Circumcision in Adults – Dr. Tepeler

Circumcision is the removal of the skin covering the head of the penis (glans penis) by a surgical procedure. In our country, this method can be applied at any age, although it is generally applied in the neonatal period and pre-adolescence. Can circumcision be performed at any age? Circumcision is performed at any age in case of medical necessity. However, circumcision performed at any age has technical differences. Adult circumcision must be performed by a specialized urologist.

Circumcision is the removal of the skin covering the head of the penis (glans penis) by a surgical procedure. In our country, this method can be applied at any age, although it is generally applied in the neonatal period and pre-adolescence.


Why is circumcision performed in adults?

-It can be practiced due to one's own personal (religious-cultural) or partner's preference. It can be applied to prevent recurrent urinary tract infections, sexually transmitted infections and penile head infections -It can be used to protect against HPV or HSV infections that can affect the foreskin and the risk of penile cancer caused by HPV -Applicable in the presence of tense foreskin (phimosis) squeezing the glans penis -Circumcision method may be considered appropriate in cases where the foreskin folds into the skin and compresses the glans penis (paraphimosis)

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What are the benefits of circumcision?

In some people, the skin covering the head of the penis is very tight. This condition is called phimosis. The skin cannot be pulled back and the head of the penis is not completely visible. Although this skin can be loosened with medication, circumcision is usually protective against phimosis. -The head of the penis and foreskin are more vulnerable to infections, especially in uncircumcised men. Circumcision is protective against this condition called balano-postitis. -If the foreskin is pulled back and not returned to its normal position, this skin squeezes the head of the penis and disrupts its blood supply. This condition is called paraphimosis. This is an important problem that needs to be solved urgently. If this problem cannot be corrected by hand, an emergency circumcision should be performed to normalize penile blood flow, but this problem is not seen in circumcised men. -In some men, due to a disease of the foreskin, this skin is severely closed and even urination is difficult. This is caused by balanitis xerotica obliterans (BXO). Circumcision removes this diseased skin. -Warts or ulcers that develop on the head of the penis can progress and turn into cancer. Circumcision is protective against penile cancer. -Studies in Africa have shown that circumcised men have a lower risk of contracting HIV. Circumcision is protective against other sexually transmitted infections. However, infections are also seen in circumcised men after intercourse with unprotected multiple partners.

How is circumcision performed in adults? Is adult circumcision different?

Circumcision in adults will take more time compared to children. Therefore, it is preferred to be performed under anesthesia in the operating room in a hospital environment. The excess part of the foreskin covering the head of the penis is removed by cutting a certain amount. This process is much easier in children. Although techniques such as the bell or guillotine method and devices such as soldering irons that stop bleeding are used in children or newborns, they are not used in adult circumcision. Since the penis in adults develops with the effect of hormones and has a much more vascular structure, the procedure is performed more meticulously. After the excess skin is removed, the wound ends are joined with suture threads. The procedure is completed by applying a special bandage to the penis. If there are no complications after the procedure, the patient is discharged.

Is adult circumcision painful?
Circumcision is not a painful procedure. During the procedure, painkillers are applied to the root of the penis and the patient does not feel pain with this procedure called penile block. Afterwards, painkillers are prescribed to the patient and pain is minimized.

How is wound care done after circumcision?
The bandage wrapped after circumcision is used for a few more days. It is normal to see swelling and slight bruising on the penis after the bandage is removed. You may need to use painkillers and antibiotic cream-tablets especially in the first week. Bathing is not recommended for the first 4 days. Your stitches will dissolve by themselves. There may be crusting in the stitch area. It may take 3-4 weeks to return to normal in terms of appearance.

When can sexual life be resumed?
In adults, sexual intercourse or masturbation can take place after 4 weeks after circumcision. Earlier intercourse may damage wound healing. It would be better for your doctor to make a final decision on this issue after the last controls. You can contact us to get information about adult circumcision. 

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