Removal of the foreskin (circumcision)

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Circumcision (from Latin ‘circumcisio’) is a procedure when the foreskin is removed. It is performed for medical and religious (cultural) reasons.

Benefits:

  • The removal of foreskin for medical reasons helps to maintain proper penis hygiene, improves urination and sex life.
  • The procedure is therapeutic in the case of lasting inflammation of foreskin and penis glans.
  • If the foreskin cannot be pulled back, oncological examination of glans penis is more difficult and penis cancer may be detected too late.

Indications and contraindications:

  Indications:
  • phimosis (tight skin), i.e. the narrowing of the foreskin which prevents pulling it back past the glans,
  • skin inflammation on the foreskin and glans,
  • paraphimosis, i.e. the foreskin cannot be pulled back to cover the glans,
  • recurrent infections of the urogenital system in men,
  • suspected neoplasm of the foreskin.
  Contraindications:
  • some skin diseases,
  • hypospodiasis,
  • lack of the patient’s written consent to the procedure.

FAQ

Can the procedure result in erection disorders and affect my fertility?

If a procedure is done properly, there is no risk of erection disorders. Quite often it improves penis sexual functions and fertility.

When can I resume sex life after the procedure?

Sexual abstinence after the procedure should last for about 4 weeks.

When can I start doing sports after circumcision?

We recommend returning to sports activities after the wound has fully healed, i.e. 10 to 14 days after the procedure.

Treatment options:

The narrowed foreskin can be removed completely or it can be widened using skin plasty. Circumcision may be complete (glans is completely exposed) or partial (some skin is left to cover the glans).

Before the procedure:

Two weeks before the procedure you should have the following blood tests done:

  • blood count,
  • electrolytes,
  • coagulation parameters,
  • blood type,
  • glucose,
  • creatinine,
  • Hbs antigen,
  • ANTI-HCV.

Procedure:

In adult patients the procedure is performed under local anaesthesia. Local anaesthetic cream and/or injected medicaments will be applied to the glans skin. During the procedure the foreskin is removed and the remaining gap between the skin and epithelium is stitched together using single absorbable sutures.

After the procedure:

  • We recommend rinsing the wound with 3% boric acid solution and local application of antibiotic ointment for 3 days.
  • A follow-up visit takes place 3 days after the procedure.
  • Sutures dissolve completely about 7 to 10 days after the procedure.
  • Please consult your urologist if any of the following symptoms appear: redness around the wound, lasting swelling of the glans skin, pus discharge from the wound, fever.

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Wielkopolskie Centrum Medyczne
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st. Bolesława Krzywoustego 114
61-144 Poznań, POLAND

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