ADULT CIRCUMCISION

Adult Male Circumcision by an Experienced Surgeon

Circumcision Clinic London is a leading private clinic in London. The clinic is fully approved by the Care Quality Commission (CQC).

Dr (Mr) Anwar Khan is a NHS Surgeon has performed more than 13 thousand circumcision procedures on infants, young boys and adults in the UK. He is a highly experienced surgeon with brilliant results including revision and re-do circumcisions. 

The clinic offers religious and medical circumcisions in male infants, boys and adult men of all ages. The clinic offers patients and their families a professional circumcision service.

Dr (Mr) Anwar Khan is skilled in methods of circumcision such as Circumplast, Plastibell, sleeve, free hand, forceps guided method, stitches, dorsal slit, revision, redo circumcision, and frenuloplasty (helps to release/division of a short tight frenulum which makes the head of the penis to lean down during erections. This is also known as Frenulum breve. Circumcision helps in treatment of tight foreskin (Phimosis).

CIRCUMCISION METHOD

Male circumcision is one of the oldest and safest procedures.

It is defined simply as the surgical removal of a fold of skin (the `foreskin’ or `prepuce’) that covers the head (glans) of the un-erect penis.

The procedure is pain free because it is carried out under local anaesthesia.

SLEEVE RESECTION METHOD

It is an old and traditional method of circumcision and only takes around 60 minutes to perform. It is appropriate for infants, young boys and adults, though it is more suitable for young boys and adults.

Sleeve Resection Circumcision Method

Details of the procedure

The technique involves incisions made with a scalpel in both the outer and mucosal surfaces of the foreskin. First the foreskin is slid back along the shaft and a freehand cut is made around the shaft as far back as the scar line is to be placed. The foreskin is then returned to cover the glans and another cut is made around the shaft at the same position along its length as the first. A longitudinal cut is made between the two circumferential cuts and the strip of skin is removed. Any bleeding during the procedure is stopped with the use of Bipolar diathermy (electrocautery). The two edges are then pulled together and fine absorbable sutures on an atraumatic cosmetic surgery needle are applied. At the end of the procedure the wound is first covered with Gelonet (a gauze lubricated generously with petroleum jelly) and finally by a clean gauze on top.

The recognised but rare risks of the procedure are: bleeding, infection, and residual excess skin remaining.

CIRCUMCISION POSTOPERATIVE CARE

Circumcision is a minor surgical procedure that requires little postoperative in the first few days to prevent any problems.

Bleeding is the main complication – though rare, it is possible following the procedure. Significant bleeding may require a review in a small number of cases. You will be asked to stay for at least half an hour after the procedure after which you will be checked again for any active bleeding before you will be allowed to set for home.

The stitches will fall off within two to three weeks and there is no special care that needs to be taken regarding that. Care should be taken when the bandage is being taken off. If it is tightly adhered with the skin then it should be soaked with some clean lukewarm water until it becomes soft and peels off easily. 

The local anaesthesia wears off in few hours. You will be advised to give pain control medication and for a few days. This will keep you pain free.

A detailed written advice sheet will be provided after the procedure.

FRENULOPLASTY

It is a surgical treatment of a short penile frenulum by dividing the skin across and re-stitching it in a lengthwise fashion. 

You will have your procedure performed under local anaesthesia

The procedure takes 20 – 30 minutes to perform.

Details of the procedure

The frenulum is divided across and re-stitched in a lengthwise fashion, which results in lengthening the frenulum. 

Bipolar diathermy (Electro cautery) is used to control bleeding.

Absorbable sutures on an atraumatic cosmetic surgery needle are applied which usually disappear within two to three weeks.

At the end of the procedure the wound is wrapped in a loose bandage.

The local anaesthesia wears off in few hours. You will be advised to take pain control medications for few days. This will keep you pain free.

circum-1024x492

DORSAL SLIT

The procedure involves incising the tip of the foreskin to release tightness which is preventing retraction of foreskin.  

The technique is used when patient is not willing to do circumcision in case of phimosis.

It is most often used instead of circumcision in an emergency situation where the foreskin is stuck in a retracted position and has become very swollen (paraphimosis)

Details of the procedure

The procedure is carried out under local anaesthesia

 An incision is made on the foreskin along its length, on the top of the penis. The edges of the split are stitched using absorbable sutures on an atraumatic cosmetic surgery needle. Stitches disappear usually within two to three weeks.

Bipolar diathermy (Electro cautery) is used to control bleeding.

The recognised but rare risks of the procedure are: bleeding and infection. 

A detailed written advice sheet will be provided after the procedure.