Light activities can usually be resumed after a few days. However, avoid strenuous activities for 2 weeks, and avoid sexual intercourse for at least 4 to 6 weeks to allow proper healing.