Doctors who perform adult circumcisions-Adult Circumcision: Procedure, Care, Recovery, Results, and More

There are a number of reasons why men may choose an adult circumcision procedure. Some require circumcision as a cure for conditions like phimosis an overly tight foreskin while others choose circumcision for cosmetic and personal reasons. Please contact us anytime with your questions or to book a pre-surgery consultation. Men and youth of all ages can have the surgery in our clinic. The most common age range for adult circumcision is 20 — 40 years old, but the procedure is regularly performed on a larger age range as requested for medical and personal reasons.

Doctors who perform adult circumcisions

Doctors who perform adult circumcisions

Doctors who perform adult circumcisions

Doctors who perform adult circumcisions

Doctors who perform adult circumcisions

During a circumcisiona doctor cuts away a portion of the foreskin and reattaches the section that remains to create a shorter section of skin. If you chose to have it to stop or prevent infections or physical issues like phimosis, the procedure is typically very successful. Frequently Asked Questions. Pediatric and Adult Circumcision Circumcision is the crcumcisions of the prepuce foreskin that covers the glans penis head of the penis. Every patient has some degree of swelling and bruising, and it is not possible to predict in whom this might Doctors who perform adult circumcisions minimal or significant. Newborn circumcision is a very brief procedure. In adults, the dorsal penile block, as described previously, is adequate for anesthesia. If you have any questions, feel free to discuss with the doctor during your procedure. Sheer shade distended bladder often triggers erections.

Picture of hot celebrity for free. The Adult Circumcision Process – Two Methods

Asked in Judaism, Circumcision What is the Jewish term for the rabbi that does the circumcision? When you are in one of the surgical rooms, you Milf gwen not be required to fully undress; you just Doctors who perform adult circumcisions to lower your pants, lie back on the table and relax. Conveniently, dressing changes are not needed with the Shang Ring — and no skin glue is required. Then, the doctor will use a scalpel to cut the skin. Navigate this Article. A skin marker is used to delineate the incisions Figure 5. Sterile draping of the area should be used to identify the surgical field. Eid can vircumcisions revise the appearance or tightness of circumcisions that have already been aeult, making them more attractive during erections. Unanswered Questions. According to some researchpeople with a penis who have been circumcised may have a lower risk of developing a Circumicsions compared to people who have intact foreskin. There are a number of reasons why men may choose an adult circumcision procedure.

Circumcision is the surgical removal of foreskin.

  • JOHN R.
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  • Circumcision is the surgical removal of foreskin.

Circumcision is the surgical removal of foreskin. Foreskin covers the head of a flaccid penis. When the penis is erect, the foreskin pulls back to reveal the penis. During a circumcision , a doctor cuts away a portion of the foreskin and reattaches the section that remains to create a shorter section of skin.

Circumcision in infancy is performed for several reasons , including religious, social, medical, and cultural purposes. For example, in Jewish and Islamic communities, this procedure is common as part of religious standards.

Newborn circumcision is more common than circumcision as an adolescent or adult. In the United States, more than 58 percent of newborns are circumcised. However, total circumcision rates in the United States may be as high as 71 percent. Some people with an uncircumcised penis have the procedure later in life. People who choose to have it done may do so for many of the same reasons parents choose it for their newborns — medical, religious, or social.

Note that circumcision is an ongoing source of discussion and debate in many societies. We will present some of the current findings and research, but many claims are being challenged.

In the United States, the American Academy of Pediatrics currently supports the infant procedure for its health benefits. On the other hand, in adults, the benefits of circumcision depend largely on the reason for the procedure in the first place. Conditions that can be treated with circumcision include:. Other claimed health benefits should be approached with caution. Commonly cited benefits include the following:.

The U. The World Health Organization reports that risk is 60 percent lower in people who are circumcised. According to the CDC, circumcision also lowers the risk of a person with a penis getting herpes and human papillomavirus HPV from vaginal intercourse. Other research involving heterosexual couples suggests circumcision may protect people with a penis as well as their sexual partners from syphilis.

However, this remains a hotly debated topic among researchers. According to some research , people with a penis who have been circumcised may have a lower risk of developing a UTI compared to people who have intact foreskin. This can cause uncomfortable tightness, scarring, inflammation, and even infection. Circumcision can prevent this condition. Likewise, balanitis occurs when the head of the penis becomes inflamed and swollen. It may be the result of an infection or irritation, but circumcision helps prevent it from occurring again.

This is largely a misconception. Uncircumcised and circumcised penises both require proper cleaning. While some people believe that an uncircumcised penis requires extra attention when it comes to hygiene, it just requires different steps.

Oil, bacteria, and dead skin cells can accumulate under the foreskin and develop into a buildup called smegma. Individuals who are devout to a particular religion or wish to comply with cultural traditions may find that completing the procedure has an emotional or spiritual benefit.

This is a personal choice, and if circumcision is important to your spiritual life, you may find a benefit in this area. Newborn circumcision is a very brief procedure. For an adult, however, the surgery is slightly more involved.

It can take between 30 minutes and an hour. An anesthesiologist will administer medication to help sedate you. Depending on your preferences, you may receive general anesthesia or more localized anesthesia. During the procedure, the doctor will move the foreskin away from the head of the penis and then back onto the shaft. Then, the doctor will use a scalpel to cut the skin.

For infant circumcision, a doctor snips the skin away from the penis with scissors or a special appliance. For adults, the skin will then be cauterized or stitched back to the shaft with sutures that will dissolve. This is to be expected. Apply an ice pack to your groin for to minute windows of time every two hours. Be sure to put a thin piece of fabric between the ice and your skin. On day two or three, your doctor may ask you to return to their office to have the dressings replaced. Recovery from adult circumcision typically takes two to three weeks.

You may need to request a week off from work. Some people will not be able to return to normal activities for longer. Sexual intercourse and masturbation may need a bit longer — up to six weeks.

Pain from adult circumcision is typically mild. Your doctor may prescribe a mild pain reliever, but over-the-counter options may be sufficient to ease any discomfort. Your doctor may also prescribe an antibiotic in order to prevent a possible infection. Wear comfortable but supportive underwear that can hold the head of the penis toward the belly button lying flat. Loose-fitting underwear allows for too much movement.

This can increase swelling and pain. Within a day or two of the surgery, you should begin trying to walk. Keep the movement low-impact and slow at first. As soon as your bandage is removed, you can take a shower. The fragrance and chemicals may irritate the sensitive skin as it heals. Pat dry the area to reduce sensitivity. The results you experience from adult circumcision will largely depend on the reason you had the procedure in the first place.

If you chose to have it to stop or prevent infections or physical issues like phimosis, the procedure is typically very successful. You may not experience these again in the future. If your circumcision was for religious reasons, you may feel more deeply personal about your beliefs after completing the procedure.

For most individuals, the surgery will have no lasting impact on sexual function, urinating, or sensitivity. Most individuals in the United States who are circumcised undergo the procedure as a newborn. Choosing to have it as an adult requires some initiative and planning. However, keep in mind that adult circumcision is a simple procedure with very few risks or complications. Talk to your doctor about your expectations for circumcision.

Together, you can make a plan that is comfortable and suitable for your objectives. Circumcision has been around for millennia, rooted in the rituals of Judaism, Christianity, Islam, and some African cultures. But aside from its roots…. Though circumcision has been practiced for thousands of years, it's more recently become a controversial topic in certain parts of the Western world….

When most people think about penis health, they think about sexually transmitted infections and erectile dysfunction. While these conditions can….

Foreskin restoration has roots dating back to ancient Greece and Rome. Although there isn't any conclusive evidence that a foreskin or its associated…. An overly sensitive penis can affect your everyday life. Not only can it lead to premature ejaculation, but it can also cause discomfort and pain in….

It's not uncommon for your testicles to change size over the course of your life, but in some cases, there's an underlying cause that should be…. A partial circumcision may be an alternative to full circumcision. Your doctor may recommend this procedure to help treat various conditions.

It can…. As with any surgery, circumcisions can leave a scar. Here's what it may look like, how it varies by procedure, how to minimize its appearance, and….

Circumcision is the surgical removal of the foreskin of the penis. Collagen is an essential building block for the entire body, from skin to gut, and more.

Here's five changes you may see or feel just by taking more…. Common beliefs regarding the benefits of adult circumcision. Risks of adult circumcision. Recovery timeline. Postsurgical care instructions. What will your results be? Uncircumcised: Pros and Cons to Consider. Should I Circumcise My Child? A Urologist Weighs In. Is Foreskin Restoration Possible?

The dressing should be removed 24 to 48 hours after surgery, after making sure that there is no bleeding or oozing. Address correspondence to John R. Contact afpserv aafp. Other claimed health benefits should be approached with caution. In the event that you experience mild pain including during an erection , especially in the first few days after the circumcision, over-the-counter pain medications such as acetaminophen or ibuprofen can be used for pain relief. During the procedure, the doctor will move the foreskin away from the head of the penis and then back onto the shaft.

Doctors who perform adult circumcisions

Doctors who perform adult circumcisions. Informed Consent

Medical indications for this procedure include phimosis, paraphimosis, recurrent balanitis and posthitis inflammation of the prepuce. Nonmedical reasons may be social, cultural, personal or religious.

The procedure is commonly performed using either the dorsal slit or the sleeve technique. The dorsal slit is especially useful in patients who have phimosis.

The sleeve technique may provide better control of bleeding in patients with large subcutaneous veins. A dorsal penile nerve block, with or without a circumferential penile block, provides adequate anesthesia. Informed consent must be obtained. Possible complications of adult circumcision include infection, bleeding, poor cosmetic results and a change in sensation during intercourse.

Circumcision is performed on an estimated one out of six male newborns worldwide. Adult patients often have a medical indication for the procedure, but circumcision may also be done for social or purely personal reasons. Adult circumcision is usually performed in the outpatient setting by urologists. However, family physicians who practice in isolated or rural areas and who are adequately trained may also offer this procedure.

All family physicians should be prepared to advise their patients about the indications for adult circumcision and, if necessary, make appropriate referrals for the procedure. Although there are numerous medical indications for adult circumcision, none of them is very common. Paraphimosis, the unreplaceable retraction of a narrow foreskin that causes a painful swelling of the glans, is the second most common indication for adult circumcision.

Acute paraphimosis is a urologic emergency requiring reduction of the foreskin through surgical or nonsurgical methods. Recurrent balanitis and posthitis inflammation of the prepuce , preputial neoplasms, excessive prepuce redundancy and tears in the frenulum are also medical indications for adult circumcision. Patients may have social, religious or personal reasons for requesting a circumcision. There are no specific contraindications to adult circumcision in the literature; however, patients with active infection, possible squamous cell carcinoma of the penis or anatomic abnormalities of the external genitalia should be referred for a urologic consultation.

It is important to provide the patient with adequate information about the procedure ahead of time. Specifically, the patient should be told about the risks of bleeding, hematoma formation, infection, inadvertent damage to the glans, removal of too much or too little skin, aesthetically unpleasing results and a change of sensation during intercourse.

The patient should also be informed that, during the postoperative period, erections can cause pain and disruption of the suture line that may require replacement of the sutures. Full recovery following circumcision generally requires four to six weeks of abstinence from all genital stimulation and sexual activity.

The patient should also be reminded about the benefits of circumcision. If he has the procedure, hygiene will be simpler and may result in fewer local infections, resolution of phimosis and paraphimosis, and less risk of frenular tears and bleeding during intercourse. Alternatively, if the patient elects not to have the procedure, he should be treated with conservative measures for these conditions e.

Patients having a circumcision for recurrent balanitis should be free from infection before the procedure. Preparation of the surgical site includes a thorough surgical scrub of the genital area with a povidone-iodine preparation.

Shaving and clipping of the pubic hair should be avoided to minimize the possibility of infection. Sterile draping of the area should be used to identify the surgical field. An electrocautery unit should be available to provide hemostasis.

Anesthesia can be accomplished by administering a dorsal penile nerve block, with or without a ring block.

The patient is then placed in the supine position. After preparation of the skin, two injection sites are identified over the inferior edge of the pubic bone at approximately 10 o'clock and 2 o'clock relative to the base of the penis. A gauge, 1. After aspiration, 5 mL of local anesthetic is injected at each site. A mixture of equal volumes of 0.

As an option, to guarantee adequate anesthesia to the ventral surface and frenulum, a ring block can also be performed. A ring block is a circumferential subcutaneous injection at the base of the penile shaft using a or gauge needle and approximately 10 mL of the anesthetic solution mentioned previously.

If the ring block is used in addition to the dorsal nerve block, lidocaine toxicity can be a concern, since a total of mg might be used if 10 mL of 2 percent lidocaine is administered. According to the Physicians' Desk Reference , the maximum recommended dose of lidocaine without epinephrine is 4. Potential complications are rare and include hematoma formation and intravascular injection of local anesthetic.

Diazepam Valium , 5 mg given orally one hour before the procedure, is effective. A eutectic mixture of local anesthetics e. This technique is preferred for use in patients with phimosis or paraphimosis. In the patient presenting with acute paraphimosis, gentle, steady pressure on the prepuce decreases the swelling. The physician may then reduce the paraphimosis by pushing on the glans with the thumbs and pulling on the foreskin with the fingers.

To perform the dorsal slit, the physician needs to identify the corona of the glans and determine the extent of the dorsal slit. This is the most important step in removing the correct amount of prepuce. The slit should extend from the meatal opening 75 percent of the distance to the corona. Counter-traction on the edges of the foreskin while the physician makes the slit with scissors is helpful Figure 1.

The preputial skin should then be held perpendicular from the shaft of the penis and excised at its base with scissors Figure 2. Large superficial veins are then ligated. Dorsal slit in the prepuce from meatal opening three quarters of the distance to the corona. Preputial skin held perpendicular from the penile shaft and excised at its base. The frenulum is reapproximated first, as it can be a site of problematic bleeding.

The cut edges of the foreskin are closed with multiple simple interrupted stitches using or absorbable sutures chromic: Dexon or Vicryl spaced evenly every 4 to 7 mm Figure 4. Excess bleeding is controlled with direct pressure and electrocautery.

A sterile dressing of petroleum gauze can then be applied over the sutures. This stitch provides hemostasis and cosmesis. The sleeve resection technique is adaptable for use in both children and adults. In adults, the dorsal penile block, as described previously, is adequate for anesthesia. A skin marker is used to delineate the incisions Figure 5.

The internal preputial incision is marked approximately 1 cm proximal to the coronal sulcus. It is important to apply gentle pressure on the prepubic fat pad at the base of the penis while making the initial outlines so the correct amount of skin will be removed.

The external preputial incision should be made using a scalpel and continued to Buck's fascia. After retracting the foreskin, a second incision should be made in the inner prepuce. Hemostats should be placed dorsally for traction. Subcutaneous attachments are then separated between Buck's fascia and the prepuce. The sleeve should then be excised with electrocautery Figure 7 , and excess bleeding should be controlled by ligature or electrocautery.

Four quadrant sutures should be placed on the dorsum and both sides, and the remaining interrupted sutures should be placed at 4- to 7-mm intervals Figure 8. Excess bleeding may be controlled with direct pressure and electrocautery. Top Simple interrupted sutures placed at 4- to 7-mm intervals. For an adult, however, the surgery is slightly more involved. It can take between 30 minutes and an hour. An anesthesiologist will administer medication to help sedate you. Depending on your preferences, you may receive general anesthesia or more localized anesthesia.

During the procedure, the doctor will move the foreskin away from the head of the penis and then back onto the shaft. Then, the doctor will use a scalpel to cut the skin. For infant circumcision, a doctor snips the skin away from the penis with scissors or a special appliance. For adults, the skin will then be cauterized or stitched back to the shaft with sutures that will dissolve. This is to be expected. Apply an ice pack to your groin for to minute windows of time every two hours.

Be sure to put a thin piece of fabric between the ice and your skin. On day two or three, your doctor may ask you to return to their office to have the dressings replaced.

Recovery from adult circumcision typically takes two to three weeks. You may need to request a week off from work. Some people will not be able to return to normal activities for longer. Sexual intercourse and masturbation may need a bit longer — up to six weeks.

Pain from adult circumcision is typically mild. Your doctor may prescribe a mild pain reliever, but over-the-counter options may be sufficient to ease any discomfort. Your doctor may also prescribe an antibiotic in order to prevent a possible infection. Wear comfortable but supportive underwear that can hold the head of the penis toward the belly button lying flat. Loose-fitting underwear allows for too much movement. This can increase swelling and pain. Within a day or two of the surgery, you should begin trying to walk.

Keep the movement low-impact and slow at first. As soon as your bandage is removed, you can take a shower. The fragrance and chemicals may irritate the sensitive skin as it heals. Pat dry the area to reduce sensitivity. The results you experience from adult circumcision will largely depend on the reason you had the procedure in the first place. If you chose to have it to stop or prevent infections or physical issues like phimosis, the procedure is typically very successful.

You may not experience these again in the future. If your circumcision was for religious reasons, you may feel more deeply personal about your beliefs after completing the procedure. For most individuals, the surgery will have no lasting impact on sexual function, urinating, or sensitivity.

Most individuals in the United States who are circumcised undergo the procedure as a newborn. Choosing to have it as an adult requires some initiative and planning. However, keep in mind that adult circumcision is a simple procedure with very few risks or complications. Talk to your doctor about your expectations for circumcision.

Together, you can make a plan that is comfortable and suitable for your objectives. Circumcision has been around for millennia, rooted in the rituals of Judaism, Christianity, Islam, and some African cultures. But aside from its roots…. Though circumcision has been practiced for thousands of years, it's more recently become a controversial topic in certain parts of the Western world….

When most people think about penis health, they think about sexually transmitted infections and erectile dysfunction. While these conditions can…. Foreskin restoration has roots dating back to ancient Greece and Rome.

Although there isn't any conclusive evidence that a foreskin or its associated…. An overly sensitive penis can affect your everyday life. Not only can it lead to premature ejaculation, but it can also cause discomfort and pain in….

It's not uncommon for your testicles to change size over the course of your life, but in some cases, there's an underlying cause that should be…. A partial circumcision may be an alternative to full circumcision. Your doctor may recommend this procedure to help treat various conditions. It can…. As with any surgery, circumcisions can leave a scar. Here's what it may look like, how it varies by procedure, how to minimize its appearance, and….

Adult Circumcision | Everyday Health

JOHN R. Adult circumcision can be performed under local or regional anesthesia. Medical indications for this procedure include phimosis, paraphimosis, recurrent balanitis and posthitis inflammation of the prepuce. Nonmedical reasons may be social, cultural, personal or religious. The procedure is commonly performed using either the dorsal slit or the sleeve technique. The dorsal slit is especially useful in patients who have phimosis. The sleeve technique may provide better control of bleeding in patients with large subcutaneous veins.

A dorsal penile nerve block, with or without a circumferential penile block, provides adequate anesthesia. Informed consent must be obtained. Possible complications of adult circumcision include infection, bleeding, poor cosmetic results and a change in sensation during intercourse. Circumcision is performed on an estimated one out of six male newborns worldwide.

Adult patients often have a medical indication for the procedure, but circumcision may also be done for social or purely personal reasons. Adult circumcision is usually performed in the outpatient setting by urologists.

However, family physicians who practice in isolated or rural areas and who are adequately trained may also offer this procedure. All family physicians should be prepared to advise their patients about the indications for adult circumcision and, if necessary, make appropriate referrals for the procedure.

Although there are numerous medical indications for adult circumcision, none of them is very common. Paraphimosis, the unreplaceable retraction of a narrow foreskin that causes a painful swelling of the glans, is the second most common indication for adult circumcision. Acute paraphimosis is a urologic emergency requiring reduction of the foreskin through surgical or nonsurgical methods.

Recurrent balanitis and posthitis inflammation of the prepuce , preputial neoplasms, excessive prepuce redundancy and tears in the frenulum are also medical indications for adult circumcision. Patients may have social, religious or personal reasons for requesting a circumcision. There are no specific contraindications to adult circumcision in the literature; however, patients with active infection, possible squamous cell carcinoma of the penis or anatomic abnormalities of the external genitalia should be referred for a urologic consultation.

It is important to provide the patient with adequate information about the procedure ahead of time. Specifically, the patient should be told about the risks of bleeding, hematoma formation, infection, inadvertent damage to the glans, removal of too much or too little skin, aesthetically unpleasing results and a change of sensation during intercourse.

The patient should also be informed that, during the postoperative period, erections can cause pain and disruption of the suture line that may require replacement of the sutures.

Full recovery following circumcision generally requires four to six weeks of abstinence from all genital stimulation and sexual activity. The patient should also be reminded about the benefits of circumcision. If he has the procedure, hygiene will be simpler and may result in fewer local infections, resolution of phimosis and paraphimosis, and less risk of frenular tears and bleeding during intercourse.

Alternatively, if the patient elects not to have the procedure, he should be treated with conservative measures for these conditions e. Patients having a circumcision for recurrent balanitis should be free from infection before the procedure. Preparation of the surgical site includes a thorough surgical scrub of the genital area with a povidone-iodine preparation. Shaving and clipping of the pubic hair should be avoided to minimize the possibility of infection.

Sterile draping of the area should be used to identify the surgical field. An electrocautery unit should be available to provide hemostasis. Anesthesia can be accomplished by administering a dorsal penile nerve block, with or without a ring block. The patient is then placed in the supine position. After preparation of the skin, two injection sites are identified over the inferior edge of the pubic bone at approximately 10 o'clock and 2 o'clock relative to the base of the penis.

A gauge, 1. After aspiration, 5 mL of local anesthetic is injected at each site. A mixture of equal volumes of 0. As an option, to guarantee adequate anesthesia to the ventral surface and frenulum, a ring block can also be performed. A ring block is a circumferential subcutaneous injection at the base of the penile shaft using a or gauge needle and approximately 10 mL of the anesthetic solution mentioned previously. If the ring block is used in addition to the dorsal nerve block, lidocaine toxicity can be a concern, since a total of mg might be used if 10 mL of 2 percent lidocaine is administered.

According to the Physicians' Desk Reference , the maximum recommended dose of lidocaine without epinephrine is 4. Potential complications are rare and include hematoma formation and intravascular injection of local anesthetic. Diazepam Valium , 5 mg given orally one hour before the procedure, is effective. A eutectic mixture of local anesthetics e. This technique is preferred for use in patients with phimosis or paraphimosis.

In the patient presenting with acute paraphimosis, gentle, steady pressure on the prepuce decreases the swelling. The physician may then reduce the paraphimosis by pushing on the glans with the thumbs and pulling on the foreskin with the fingers. To perform the dorsal slit, the physician needs to identify the corona of the glans and determine the extent of the dorsal slit.

This is the most important step in removing the correct amount of prepuce. The slit should extend from the meatal opening 75 percent of the distance to the corona. Counter-traction on the edges of the foreskin while the physician makes the slit with scissors is helpful Figure 1. The preputial skin should then be held perpendicular from the shaft of the penis and excised at its base with scissors Figure 2. Large superficial veins are then ligated.

Dorsal slit in the prepuce from meatal opening three quarters of the distance to the corona. Preputial skin held perpendicular from the penile shaft and excised at its base. The frenulum is reapproximated first, as it can be a site of problematic bleeding. The cut edges of the foreskin are closed with multiple simple interrupted stitches using or absorbable sutures chromic: Dexon or Vicryl spaced evenly every 4 to 7 mm Figure 4.

Excess bleeding is controlled with direct pressure and electrocautery. A sterile dressing of petroleum gauze can then be applied over the sutures. This stitch provides hemostasis and cosmesis. The sleeve resection technique is adaptable for use in both children and adults. In adults, the dorsal penile block, as described previously, is adequate for anesthesia. A skin marker is used to delineate the incisions Figure 5.

The internal preputial incision is marked approximately 1 cm proximal to the coronal sulcus. It is important to apply gentle pressure on the prepubic fat pad at the base of the penis while making the initial outlines so the correct amount of skin will be removed. The external preputial incision should be made using a scalpel and continued to Buck's fascia. After retracting the foreskin, a second incision should be made in the inner prepuce.

Hemostats should be placed dorsally for traction. Subcutaneous attachments are then separated between Buck's fascia and the prepuce. The sleeve should then be excised with electrocautery Figure 7 , and excess bleeding should be controlled by ligature or electrocautery. Four quadrant sutures should be placed on the dorsum and both sides, and the remaining interrupted sutures should be placed at 4- to 7-mm intervals Figure 8. Excess bleeding may be controlled with direct pressure and electrocautery.

Top Simple interrupted sutures placed at 4- to 7-mm intervals. Bottom The completed sutures. As with any surgical procedure, bleeding and infection are probably the most common complications of circumcision in adult patients; however, accurate statistics are not available. Some patients may also note an unpleasant heightened sensitivity during intercourse.

Infection can be treated with local or parenteral antibiotics, depending on the severity of the infection. Bleeding can be controlled with pressure, an absorbable gelatin sponge product i. None of these techniques can be preferentially recommended based on differences in complication rate or severity. While many physicians use no dressing at all following adult circumcision, either petroleum jelly and sterile gauze or Xeroform petrolatum gauze can be wrapped circumferentially around the sutured area, followed by sterile gauze and lightly wrapped with self-adherent stretch gauze Cobain.

The dressing should be removed 24 to 48 hours after surgery, after making sure that there is no bleeding or oozing. At this point, no further dressing is necessary, and the patient should be instructed to wear loose-fitting briefs. The patient should also be advised to gently wash the wound daily for the next five to seven days; after that, he may shower regularly.

Intercourse and masturbation should be avoided for four to six weeks after the procedure to prevent breakdown of the wound.

One ampule of inhaled amyl nitrate can be used as abortive therapy for erections that occur during the recovery period. Already a member or subscriber? Log in. Address correspondence to John R. Holman, M. Reprints are not available from the authors. The opinions contained herein are those of the authors and should not be construed as official or as reflecting the views of the Department of the Navy or the Department of Defense.

Waszak SJ. The historic significance of circumcision. Obstet Gynecol. Neonatal circumcision techniques. Am Fam Physician. Pienkos EJ.

Doctors who perform adult circumcisions

Doctors who perform adult circumcisions

Doctors who perform adult circumcisions