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Circumcision, Adult Male


Why is this procedure done?


Circumcision is the removal of your foreskin. The foreskin covers the tip of your penis. The doctor may order a circumcision to treat a health problem. Having a circumcision may lower the chance of getting HIV/AIDs from sex between a man and a woman. Other reasons may be your religion, culture, and personal feelings. After circumcision, you may be at lower risk of having: ‚  
  • Urinary tract infection or UTI
  • Infection, redness, and swelling of your penis and foreskin
  • Pain with sex or a hard penis, called an erection
  • Tightening of the foreskin of the penis, called phimosis
  • Problem retracting foreskin
  • Cancer of the penis
  • Genital warts
  • Sexually-transmitted diseases or STDs

What will the results be?


A doctor will remove your foreskin with surgery. Circumcision may lower your risk of the health problems stated above. ‚  

What happens before the procedure?


The doctor will give you an exam. Talk to the doctor about the risks and benefits of circumcision. Your doctor will talk with you about the best method of surgery for you. ‚  
Depending on the reason for your circumcision, you and your doctor will talk about which method is best for you: Guided forceps, dorsal slit, or sleeve resection. Be sure to call your doctor before you have circumcision if you have: ‚  
  • Signs of an infection or have a fever
  • A wound or skin infection close to your penis
  • Bleeding problems

What happens during the procedure?


You will be given a drug to make you sleepy. This drug will also help you stay pain free during the surgery. Sometimes, a local pain drug is used. Circumcision can be done as outpatient surgery or during a hospital stay. ‚  
  • Guided forceps ¢ ˆ ’ easiest to do. The doctor pulls the foreskin over the tip of your penis, also called the glans, using a tool called a forceps. The skin along the outside edge of the forceps is cut away. Some foreskin may be left at the ridge at the bottom of the glans.
  • Dorsal slit ¢ ˆ ’ harder to do than the guided forceps method but gives a cleaner look. The foreskin is pulled forward and a cut is made along the top. A circle is then cut on all sides of the glans.
  • Sleeve resection ¢ ˆ ’ harder to do. Two side-by-side, round cuts are made down into the long part of your penis. A band of foreskin is cut away leaving a ringlike gap. The parts of foreskin left are stitched together.

What happens after the procedure?


After your circumcision, an antibiotic ointment is placed on the wound and a dressing is wrapped around the tip of your penis. Your doctor will let you know when you can leave. Ask your doctor about how keep your wound clean and when you can remove your dressing. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain
  • Prevent infection
  • Keep you from having an erection while healing

What problems could happen?


  • Bleeding
  • Infection
  • Pain
  • Swelling or redness around the penis
  • Numbness of the penis
  • Very bad bruising
  • Injury to the penis, prostate, blood vessels, or nerves
  • Narrowing of the urethra and problems passing urine
  • Penis bends downward, called a chordee
  • Part of your penis is buried below the surface of the pubic skin
  • Less pleasure during sex
  • Too little or too much skin is removed and you are not happy with the surgery

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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