Overview
Circumcision is the surgical removal of the foreskin (prepuce) covering the glans penis. It is performed for medical, cultural, religious or personal health reasons.
Benefits of Circumcision
Reduced UTI Risk
Reduces risk of urinary tract infections, especially in infants.
Prevents Phimosis
Prevents phimosis (tight foreskin) and paraphimosis.
STI Prevention
Reduces risk of HIV and other sexually transmitted infections.
Lower Cancer Risk
Low risk of penile cancer and easier hygiene maintenance.
Types of Circumcision
Dorsal Slit Method
Foreskin is crushed at 12 o'clock position, a dorsal slit is made, and foreskin is excised. Edges are sutured or clamped.
Sleeve Resection Method
Foreskin is separated from glans, measured, and cut. The excess foreskin is removed and edges are sutured.
Plastibell Method
A plastic ring (Plastibell) is placed over the glans, foreskin is tied over the ring, and it falls off naturally in 5-10 days. Common in children.
Procedure Steps
Position the Patient
Patient is positioned supine and properly secured.
Clean the Penis
The area is cleaned with antiseptic solution.
Administer Local Anesthesia
Dorsal penile block or ring block is administered.
Separate Foreskin
Foreskin is gently separated from glans using a probe or artery forceps.
Incision & Excision
Foreskin is incised and excised using the appropriate technique.
Hemostasis
Control any bleeding points.
Apply Dressing
Antibiotic ointment and sterile gauze are applied.
Aftercare Instructions
Caregiver receives detailed aftercare instructions.
Aftercare Instructions
Keep Clean & Dry
Keep the area clean and dry. Change dressing daily or if soiled.
Apply Ointment
Apply antiseptic/antibiotic ointment as advised by your doctor.
Pain Management
Take prescribed pain relief (e.g., Paracetamol) as needed.
Avoid Tight Clothing
Avoid tight diapers or clothing that may irritate the area.
Possible Complications
When to Seek Medical Care
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