Adult Circumcision

Circumcision is a surgical procedure that removes the foreskin from the head of the penis, known as the glans.

It’s often performed during infancy for cultural or religious reasons. However, some men choose to have it done later in life, either for medical reasons or personal comfort.

The foreskin is a natural part of the male anatomy that protects and lubricates the head of the penis.

In most cases, the foreskin can be gently pulled back to expose the glans. However, for some men, the foreskin is too tight or difficult to retract. These issues can interfere with urination, intimacy, or general hygiene, and make the area prone to infection.

Circumcision is a surgical procedure that removes the foreskin entirely. It is performed to provide long-term relief from persistent symptoms and make daily hygiene care easier.

1. Medical indications

Some men pursue circumcision after developing specific health concerns. Common medical reasons include:

• Phimosis: a condition where the foreskin cannot retract over the head of the penis. It can lead to:
  • Painful erections or urination
  • Frequent infections under the foreskin
  • Hygiene challenges
  • Irritation

While steroid creams are often the first line of treatment, circumcision may be recommended if it does not relieve symptoms.

• Paraphimosis: a condition that occurs when the foreskin becomes trapped behind the glans and cannot be moved back into place. It’s a medical emergency that can cut off blood flow to the penis. Circumcision is often advised after initial treatment to prevent recurrence.
• Balanitis and recurrent infections: Repeated inflammation of the glans, called balanitis, or frequent infections beneath the foreskin, can lead to ongoing discomfort. Circumcision helps eliminate the environment where bacteria live. This reduces the chance of future infections.
• Lichen sclerosus: a rare skin condition that causes scarring and tightening of the foreskin. When lichen sclerosus affects the penis, circumcision is often the most effective treatment to relieve symptoms and prevent complications.
• Genital warts: Men with persistent or recurring warts on the foreskin due to human papillomavirus (HPV) may benefit from removal of the affected tissue.

2. Personal and cultural considerations

Not all men undergo circumcision for health concerns. Some choose the procedure for practical, cultural, or religious reasons. For example:

• Men who convert to religions where circumcision is customary may choose to have the procedure as adults.
• Men who struggle to fully retract the foreskin find that cleaning beneath it can be difficult. Removing the foreskin can make personal care simpler and reduce the risk of odor or irritation.
• Men with tight foreskin, scar tissue, or recurrent inflammation may opt for circumcision to relieve discomfort and improve sexual well-being.
• Research also suggests that circumcision may:
  • Lower the risk of penile cancer
  • Reduce the chance of some sexually transmitted infections (STIs)
  • Decrease the risk of HIV transmission during heterosexual contact

Adult circumcision is typically done in an outpatient setting. The surgery takes about 30 to 60 minutes, and you can usually return home the same day.

Anesthesia will be provided to ensure you remain comfortable and pain-free. This is typically local, where the area is numbed, but you remain awake.

Once anesthesia is administered, the penis is cleaned with an antiseptic solution. The foreskin is then gently pulled back and removed using a scalpel or surgical scissors. The incision is typically closed with dissolvable stitches, which will gradually fall out on their own as healing takes place.

Swelling, bruising, and mild discomfort are normal in the first few days. Pain is usually manageable with over-the-counter medications, and most men recover within 2 to 3 weeks. Your doctor may suggest:

• Using ibuprofen or acetaminophen as directed to relieve discomfort
• Applying ice packs to reduce swelling during the first 48 hours
• Wearing loose, breathable underwear or clothing to prevent irritation
• Washing the incision gently with only warm water for the first few days

Sexual activity and strenuous exercise should be avoided for several weeks, or until cleared by your doctor.

Like any surgery, adult circumcision carries some risks. Serious complications are rare when performed by a qualified urologist. Potential risks include:

• Minor bleeding or bruising
• Infection at the incision site
• Temporary changes in sensitivity
• Scar formation, which usually fades over time

Long-term complications are uncommon. Most men report high satisfaction with results. Plus, sexual function is typically preserved or improved if discomfort was present before surgery.

If you’re dealing with recurring infections or concerns about hygiene or comfort, circumcision may offer a solution. A urologist can evaluate your symptoms and help you decide if this procedure is right for you.

1. Is there an age limit for adult circumcision?

No. Circumcision can be performed safely at any age, as long as you’re healthy enough for outpatient surgery.

2. Will circumcision affect sexual function?

Most men don’t notice any negative changes in sexual performance or pleasure after circumcision. Some even find that they feel more comfortable and confident. Sensation may feel a little different, but overall, sexual satisfaction usually stays the same.

All of our providers perform Adult Circumcision.