General Information about adult circumcision and other procedures

General information about circumcision

General information about adult circumcision and other procedures is available here. All adults need an assessmentGeneral Information adult circumcision and Consultation before circumcision and other methods. This can be done at the clinic. The talk can be before or on the day of operation, and all operations are carried out at South Woodford East London, Leyton Clinic, London and Thornhill Clinic, Luton.

Remote Consultation will be £150 if circumcision is before the procedure. Individual face-to-face consultation costs a fee of £250.

If circumcision is not done for any medical reason after assessment in the clinic, the consultation fee will still be charged. A referral letter will be given to your GP for further management. 

How do you pay the deposit and fee for circumcision and other procedures?

Pay a deposit of £250 to secure your appointment.

When patients cancel within five working days or fail to turn up for booked operations, £250 is non-refundable.
Please pay the booking fee of £250, and You can spend the rest of the money by bank transfer.

Please put the deposit in our bank account:
NAME: SPHS LIMITED
Barclays Bank
AC no. 33254519
Sort Code: 60-83-71

IBAN: GB49SRLG60837133254519

SWIFT/BIC: SRLGGB2L

Your Ref: Please put your name and date of appointment. If you have paid only the booking fee, please transfer the rest by bank transfer.

This quotation is valid for one month from the date of your enquiry.

Where We Are

1. London Circumcision Centre, 142 George Lane, South Woodford, London, E18 1AY

Public Transport

By Tube: South Woodford Station on Central Line (Epping Branch) (5-minute walk)

By Bus: Take buses 179, W12, W13, and W14

By Car: Via M25 to M11 joining to A406

Car Parking is available around the clinic. South Woodford Station car parking is a 5-minute walk. Free parking is also available on the streets. Local paid parking is also available near the clinic. 

2. Leyton Healthcare, Room 1, Level 4, Operation Theatre, 75 Oliver Rd, London E10 5LG

What do you need to do?

  • Please read the information carefully on our website
  • Please get in touch with us if you have any questions before the appointment.
  • Please arrive 15 minutes before the appointment.
  • Please wear tight underwear to restrict movement
  • Please take pain killer 1 hour before the appointment
  • Bring your earphones or headphones to listen to or watch anything on your phone during your operation

Preparation for Adult Circumcision, Frenuloplasty or Preputioplasty

Pubic Hair

There is no need to shave your pubic hair completely, but it is desirable to trim it reasonably short. This prevents infection during the operation and prevents hairs from becoming painfully trapped in the bandaging afterwards. Trim your pubic hair a few days before the procedure to allow the cut ends to soften again.

Sex

There will be up to six weeks after circumcision when you cannot indulge in sex. It is desirable, therefore, that you reduce your desires beforehand. On the morning of the operation, have sex with your partner or masturbate to climax.

Alcohol

Please do not take any alcohol, whether with or without a meal, before the circumcision, as it can dehydrate you and may reduce the effectiveness of the local anaesthetic.

Aspirin and blood-thinning medicine

Do not take Aspirin or any blood-thinning medicine after your GP's advice since these thin the blood and have an anti-clotting action, which can increase bleeding from a wound after the circumcision.

Hygiene

On the morning of the circumcision, ensure that you take a good bath or shower and pay particular attention to your genitals. Retract your foreskin as far as you can and clean well under it. Immediately before the time of the operation, empty your bladder.

Underwear

Adult men after the circumcision should bring a pair of tight-fitting briefs to wear afterwards, which will keep the surgical dressing in place. Continue to wear these at home until the swelling and soreness have eased.

Eat and Drinks

If you have a local anaesthetic, eat and drink as usual. Keep your fluids going, as this will ensure that you are well-hydrated. Vitamin E and C will promote healing.

Smoking

If you smoke, stop, as this interferes with wound healing. Smoking can slow this down and your recovery, so stop smoking before your surgery.

Time off from work

Arrange time off work from 2-7 days.

Aftercare advice for adult circumcision, preputioplasty or Frenuloplasty

Aftercare advice for circumcision, preputioplasty or Frenuloplasty, your penis will be swollen and look very bruised. This is an average effect of the injected anaesthetic and the handling it receives during the operation. These will gradually reduce over 1-4 weeks.

Underwear

If you usually wear boxers, you may find that they give insufficient support immediately post-operative. You may wish to consider some briefs that will hold your penis in position and thus reduce the frictional stimulation it would otherwise receive if allowed to swing freely.

The Bandage

The doctor will bandage only the immediate area of the cut of circumcision. This bandage will usually be wound tightly around the penis. It serves two purposes: to protect the wound and to contain and reduce the swelling. Removal of the initial bandage is a compromise between maintaining the compression for as long as possible to minimise swelling as fast as possible and changing the dressing on the wound before it sticks too much to the healing skin. 2 to 3 days after the operation is generally regarded as the most suitable time to change the dressing. The bandage will most likely be well-caked in the blood (particularly the inner layers) and must be soaked off in the shower to avoid tearing the healing wound.

A thin coating of an ointment, e.g. Vaseline or Fucidin, before applying the bandage will reduce the possibility of blood, making it stick to the skin. Use Fucidin cream according to the doctor's advice. If you choose not to use a bandage, a gauze pad may be helpful to prevent the stitches from catching in your underwear.

Promoting Healing

Do not apply any antiseptic cream to your penis, nor add any antiseptic to bathwater. Whilst they help kill germs, most are corrosive to the new skin and slow down healing. In the rare cases where an infection develops, see a doctor as soon as possible. You can take Vitamin C and E regularly for ten days. This will promote healing. After two weeks, you can apply bio-oil to the wound for a few weeks.

Pain Killers

Everyone reacts differently concerning pain. For most people, circumcision will not be truly painful, but discomfort is expected during the first few days. If you choose to take painkilling tablets, then follow the instructions precisely.

Do not take more than the recommended maximum dose. If you have a favourite painkiller brand and the doctor has prescribed something else, ask about the effects of 'mixing and matching. Do not take Aspirin or any blood-thinning medicine after your doctor's advice since these thin the blood and have an anti-clotting action, which can increase bleeding from a wound after the circumcision.

The Stitches and Glue

Circumcision with stitches (sutures in medical jargon) must remain long enough for the cut edges to knit together but not so long as to allow the skin around them to heal fully. This usually means they should remain for between 2 and 3 weeks. These soluble (or self-dissolving) stitches will fall off spontaneously. Circumcision with Glue usually comes off within ten days. If there is any loose glue, you can cut this loose part of the Glue but do not peel off the rest from the wound.

Travelling

You can travel home safely within 1-2 hours after circumcision or other foreskin procedure. Avoid long journeys for 24 hours. Do not fly for 24-48 hours. Take a flight after 48 hours if your flight is more than 4 hours.

Erections

To reduce the effect of nocturnal erections pulling on the stitches or Glue during the first few days after the circumcision, empty your bladder before retiring and a few times during the night. Do not lie on your back but on your side. It may be helpful to draw your knees up a bit into a more foetal position.

Sex

Do not be overeager to have sex until your circumcision has healed, usually taking up to 4-6 weeks. If you need relief during the healing process, try techniques that stimulate places other than the glans and scar line. These can include squeezing the shaft alone, massaging the nipples or prostate massage. To avoid excessive friction on the healing scar line, you may consider using a condom. A condom should always be used for penetrative sex (even with a regular partner) until the scar line is completely healed and settled down, which may take two to three months to achieve.

Time off Work

There is no absolute need to take time off school or work after circumcision, but you may find it very hard to concentrate on work for the first few days, so you may find it helpful to take a week off. A week (or even two) off work is desirable if you do heavy lifting or if your job keeps you seated and unable to move freely for long periods. Do not schedule a circumcision immediately before major examinations if you wish to pass them. You cannot get up and walk around to relieve any pressure on your penis. You should naturally avoid fast-moving or contact sports, cycling and swimming until your circumcision has fully healed for at least 2-3 weeks.

Note: The content on our information page is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek advice from Dr. Khan regarding any medical questions or conditions that develop before or after circumcision, Frenuloplasty, or preputioplasty.