Foreskin is the retractable layer of skin that provides protection to the urethral opening of the penis, and also surrounds the penis’ bulbous tip. Circumcision removes all of the foreskin that surrounds the end of the penis.
Circumcision may be performed for religious, cultural, family or medical reasons and is typically performed on newborns. However, many adolescents and adults decide to have this procedure as well because of persistent infections of the foreskin, urinary tract infections, or pain and bleeding during erections.
Circumcised males have fewer urinary infections and are better protected against sexually transmitted diseases later in life. According to the National Institutes of Health, adult circumcision can reduce the risk of HIV transmission by 50 percent.
The Benefits of Circumcision
- Easier hygiene
- Decreased risk of urinary tract infections
- Prevention of penile problems. Occasionally, the foreskin on an uncircumcised penis may narrow so much that it’s difficult or impossible to retract. This can also lead to inflammation of the head of the penis.
- Decreased risk of penile cancer. Although cancer of the penis is very rare, it’s less common in circumcised men.
- Decreased risk of sexually transmitted diseases.
For these reasons, more and more men are opting for this procedure.
Adult Circumcision Procedure
Anesthesia is applied to numb the penis, the procedure only lasts for about thirty to fourty-five minutes. After the anesthesia is applied a probe is used to remove the foreskin from the shaft of the penis, the procedure is done with extreme care as to not injure the penis head.
Several techniques may be used:
- The guided forceps technique: Using this technique, a small amount of extra foreskin may be left around the ridge at the bottom of the glans.
- The dorsal slit: This technique is harder to perform, but a cleaner outcome may result. Here the foreskin is pulled forward and a slit is made along the top. With the foreskin pulled taut, dissection scissors are used to cut in a circle from the slit.
- The sleeve resection: This involves making two parallel, circular cuts farther down the shaft. This frees up a band of foreskin that can be dissected off of the penis, revealing a ringlike gap. The remaining portions of foreskin can be pulled together and sewn up, with very attractive results.
Regardless of what technique is used to circumcise the penis, the patient should refrain from all masturbation or sexual activity for four to six weeks. Most normal activities can be resumed in a few days.
Circumcision may be covered by your health insurance plan. If you would like more information about this procedure or wish to schedule an appointment, give us a call!