Frequently Asked Questions
Circumcision is the surgical removal of the foreskin (skin covering the head of the penis).
For what reasons do you perform adult circumcisions?
The most common reasons of men circumcisions are:
- Personal choice
- Tight foreskin (Phimosis)
- Religious or cultural
- Balanitis Xerotica Obliterans (BXO)
- balanoposthitis (inflammation of glans and foreskin)
- Frenulum breve (short frenulum which tears with sexual activities)
- Paraphimosis (inability to pull back over the head of the penis – glans)
- Diseases of the foreskin like recurrent balanitis in diabetes patient
Do you use skin glue to close circumcision wounds?
I regularly use glue to circumcision incisions. I think it is the best choice for circumcisions. If the circumcision is done with the Glue method (Dermabound Advanced™ or Derma+flex®). The glue contains 2-octylcyanoacrylate or Octyl and Butyl cyanoacrylates.
What is the price of adult circumcision?
Cost of adult circumcision starts from £550 with stitches or glue adult circumcision £625
Do I have to come for consultation separately?
You usually attend the clinic on the same day for the consultation and your surgery.
What type of anaesthesia is used?
A local anaesthetic is injected into the base of the penis and all around the shaft of the penis with a single injection, but 2-3 pricks. This provides safe and effective pain-relief during the operation. This is used as the sole form of anaesthesia around the wound and the patient remains awake during the procedure.
What method do you use for adult circumcision?
We use forceps guided or sleeve methods for most of men’s circumcision
Do you do Frenuloplasty or Frenulectomy (removal of frenulum)?
Yes, we do Frenuloplasty or Frenulectomy if the patient wishes it, either at the time of circumcision or separately.
Can you perform redo or revisions to improve the appearance or tightness of previous circumcision?
Yes, we frequently do revision circumcision in our clinic. Redo or revision circumcision changes the life of the adult who was really worried about the scarring from previous botched circumcision. Many adults who have been circumcised in childhood or later in life are not happy with the appearance of their penis. Re-circumcision is an option available. Mr Khan will correct the following problems from previous circumcisions: Uneven skin, scarred Frenulum, Excessive, and uneven circumcision scar, excess scarring. Second opinion about the previous circumcision is given.
Do you have an age limit for circumcision?
Yes, you can get circumcised as a man of any age. Am I too old to get circumcised? No, you can have circumcision as old as the 70s
What are the risks and side-effects?
Any procedure has a potential for side-effects. You should be reassured that the majority of patients do not suffer any problems after circumcision. Bleeding and infection can happen. Redo and scarring rarely required.
What should I expect after the operation?
You might experience discomfort for a few days after the procedure, but painkillers help to decrease the discomfort. Passing urine is painless and is not affected by the operation. There will be swelling and bruising of the penis for a few days after the procedure. This will last 7-10 days and will then subside gradually and should not be a cause for alarm.
How do I care for the wound?
A dressing is applied around the stitch line to prevent the wound from sticking to your underclothes and this will stay for 4 days with two anchoring stitches. It is advisable to wear light clothing for 2-3 days.
What should I expect when I get home?
It will be at least 7- 10 days before healing occurs and you may return to work when you are comfortable enough. Most people require at least a week off work. You should refrain from any sexual activity for a minimum of 4 weeks.
What should I look for at home?
If you develop a temperature, increased redness, throbbing or drainage at the site of the operation, please contact us for advice
What is the recovery time for adults after circumcision, Frenuloplasty or Preputiopalsty?
It will be at least 7 to 14 days before healing occurs and you may return to work when you are comfortable enough. Most people require at least a week off work. You should refrain from any exercise or heavy weight lifting for 2 weeks and no sexual activity for a minimum of 4 to 6 weeks.
Do I need to follow up?
Patients do not normally require a follow-up appointment after circumcision unless this is felt necessary by the surgeon or the patient wants to see a surgeon. We are happy to see you free of change of one visit after the operation within the first 3 months.
About Our Services
Dr Khan is an expert in methods of circumcision, such as sleeve, glue, freehand, forceps guided method, stitches, dorsal slit, revision, redo circumcision, preputioplasty and frenuloplasty (release/division of a short, tight frenulum which causes the head of the penis to tilt down during erections also called “frenulum breve.”). Phimosis (tight foreskin) caused by balanitis xerotica obliterans in 20% adults in our experience. Dr Khan can discuss the characteristics of high and low cut, tight and loose cut types or styles of circumcision
What is forceps guided method?
This is the surgical removal of the foreskin (skin covering the head of the penis) guided by special forceps
What is alternative to circumcision for tight foreskin?
Glue or Stitches partial Circumcision, Frenuloplasty, Preputioplasty
What are the styles of Circumcision?
The high/low style is a way of stating how much inner skin is removed. The loose/tight style is a way of stating how much outer skin is removed. These styles are almost totally independent, hence there are four circumcision styles:
Low and Loose
Low and Tight
High and Loose
High and Tight
Do we do religious or cultural circumcision
Yes, Expectations for people who have circumcision due to religious and cultural reasons is to expose the whole head (glans) of the penis.