introduction
The benefits of circumcision for adults have been well-documented in the medical literature. Adult circumcision is the most common operation performed by trained surgeons with the lowest risks of complications. Adult has many benefits of circumcision.
Options for adult circumcision
There are different opinions on whether there is a need for a male to be circumcised. Glue or staplers are the best method.
Indications of adult circumcision
The benefits of circumcision include prevention of urinary tract infections (a cause of renal scarring), especially in diabetic patients, reduction in risk of inflammatory foreskin states such as balanoposthitis, foreskin injuries, tight foreskin (phimosis) and foreskin stuck behind the glans penis (paraphimosis)
When men start having sexual activities, they have considerable safety by circumcision against the risk of HIV and other sexually transmitted viral infections, e.g., genital herpes and human papillomavirus (HPV), as well as cancer of the penis.
Reduction of the risk of cervical cancer in his female partner also happened.
Tight foreskin in adolescence or adulthood may evoke a fear of pain, sexual pain or reduced sexual pleasure. Adults require circumcision when there is a tight foreskin due to Balanitis Xerotica Obliterans (BXO)
Conditions of the foreskin for which you need a circumcision
BXO or lichen sclerosis is a penile skin condition which may affect the foreskin, head of the penis (also called the ‘glans penis’) and the wee hole (external meatal opening) or the tube which passes the urine from the bladder (urethra). BXO is long-term (chronic) inflammation of the head of the penis, referred to as ‘balanitis’. Patches develop on the affected foreskin, which has a dry appearance (also referred to as ‘xerotica’) and appears thickened and scarred.
Diabetes and Adult Circumcision
Recent research has investigated the relationship between type 2 diabetes mellitus and certain penile conditions that might require circumcision. Researchers Wang et al., in a nationwide population-based study, found that type 2 diabetes significantly 42% increased the risk of penile inflammatory disorders like BXO and refractory phimosis.
White patches start in the foreskin but then can extend to the surface of the skin on the head of the penis and can fuse. As a result, the foreskin can become very tight and pulling it back becomes difficult or impossible. This condition is called phimosis. It also causes incontinence of urine and is associated with a painful erection and a tight foreskin.
Medical literature has proven the benefits of adult circumcision
- Hygiene: Circumcision helps in washing the penis easily. Nevertheless, it is imperative to teach uncircumcised men to clean regularly under the foreskin.
- Lower risk of urinary tract infections: Circumcision significantly reduces the risk of UTIs in males. Early severe infections can indeed lead to kidney scarring.
- Lower risk of sexually transmitted infections (STIs): Circumcised men indisputably have a lower risk of certain STIs, including HIV. However, it is crucial to practice safe sex, including consistent condom use.
- Prevention of penile problems: Uncircumcised penises can lead to difficulties in pulling back the foreskin, leading to swelling or inflammation, BXO– a condition known as phimosis.
- Lower risk of penile cancer: Penile cancer is unquestionably rare in circumcised men. Additionally, female partners of circumcised men have a lower risk of cervical cancer.
- It prevents paraphimosis, which is a condition where the foreskin is stuck behind the head of the penis due to a tight foreskin.
Minimal Recovery, Maximum Results by Circumcision by Glue or Staplers
The modern medical techniques, by glue or ZSR staplers and our expert care, adult circumcision at the Adult Circumcision is a safe and straightforward procedure with a relatively short recovery time. Most patients return to work within a few days and resume full physical activity within a couple of weeks.
Circumcision in adolescents and adults at the Adult Circumcision Centre is a procedure that can be performed under local anaesthesia, with the lowest risk of complications, by NHS-trained urologists. The NHS hospital has a long waiting list for free medical circumcision, and you can book with us on the same day for your appointment.
Complications and Risks
The latest data indicate that the overall complication rate for adult circumcision performed by healthcare professionals is approximately 3.8–5.3%, with most complications being mild to moderate and rarely resulting in long-term sequelae. Complication rates are higher for medical circumcisions (e.g., for phimosis or balanitis) compared to nontherapeutic procedures (7.5% vs 3.3%). The most common complications are bleeding, infection, oedema, and wound-related issues; severe complications are rare and typically resolve without sequelae.
Summary
In addition to infectious disease prevention, adult circumcision is indicated for specific urological conditions such as phimosis, paraphimosis, recurrent balanitis, and balanoposthitis, where it provides definitive treatment. When performed by a trained surgeon in a sterile clinic setting, the procedure is associated with a low rate of serious complications.
High-quality evidence supports that adult circumcision does not adversely affect sexual function or satisfaction; some studies suggest maintenance or even improvement in sexual quality of life, including erectile function and ejaculation control, particularly with device-assisted techniques.
In summary, the principal benefits of adult circumcision are reduced risk of HIV and certain STIs, prevention and treatment of specific penile conditions, and no significant negative impact on sexual function.