About circumcision
Circumcision is a simple operation to remove the foreskin from the penis. The foreskin is the sleeve of skin around the head of the penis. Circumcision is usually done if the foreskin can’t be pulled back, or if it isn’t possible to pull it forward again.
The procedure is routinely carried out as a day-case, with no overnight stay. It is usually performed under general anaesthesia, which means that you will be asleep throughout the procedure and will feel no pain. Circumcision can also be performed under local anaesthesia, which means that the area will be completely numb but you will still be awake.
Your surgeon will explain the benefits and risks of having a circumcision, and will also discuss the alternatives to the procedure.
About the operation
Once the anaesthetic has taken effect, the foreskin is pulled forward and trimmed away. The skin edges are stitched together, and a loose dressing is usually applied. The stitches are usually dissolvable and do not need to be removed.
Before you wake up, you may be given a local anaesthetic, either by injection, or by gel applied to the area. This means that you will feel less pain for a few hours after the operation. The operation usually takes 10 to 20 minutes.
Afterwards, there is likely to be some pain, swelling and bruising of the skin around the penis, which may last several weeks. You shouldn’t have sexual intercourse until the wound has healed completely. This can take up to four weeks. If you have sexual intercourse too soon, the wound could re-open and you may need another operation.
Circumcision is generally a safe surgical procedure. For most men, the benefits in terms of improved symptoms are greater than the disadvantages. However, all surgery does carry an element of risk.
The main possible complications of any surgery include excessive bleeding during or very soon after the operation, infection, and an unexpected reaction to the anaesthetic.
Bleeding is usually stopped by the application of pressure, although in some cases blood vessels may need to be sealed with heat (diathermy) or with fine surgical stitches. Infection is usually mild and treated with antibiotics.
Circumcision may damage your penis or urethra (the tube which carries urine out of the body). This is very rare. Another operation may be necessary.
Some men find that the sensitivity of their penis is different after circumcision. It may feel more or less sensitive.
The chance of complications depends on the exact type of operation you are having and other factors such as your general health. You should ask your surgeon to explain how any risks apply to you.
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