To Snip Or Not To Snip? Why Do Adult Males Get Circumcised?

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To Snip Or Not To Snip? Why Do Adult Males Get Circumcised?

There are many reasons that adult males seek to have circumcision performed later in life. Circumcision as an adult is a very personal decision and one that may be difficult to make, with concerns over pain levels, potential complications and having to abstain from intercourse. Prof Colin Moore at the Australian Centre for Penile Surgery has 34 years’ experience and performs circumcision in a private hospital setting for babies up to old men.

Reasons for adult circumcision; medical, religious, aesthetic.

Medical:

PHIMOSIS
The most frequent indication for circumcision is Phimosis. This problem prevents and restricts the foreskin from retracting. It may be that the restriction is only subtle and only becomes evident during erection. It is likely that men in their 40’s and 50’s will have suffered from this all of their life only to be confident and knowledgeable enough at this later stage to seek surgery to end their discomfort.

PARAPHIMOSIS
Paraphimosis is the entrapment of the foreskin behind the rim of the head of the Penis & can be dangerous and may require urgent corrective surgery. The foreskin retracts causing a restriction behind the glans. Swelling results and the foreskin cannot return & this may interfere with the blood supply of the Glans.

FRENULUM
Frequent painful tearing of the Frenulum is often a reason for adult circumcision. Although this is more commonly treated by Frenuloplasty.

BALANOPOSTHITIS
This refers to the occurrence of balanitis and posthitis (infection of the foreskin) infections occurring in combination that causes an inflammation of the glans. This is usually associated with Balanitis Obliterans. This latter condition was thought to be benign but is now known to be a pre-malignant condition & is the reason that Cancer of the head of the Penis is only seen in uncircumcised men Conservative treatment is possible but usually, treatment involves circumcision for both adult men and boys with recurrent cases of this condition.

IRREGULARITIES
Long foreskins, trapped hairs and skin problems involving growths and rashes are all reasons for adult circumcision.

STD PREVENTION
Some reports show circumcision may assist in the minimisation of STD’s In particular HIV, Gonorrhoea & Syphilis.

Aesthetic

It could be your choice; it could be at the request of your life or sexual partner. Appearance may factor into your decision and even improved hygiene.

Cultural significance

Men of the Jewish and Muslim faith who may have missed circumcision as children may seek it later in life. Adult males converting to those faiths or marrying into those faiths may undergo the surgery.

Adult Circumcision Surgery: What to expect?

Two techniques can be employed for performing adult male circumcision; the Dorsal Slit Method and the Sleeve Method. The Dorsal Slit is performed for men suffering from phimosis or paraphimosis & is usually cosmetically unacceptable in appearance so it is usually combined with a formal dissection circumcision. The Sleeve, init’s formal description can only be performed in the absence of Phimosis unless it is combined with a Dorsal Slit first & in this form is the common form used and differs from the Dorsal technique as the foreskin is removed from the retracted position. The Sleeve is often referred to as high and low or tight and loose, referring to the location of the cut and scar and the amount of removed skin. The style of surgery is a discussion that Profr Colin Moore will have with you.

Adult circumcision is performed under general anaesthetic and usually takes one hour with a fine, skin coloured, absorbable stitch used to complete the procedure.

When researching the procedure, it is important to note that circumcision in babies can involve a different procedure than that for adults. It may be done under General Anaesthetic, or a combination of local anaesthetic & sedation

How painful is adult circumcision?

As the procedure is performed under a general anaesthetic you will not feel anything. Panadol can be recommended for any post-operative pain relief. If a patient is concerned with uncomfortable, spontaneous, erections, some medication may be available to assist with minimalising penile function during recovery. Prof Moore ALWAS provides anti-erectile medication for a period of two weeks after surgery.

Recovery: Take some time out of the bedroom.

You will be bandaged firmly to reduce any bleeding risks. This is somewhat inconvenient, contributing to a slow stream of urine. The bandage will be removed at your post-operative appointment. Bruising or swelling may be evident, but that will reside. You may be recommended to continue bandaging the area to support the healing process to enhance the cosmetic result.

No sexual intercourse for up to six weeks following the circumcision. The erection may be painful and will interfere with the healing process.

Wear loose briefs and attend to the wound daily. Normal showering practices should recommence two weeks post-operatively.

You will need to take 1 – 2 days off work for the procedure. & a further two weeks off while on the anti=erectile medications as they can be quite sedating.

While adult circumcision may not be a much talked about procedure, it is not uncommon, and there are many reasons an adult male would consider circumcision. Prof Colin Moore will meet with you to answer any of your questions regarding adult circumcision or to address your concerns. At the Australian Centre for Penile Surgery, the primary goal is excellence in surgical performance and patient care. Prof Colin Moore will ensure you understand what your procedure involves before you make your final decision.

For whichever reason you are enquiring about adult circumcision you can find more information on circumcision, or you can arrange a confidential consultation to discuss the procedures, visit The Australian Centre for Penile Surgery, complete a contact form or call us on 0414251234.

Prof Colin Moore