Methods of Circumcision

April 6, 2017
Whilst we recognise that there are a number of methods of circumcision for adults, children and babies, at Birmingham Circumcision Clinic, we prefer to carry out the following techniques: Circumcision Methods for Adults and Boys For adult men, and boys of between the ages of 2 and 16, formal surgical techniques are used: Sleeve Resection Sleeve resection is a freehand method. It is the preferred method for adults as it provides better cosmetic results than forceps guided or dorsal slit circumcision. This method requires a highly skilled surgeon and is carried out under a local anaesthetic. In this procedure, the foreskin is slid back along the shaft of the penis so that a freehand cut can be made around the shaft at the point where the scar line will be placed. The foreskin is then returned to cover the glans (head of the penis) and a second cut is made around the shaft at the same position along the penis as the first cut. A longitudinal incision is then made between the two cuts around the circumference of the penis and the strip of skin is removed. The edges are then pulled together and stitched. Forceps Guided The guided freehand method is sometimes used for adults and older boys. In a forceps guided circumcision, the foreskin is pulled out past the front of the glans. Locking forceps are then clamped across the foreskin, immediately in front of the glans and parallel to the base of the glans. A cut is then made across the forceps to remove the foreskin, whilst the glans is protected by the forceps. Dorsal Slit This method of circumcision is sometimes recommended for patients suffering from phimosis, when the foreskin cannot be pulled back over the glans, or paraphimosis, when the foreskin cannot be returned to its normal position. We understand that every patient is different, so we will also choose the right circumcision method to suit the individual. In some cases, when necessary, our highly experienced surgical team will combine or modify methods of circumcision. Circumcision Methods for Infants and Babies The Plastibell For boys under 2 years of age, the most common circumcision technique uses the Plastibell. This is a clear plastic ring with a handle and deep grooves running around it. After a local anaesthetic is administered, the penis and foreskin are gently separated. To place the Plastibell in position, a small cut is made from the top of the foreskin and it is pushed back. Once in place, the Plastibell is covered over by the foreskin and tied in place. The excess foreskin is carefully trimmed away and then the handle of the Plastibell is broken off. After around 10 days, the ring falls off, leaving a small wound that heals over the next few weeks without the need for stitches. If you have questions about circumcision, please feel free to contact the Birmingham Circumcision Clinic on 0121 250 0386, or by completing our online enquiry form.