Circumcision – Baby and Adult

Baby circumcision

Circumcision is best performed between 1-6 weeks of age. The procedure is done under local anaesthetic in the office. The whole process takes approximately 30 minutes.

Dr Davies uses a device called a Plastibell, which is a plastic ring placed inside the foreskin. Around the outside of the foreskin he then ties a string. The string cuts off the blood supply to the foreskin, so that it will fall off by itself within 5-10 days. The foreskin will become red and swollen and then turn black, before it falls off.

This will happen automatically, so you do not need to do anything. If the ring has not fallen off within 10 days please contact the office, as very occasionally the ring will need some help to dislodge.

We believe this is a safer technique than using a scalpel to cut off all the skin at once, because it reduces the risk of bleeding.

The risks of the procedure include pain, bleeding and infection. To reduce the risk of pain, you will be given a prescription for baby paracetamol syrup. This may be given regularly for 2-3 days after the procedure, if your baby seems uncomfortable.

With the ring in place there should be virtually no bleeding, so if you see blood dripping from the end of the penis please contact the clinic. A little bit of oozing is expected.

To reduce the risk of infection, please keep the penis as clean and dry as is practical. Consider changing the nappy a little more often than usual.

Your baby may be bathed as normal. No special creams or ointments are required.

If your baby is not in the bath, please make sure he is always wearing a nappy, because otherwise there is a remote risk of the string getting caught on something.

Adult circumcision

This is a minor operation that can be performed under local anaesthetic in the office, or under general anaesthetic if you prefer. The operation takes approximately 45 minutes.

If performed under local anaesthetic, you will be given pain killing tablets and anti-biotic tablets first and then asked to put on a gown. You can also have a light sedation if requested.

The penis will be cleaned with anti-septic and then an injection of local anaesthetic will be administered to the base of the penis to make it entirely numb.

The foreskin is then cut away and a circle of small stitches are placed below the head of the penis. A dressing will be applied, which should be left in place for 24-48 hours if possible. The stitches will fall out by themselves after approximately two weeks. The foreskin is then sent away to check for any abnormalities.

The risks of the procedure include pain, bleeding, infection and temporary sensitivity of the head of the penis. To reduce the risk of pain, you will be given a prescription for pain killers to take after the operation.

To reduce the risk of bleeding, do not shower for the rest of the day after the procedure. Leave the dressing in place for 24-48 hours if possible. Strictly avoid any heavy lifting, sport or exertion for 7 days.

If your job is physical, you will need a week off work. You can resume desk work as soon as you feel comfortable to do so, but preferably not for at least 72 hours after the surgery.

To reduce the risk of infection, please keep the wound as clean and dry as is possible. You will also be asked to apply an anti-biotic ointment to the cut and the stitches twice a day, for 7 days, after the dressing comes off. A prescription will be provided for the ointment.

You will be offered a follow-up appointment at the clinic 10 days after your surgery, to check on the wound and go over the results of the foreskin analysis.