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Everything About Circumcision

Dr. Niren Rao | 22 Jun,2023

Everything About Circumcision -Discussed By A Leading Urologist

Circumcision is a surgical procedure of removing the foreskin, or skin surrounding the top of the penis. The process is frequently performed as a religious custom for cultural reasons, hygiene, or personal choice. Although male circumcision can be performed at any age, it is often completed within the first two months of life. It can also be used to treat foreskin problems. 

If a man's foreskin is causing issues, this procedure can be performed on young and older men. In this blog, Dr. Niren Rao, a leading urologist in Delhi practising at Saket, South Delhi, and Delhi at Delhi Urology Hospital, will be answering the most commonly asked questions on circumcision surgery. Read on for more insights:

Who can undergo circumcision surgery, and when to go for it?
Circumcision may be suggested for men of any age with foreskin difficulties. It could include issues such as:

  • Phimosis (tight foreskin that cannot be retracted)
  • A foreskin that retracts but cannot be easily pulled back (paraphimosis)
  • Balanitis is a recurring infection under the foreskin
  • Balanitis xerotica obliterans (BXO) is a persistent inflammation of the foreskin
  • Foreskin tearing or discomfort during sexual activity.

Is circumcision good or bad?
Many medical organisations and clinicians agree that circumcision has numerous medicinal benefits and can even be a therapy technique for specific illnesses. Circumcision can make life a lot easier. It can prevent and treat penile issues, sparing patients unnecessary discomfort and difficulties.
Let's take a look at the benefits of circumcision:

  • Easier to keep clean: Keeping a circumcised penis clean is much easier than keeping an uncircumcised penis clean. There is no need for further effort; simply washing the penis every day will suffice.
  • Prevents and treats foreskin problems: Circumcision is a process used to prevent and treat several foreskin-related issues, such as tight foreskin and paraphimosis (stuck foreskin). Circumcision can also aid in the treatment of penile inflammatory disorders such as balanitis and balanoposthitis.
  • Reduces the risk of urinary tract infections: When the foreskin of the penis is tight or irritated, the risk of getting a UTI is increased. In the circumcised condition, washing away any harmful bacteria and smegma that have built up on the penis is easier. 
  • Circumcision protects patients and their partners from sexually transmitted illnesses: Circumcision dramatically reduces the risk of sexually transmitted infections such as syphilis, gonorrhoea, etc. It not only protects patients from STIs, but it also lowers the partner's chances of cervical cancer and HPV.
  • Penile cancer is kept at bay: Infant male circumcision remarkably reduces the risk of penile cancer. Circumcising a male youngster as an infant reduces the incidence of penile cancer by roughly 90%.

People must have realised that circumcision is not harmful. All of the procedure's advantages are obvious enough to demonstrate how useful it is today.
Is circumcision painful?
Circumcision is, indeed, a painful procedure. Some practical and safe pain medicines, on the other hand, can make discomfort manageable. 

The doctor may administer local anaesthesia during the procedure to make the patients more comfortable. For at least 20 to 40 minutes before beginning the process, a topical lotion is applied to the penis and left on. In some cases, a doctor may prescribe parac-etamol in addition to anaesthesia to help with discomfort during and after the treatment.

To learn more about circumcision surgery in Delhi in detail, one can contact Dr. Niren Rao at Delhi Urology Hospital in Saket, South Delhi, Delhi for more insights on this procedure and its benefits.

What is a circumcised penis?
The foreskin is not present in a circumcised penis. As a result, the glans are always visible, whether the penis is erect or not.

An uncircumcised penis holds back the foreskin, which covers the head of the non-erect penis, and upon arousal, the foreskin pulls back to let out the glans.

The basic difference between circumcised and uncircumcised penises is based on appearance and cleanliness practices.
Why is circumcision important?
Circumcision may be medically crucial if the foreskin is too tight to retract (drawback) over the glans. In other cases, circumcision is frequently suggested to decrease the risk of sexually transmitted infections in older boys or men.
Is it necessary to be circumcised?
Circumcision is not always medically required. Parents may choose to circumcise their newborn males for social, cultural, or religious reasons. Circumcision may be suggested for medical reasons, such as preventing bacteria from getting stuck and minimising the risk of infection.
Other considerations for circumcision include:

  • Penis cancer risk is reduced
  • Reduced chance of sexually transmitted infections
  • Foreskin genital warts that are huge or many
  • Lichen sclerosis is an immunological disorder that causes infections
  • Uncircumcision causes self-consciousness
  • Urinary tract infections are less likely to develop.

How is circumcision surgery performed?
A circumcision stapler is a disposable dissection tool of the latest generation. As per Dr. Niren Rao, circumcision surgeon in India, currently circumcision surgery is popularly performed in India and operates based on improved circumcision methods. The stapler method of circumcision is exceedingly smooth and secure. Local anaesthesia is used after washing. A topical anaesthetic spray might be sufficient.

A plastic tube is put over the glans during the procedure to keep it in place. A second foreskin is wrapped around the plastic tube. The anastomotic is placed over the foreskin on a plastic tube, and the foreskin is built in a 360-degree circle. Because the nerve supply has been severed, there is no bleeding or pain. The excess foreskin at the tube above the anastomotic is removed by cleanly slicing the tube.

Circumcision can be performed under general anaesthesia. The majority of men will choose general anaesthesia because it is more relaxing. Just behind the head, an incision is made around the circle of the penis. The foreskin is removed, and the skin of the penis shaft is stitched back in place. Dissolving stitches are used, and they dissolve after roughly a week. Almost all men return home the same day with only pain relievers.

To know more about circumcision surgery cost in Delhi, contact the experts at Delhi Urology Hospital.
What happens after a circumcision?
After circumcision, it is critical to take care of the penis. Cleaning is simple; wash the affected area with warm water and handle it gently. Patients must use diapers; therefore, clean the area after each diaper change. After washing and drying the area, apply an antibiotic ointment and a new bandage. Healing should take at least a week. Consider it normal if a person experiences swelling, redness, and bleeding. However, consultation with a doctor is best for circumcision if these problems last several days.
Post-operative care
The treatment is usually done during the day. Following the operation, a dressing will be wrapped around the penis, with an opening for the tip of the penis to allow urination.

  • When the local anaesthetic used for the nerve block wears off, there will be some pain, and pain relievers will be administered to address it.
  • It takes 7–10 days for the wound to heal.
  • After 48 hours, the dressing should be removed.
  • The penis and wound should be cleansed during the shower daily with clean, running water. Use soap only after the wound has healed.
  • After drying the penis with a clean towel, apply a new dressing every day for 7 days.
  • Wear tight briefs to provide penis support.

Is it true that circumcision affects the size of the penis?

The size of the penis is primarily determined by genetics. The physical expression, or phenotype, of the penis, is determined by genetic makeup. The blood supply to the penile tissues also influences their size. As a result, removing the foreskin or circumcising will not affect penis size. When the penis is flaccid, removing the foreskin might make it look less massive.
Does circumcision improve sex life?
Adult circumcision can reduce penile sensitivity. In turn, it can cause ejaculation to be delayed. It is regarded as a benefit rather than a complication during sexual intercourse. However, situations may differ due to a variety of medical causes. Patients are recommended to ask the doctors during their initial circumcision screening.
How does circumcision help?
People choose circumcision because it benefits them in various ways, from sexual to physical. However, surgery is not the only way to circumcise. It is insufficient to reduce the chances of certain diseases and infections. It also has no impact on overall sexual health. The main difference, though, is the hygiene advantage. Patients can lower their risk of infection and many other diseases by frequently washing their foreskin. However, regardless of circumcision, it is critical to use protections like condoms to limit the risk of STIs.
What are the advantages of circumcision?
Aside from alleviating the symptoms of a tight, diseased, or irritated foreskin, circumcision has the following advantages:

  • The penis is easy to clean
  • Prevents foreskin infections (balanitis)
  • Reduced HIV transmission risk during sexual activity
  • Reduced risk of developing penile cancer.

What are the disadvantages of circumcision?
The most significant disadvantage of circumcision is that some men dislike the appearance or feel of their penis after the procedure. It is true regardless of how well the circumcision was technically done. It is impossible to determine if a person will be satisfied or unsatisfied with the process ahead of time. As a result, doctors would only suggest circumcision when the inconvenience caused by an atypical foreskin balances the likelihood of disappointment with the development. Doctors do not recommend circumcision for healthy foreskins unless there are compelling cultural or religious reasons.

To undergo safe and best circumcision treatment in Delhi, one can consult Dr. Niren Rao. He is an expert in this surgery and has performed many successful circumcision surgeries. Visit now at Delhi Urology Hospital located in Saket, South Delhi, Delhi to learn more!

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