Circumcision Surgery is a medical procedure that removes the foreskin (the loose tissue) that covers the penis’s glans (rounded tip). It is a widespread practice performed for a range of medical and non-medical purposes at Delhi Urology Hospital by the Best Urologist in Delhi, Dr. Niren Rao. It is performed on adult males for aesthetic purposes, to prevent or treat penile infections, etc.
Who are ideal candidates for circumcision surgery?
Delhi Urology Hospital performs circumcision surgery in Delhi for various reasons, including medical conditions, religious convictions, and personal reasons. Among the medical and surgical causes for circumcision are:
- Phimosis is also known as the tight foreskin. In this condition, the foreskin is extremely tight and cannot be retracted. This can result in repeated infection.
- Recurrent balanoposthitis is an infection of the foreskin, penile head, or glands that repeatedly occurs, particularly with diabetes.
- This is paraphimosis, which occurs when taut skin retracts, swells, and becomes uncomfortable. A delay might result in necrosis of the foreskin and glans of the penis.
- Occasionally, the foreskin is normal in a flaccid penis, but it becomes extremely tight during an erection, causing pain during sexual activity. In some instances, circumcision is also beneficial.
Circumcision may be carried out for religious, cultural, or medical reasons.
Is circumcision safe?
Circumcision is a safe medical operation if the following parameters are met:
- The circumcision is performed with care, adhering to stringent aseptic (sterile) protocol.
- A skilled and knowledgeable practitioner conducts the circumcision.
- Circumcision is only performed on people who are healthy and stable.
- There is no medical reason why circumcision should not be performed.
What are the pre-circumcision preparations?
Before undergoing circumcision, a patient must undergo a physical checkup and specific diagnostic procedures to confirm that he or she is in perfect condition. The urologist will retract the foreskin to inspect the penis glans for any indications of infection, damage, inflammation, degree of these conditions, etc. In addition, one may need diagnostic tests such as:
- Preoperative CBC tests are performed to determine surgical fitness.
- In the event of infection, a brief course of antibiotics is administered before surgery to prevent/treat the infection.
- In the case of diabetic patients, proper glucose management is established prior to surgery.
- After checking with their treating physician, elderly patients on blood-thinning medications should discontinue using them 5 to 6 days before surgery.
After reviewing the findings of the diagnostic tests, the urologist will design a treatment plan and arrange surgery if necessary. Before surgery, the patient should ensure that their surgeon completely understands their medical history. If they are using blood thinners or clotters, they should obtain approval from their primary care physician and cease taking them at least two to three days prior to surgery.
Day Before Surgery
As circumcision is a daycare procedure, the patient is hospitalized and released the same day. The day prior to surgery, the patient must complete preoperative preparations. For instance, arranging for someone to drive them home following surgery, as they will be unable to drive for at least 24 to 48 hours due to the anesthetic. If the procedure is performed under anesthesia, the patient should not consume anything after midnight the night before. They should also schedule some time off after work for recovery. One to two days of rest for office employees is sufficient, whereas manual laborers require approximately one week of recuperation before returning to work.
Day Procedure
On the day of the surgery, the patient will be admitted to the hospital, and a nurse will check the vital signs to ensure that one is in optimal health. After this, the patient will be sedated and transferred to the operating room. The procedure will be performed following the patient’s preferences, after which the patient will be transferred to a recovery room for supervision. The majority of patients spend a few hours in the recovery area and are discharged on the same day as their procedure. Due to the aftereffects of anesthetic, one may not be able to drive, so one should plan for someone to drive home.
How is the procedure performed?
There are two circumcision techniques.
Traditional procedure
Under suitable anesthesia and antibiotics, the glans are removed from the foreskin, which is then cut with an adequate margin and sutured with absorbable sutures.
Surgical circumcision with sutures
Circumcision is performed with a piece of specialized stapling equipment, but instead of sutures, microscopic metallic staples are used to fix the skin.
Circumcision is performed using three types of anesthesia:
- By administering injections at the base of the penis to numb the organ using local anesthesia.
- The lower body is rendered numb for a few hours by administering a tiny injection into the spine.
- General anesthesia is often reserved for young children or extremely anxious adults.
What to expect after surgery?
- The patient will have a little dressing around their penis following circumcision. This is simply removable by the patient 24 hours after surgery.
- There is no issue with urinating after surgery, though some individuals may have splaying/splitting of urinary steam for a few days.
- Postoperative discomfort is little to nonexistent.
- Patients are instructed to take antibiotics for five to seven days after surgery.
To prevent infection, one must bathe every day and clean wounds after dressing removal.
Aftercare Required after Circumcision Surgery:
- One should clean and shave their pubes to maintain hygiene. Wear tight-fitting underwear or compression undergarments immediately after the surgery to keep the surgical gauze in place.
- Avoid intercourse for about 6 weeks after the surgery to allow your penis to heal completely.
- While recovering, apply petroleum jelly to the tip of the penis to avoid it sticking to the underwear.
- Wear light, loose-fitting clothing to avoid irritation to the penis while healing. Do not pull or scratch your penis while healing.
- Avoid heavy lifting and physically strenuous work during recovery. Instead, wait about 3-4 days to return to work if you have a desk job and about 7-10 days if your work is physically taxing.
- Take good care of the wound and clean it at least twice every day. Do not scrub your wound.
- If one has pain, take over-the-counter pain medications. If pain is not manageable through those, consult the urologist.
What is the healing period following a circumcision?
The best circumcision surgery in Delhi, which is conducted at the Delhi Urology Hospital, is a daycare operation, meaning that patients are discharged from the hospital on the same day as their procedure. One can resume all normal activities the day after the dressing is removed; however, they are advised to refrain from severe physical activity and exercises for at least one week.
For more information on Circumcision Surgery costs in Delhi, consult Dr. Niren Rao for more details!
