16 Years of Age and Older
|16 years of age and older||£900|
Further information about circumcision in Adults
Circumcision is a simple operation which removes the foreskin. The foreskin is the sleeve of skin around the tip of the penis.
Adults choose to be circumcised for religious, cultural, personal hygienic, medical and cosmetic reasons. We have also “re-done” previous circumcisions carried out at other clinics. The world Health Organisation estimates that approximately one third of males worldwide are circumcised. The rates vary by country, from 20% in the United Kingdom to 75% in the United Sates, to over 90% in Muslim-majority and Jewish countries.
Circumcision can have various health benefits, including:
- Easier hygiene. Circumcision makes it simpler to wash the penis.
- Decreased risk of urinary tract infections. The risk of urinary tract infections in males is low, but these infections are more common in uncircumcised males.
- Decreased risk of sexually transmitted infections. Circumcised men might have a lower risk of certain sexually transmitted infections, including HIV.
- Prevention of penile problems. Occasionally, the foreskin on an uncircumcised penis can be difficult or impossible to retract (phimosis). This can lead to inflammation of the foreskin or head of the penis. Other problems that can occur in uncircumcised men include Balanitis Xerotica Obliterans (BXO), recurrent paraphimosis (i.e. where the foreskin becomes painfully stuck behind the glans); recurrent balanitis (infection of the glans). Traumatic (zipper) injury may also be an indication for foreskin removal.
- Decreased risk of penile cancer. Although cancer of the penis is rare, it’s less common in circumcised men. In addition, cervical cancer is less common in the female sexual partners of circumcised men.
At the Modality Circumcision Clinic, we carry out between fifty to one hundred circumcisions a week and we see approximately twenty adults every month. Whatever the reason for the circumcision, our surgeons are highly skilled to deliver a safe and professional service.
The three formal surgical techniques are:
- Forceps Guided Circumcision
- Sleeve Resection Circumcision
- Dorsal Slit Circumcision
Our preferred method for adults is the “sleeve resection” method. According to the World Health Organisation, the sleeve resection method requires good surgical skill and cosmetic results are better than the forceps guided and dorsal slit method. Our surgeons have the skill to carry out all three methods and will at times, when necessary, combine or modify the methods. This is because every patient is different and the experienced and skilled surgeon will be able to choose and adjust the circumcision method that is suitable for a specific patient.
All of the formal circumcision techniques require the use of a scalpel to remove the foreskin, bipolar forceps to control any bleeding and then the cut edges are stitched with absorbable sutures (this means that the stitches will automatically dissolve over a period of two to six weeks and do not need to be removed). The area is then cleaned and a dressing applied. The entire process can take approximately 1 hour.
Before the circumcision, the penis is made numb by injecting a local anaesthetic around the base of the penis. We use a combination of Dorsal Penile Nerve Block and a Ring Block. This ensures that there is no pain during the circumcision procedure and the anaesthetic effect can last up-to 6 hours. The patient remains fully awake during the procedure.
The style of circumcision is important to some adults who choose to have the procedure carried out for cosmetic reasons. The commonly known styles of circumcision are: Medium, Low & Loose, Low & Tight, High & Loose and High & Tight. These differing styles of circumcision are dependent on how much outer and inner skin is removed and where the scar line is placed. Some men also prefer for the frenulum to be removed (frenulectomy). The angle of the scar line is also important to those adults who seek a cosmetic circumcision. Again, the sleeve resection method allows for the “V” scar to be placed on the ventral aspect of the penis. This style of scar follows the natural outline of the sulcus of the penis and cannot be achieved with the forceps guided method of circumcision.
You can discuss your preferred style with the doctor on the day of the procedure.
- Pain. You may experience some pain whilst the local anaesthetic is being injected and also after the procedure, once the effect of the anaesthetic has worn off.
- Complications during circumcision are rare, being estimated to occur in 1 of every 500 procedures. These complications, which can be severe, include poor cosmetic outcome, bleeding, infection, injury to the penis and the removal of too much or too little skin.
- Change in sexual satisfaction. Some people believe that circumcision leads to decreased sexual pleasure later in life. Data recently collected from a large group of adult males who underwent circumcision later in life suggest that there is no change in sexual satisfaction between circumcised and uncircumcised men and their partners. However, some patients may be unhappy that they were circumcised.
Our circumcision clinic operating theatres are modern and of a high standard. They are equipped with electro-hydraulic operating beds and overhead theatre lights. This ensures a safe operating environment.
We have strict infection control procedures that meet all Care Quality Commission standards. We use only sterile single use equipment and instruments for the circumcision. This means we do not reuse any surgical instruments.
After the circumcision we dispose of all used materials. This ensures that we comply with the highest level of infection control and reduce the risk of our patients acquiring any type of infection. Because of this we do not use certain circumcision methods that require the same equipment to be reused on other patients.
Our COVID-19 policies.
We will send detailed written aftercare information, together with other important documents, once you make the booking. After the procedure you will be taken to a separate recovery room and the doctor will go through the aftercare in more detail.
Some important information to be aware of:
- After your surgery, avoid strenuous exercise for at least the first four weeks.
- You can return to work when you feel comfortable. We have had some patients going back to work a few days after the procedure and others have taken off one to two weeks. The doctor will advise you further about this during the aftercare.
- You should avoid any sexual activity for six weeks or so after circumcision. The doctor will advise you further about this during the aftercare.
After booking the appointment you will be sent detailed information about the circumcision procedure and aftercare service. This will allow you to read through all the necessary details and prepare any questions you may want to ask the doctor. You will also be sent directions to the clinic.
- Due to COVID-19 restrictions we require that you wear a face mask.
- On the day of your circumcision, be sure to take a shower and take particular care in cleaning your foreskin and genitalia.
- You should shave your pubic hair a few days ahead of the operation.
- Do not take Aspirin or blood thinning medicines 48 hours before the operation, as this can increase bleeding after your circumcision.
- Don’t drink alcohol for at least 48 hours before your circumcision. Alcohol can dehydrate you, as well as reducing the effectiveness of local anaesthetic.
- Although the procedure is carried out under a local anaesthetic, we generally advise that you do not drive straight after the procedure. You may wish to arrange alternative transport for the appointment.
Please bring appropriate painkillers such as Paracetamol and Ibuprofen.
All deposits are fully refundable only if we are given a minimum of three working days’ notice.