Circumcision Surgery in Mumbai, India

Circumcision is a surgical procedure followed to remove the foreskin that covers the glans (tip) of the penis. It is performed on newborn males within the first month of their birth. But, adult men may also undergo this surgery. The reasons for circumcision are:

• Religious or traditional
• Personal hygiene
• Treatment of urinary tract and sexually transmitted infections
• Inability to retract the foreskin (phimosis)
• Swelling of the foreskin (balanitis)
• To reduce the risk of penile cancer
• Injury because of accident

Alternate Name For Circumcision Surgery

Male circumcision or the removal of the genital foreskin

Body Location

Foreskin covering the tip of the penis

How Circumcision Surgery is Performed?

In newborns, a local anaesthetic is applied (as cream) at the base of the cleaned penis. The child is then made to lie on his back, restricting his arm and leg movement. A metal bell, clamp, or plastic ring is fastened to the penis. This is performed to prevent bleeding by interrupting blood circulation while the foreskin is surgically removed using a scalpel. An antibiotic ointment is applied after the surgery, and the circumcised area is covered with gauze. The procedure takes around 30 minutes.

The procedure may take up to an hour for adults and older children. First, local or general anaesthesia is administered. The foreskin is not cut out but instead stitched back using dissolvable sutures. Later, the area is sterilized using antibiotic creams and dressed with a protective gauze bandage.

Preparation For Circumcision Surgery

Getting ready for the surgery involves the following considerations:

• Consent form

A form needs to be signed, giving the patient’s approval for the procedure. In the case of newborns and minors, the parents’ or guardians’ consent is mandatory.

• Cleaning the genital area

The area around the genitals should be thoroughly cleaned. Adults are advised to shave off the pubic hair so that the gauze stays in place properly post the surgery.

• Clothing

Tight or body-hugging clothes and underwear should be avoided before the surgery. For newborns, loose-fitting diapers are preferred.

• Diet

Adults should avoid food and drinks at least six hours before the surgery. Alcohol consumption and smoking should be avoided at least 48 hours before the surgery.

• Medications

The surgeons may advise not to consume certain medications like blood thinners and aspirin for a few days before the surgery.

Procedure Type

Minimally invasive surgical procedure

Follow Up

After the procedure, the patient is kept under observation for 30 minutes. During this time, breathing, blood pressure, and pulse rate are closely monitored. The operated area is double-checked for any bleeding or infection. An analgesic like paracetamol may be offered in case of pain.

Newborns should be given only sponge baths till the circumcised area is properly healed. Older patients may start taking baths 24 hours after surgery. Antibiotic ointments are generally prescribed to ward off infections and crust formation.

Advice related to post-operative care is crucial and must be followed diligently. A follow-up appointment with the healthcare practitioner needs to be scheduled within two weeks after the surgery.

Risks For Circumcision Surgery

The chances of complications developing post-circumcision surgery are merely 1%. Even then, the possible risks are:

• Infection

This may be indicated by bleeding, pus formation, and inflammation.

• Anaesthetic complications

Nausea, vomiting, headache, and sleeplessness are some common side effects.

• Pain and irritation

Itching and pain may be aggravated because of infection at the site of circumcision.

• Mastitis

 It means soreness and inflammation at the opening of the penis. It may occur in a newborn because of the constant rubbing of the circumcised area against the diaper or his skin.

• Foreskin-related issues

Cutting the foreskin too short or leaving it too long may result in skin bridges or adhesions, discomfort, and injury.

• Cysts or crusts

A growing mass or cyst may develop in the circumcised area. This is one of the rarest complications.

• Problems in urination

The urethral opening might become narrower post-surgery, thus making it difficult to urinate.

Recovery From Circumcision Surgery

It normally takes around 10 days for recovery. For newborns, the dressing bandage must be changed after every diaper change. The area should preferably be washed with warm water and soap. A petroleum-based jelly can also be applied.

Younger males should refrain from activities such as riding bicycles or tricycles, intense sports, and playing rough games for at least three weeks post-surgery. They should be taught to maintain proper hygiene.

Older men should make sure that the circumcised area is kept clean and dry. Once a week, at least, the dressing needs to be changed. Adequate rest is advised. One should start with moderate physical activities like playing sports, sexual intercourse, and strenuous activity should be avoided for at least four weeks after the surgery. Comfortable underwear should be worn.

By following the steps mentioned, one can be assured of rapid and simple recovery.