Newborn Boys Circumcision

Circumcision Clinic London is a leading private clinic in London.

The clinic is registered with the Care Quality Commission (CQC) and provides a safe and professional circumcision service.

It is a private male circumcision centre based in Surbiton, London. Procedures are performed in a designated medical centre. Our professional team operate in a safe and sterile environment.

The clinic is set up for religious and medical circumcisions on males of all ages (infants, boys and adult men).  A professional circumcision service is offered to all clients.

There is no minimum age limit for a new born circumcision. However the new born is expected to be at least 3 kg in weight, fit and in good health.

Dr (Mr) Anwar Khan is a is working part time in a subspecialty of Surgery at Grange University Hospital, Cwmbran, Wales. Dr (Mr) Khan has performed more than twenty two thousand circumcision procedures on infants, young boys and adults in the UK. He is a highly experienced surgeon with excellent post-operative results in all procedures including revision and re-do circumcisions.

Dr (Mr) Khan offers his patients pre-procedure advice and supports them throughout the healing process by offering 24 hours a day after care. You can rest assured you and your child are in the safe hands of Dr (Mr) Khan’s expert team.

Male circumcision is a procedure which is performed globally. It is an ancient practice with religious and cultural values due to its medical benefits. The procedure is reasonably safe if performed by experienced surgeons.

Circumcision 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. Local anaesthetic cream (EMLA or LMX4) is applied before the local anaesthetic injection is injected into the base of the penis.

Any of the techniques mentioned below can be used depending upon the clinical indication and requirement of each individual patient.

Ring method is a “no scalpel” circumcision technique. The Circumplast or Plastibell is a clear plastic ring with a handle and has deep furrows running all the way around it.

Adequacy of the pain relief is confirmed prior to commencing the procedure. Preputial adhesions are divided and prepuce (foreskin) is mobilised.

Frenular vessels/mucosal bleeding cauterised with bipolar diathermy or Chemical (Silver nitrate) cautery.

Foreskin crushed dorsally with Spencer forceps at the site of dorsal slit up to the corona glans of the penis. A dorsal slit with the scissor is made.

The appropriate size of either the Circumplast (available in 4 sizes) or Plastibell (available in 5 sizes) is chosen and placed between glans penis and mobilised foreskin. Foreskin ligated over the Circumplast/Plastibell device with a suture. Excess skin is trimmed.

The entire procedure takes about 5 to 10 minutes. The compression against the underlying plastic shield causes the foreskin tissue to die off and thus the ring falls in 3 to 14 days leaving a smooth circumferential wound that will heal over the following week.

The risks of the procedure are: bleeding (rare), infection, ring displacement / retention and residual excess skin remaining needing revision.

Circumplast is relatively a new ring device. Dr (Mr) Anwar Khan recommends Circumplast device. His audit over 6,000 procedures using Circumplast suggests that, this device is safer and has less complications compared to Plastibell.

This is an old and traditional method of circumcision.  This technique is appropriate for all ages (infants, young boys and adults), though it is more suitable for young boys and adults. The duration of this procedure for new born and infants is around 30 minutes.

Adequacy of the pain relief is confirmed prior to commencing the procedure. Outline of the glans penis is marked. Preputial adhesions are divided and prepuce is mobilised. Skin and inner prepuce resected with the help of scalpel and scissors keeping the glans under direct vision.

Haemostasis secured with bipolar diathermy. Wound repaired with dissolvable sutures. Light dressing applied around the wound.

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

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

Bleeding is a rare complication – Significant bleeding may require a review in a small number of cases.

We would also wish to observe the patient for half an hour after the circumcision to ensure that the procedure has been successful without any acute complications like bleeding.

In Plastibell/Circumplast method, a dark brown or black area around the plastic ring is expected and will disappear after the ring has fallen off. The skin under the string may also become soft and yellow, like the umbilical cord stump. In our experience the ring will fall off naturally between the 3rd – 14th day (being sooner for infants and longer for young boys) after the operation. This leaves a fully healed circumcision wound. Ring should not be pulled off.

There may be a little pink or red staining in the nappy for a few hours after the circumcision and again when the ring separates. There can be a few small stains of blood on the nappy where the penis touches the nappy which is absolutely normal.

In case of sleeve resection, the dressing should be removed after 24 hours. The dissolvable stitches will fall off within two to three weeks. You should continue give him pain control medication for next few days.A detailed written advice sheet according to the method performed will be provided after the procedure.

For further reading, visit the following link:

https://www.baps.org.uk/content/uploads/2017/03/ps02lite_en.pdf