What is circumcision
Circumcision is an operation that fully or partly removes the foreskin, the movable skin that covers the glans, that is, the tip of the penis. After the procedure the glans remains permanently exposed. It is one of the oldest and most frequently performed surgical procedures.
Circumcision is performed for medical reasons, when the foreskin causes problems, but also for personal, cultural or hygienic reasons. The most common medical reason is phimosis, a condition in which the foreskin is too tight to be pulled back over the glans.
In adult men the procedure is planned after an examination, a choice of technique and appropriate anesthesia. The goal is to remove the symptoms and ease hygiene, with a tidy aesthetic result.
Although it is often considered simple, circumcision is a precise surgical procedure that requires careful work and tidy suturing, so the result is both functionally and aesthetically satisfactory.
When circumcision is indicated
The most common medical reason for circumcision is phimosis, when the foreskin cannot be pulled back over the glans and causes problems with hygiene, urination or during intercourse. The procedure is also considered for repeated inflammation of the glans and foreskin that does not settle.
The decision on surgery is made by the doctor after an examination, assessing the severity of the symptoms and whether other measures produce a result. In some men the reason for circumcision is personal or hygienic rather than strictly medical.
It is important that the symptoms are not neglected, because repeated inflammation and a persistent narrowing of the foreskin can over time make hygiene and daily life difficult. A timely examination helps choose a solution before the condition worsens.
- A tight foreskin that cannot be pulled back over the glans, that is, phimosis
- Repeated inflammation of the glans and foreskin
- Pain or discomfort during intercourse because of a tight foreskin
- Difficult hygiene beneath the foreskin
- A scar-like narrowing of the foreskin after inflammation
- The foreskin becoming trapped behind the glans, that is, paraphimosis
- Repeated urinary tract infections linked to the state of the foreskin
- Personal and hygienic reasons for circumcision
How circumcision is performed
During the procedure the excess foreskin is removed, and the remaining skin edges are carefully joined with tidy sutures. The amount of foreskin removed is adapted to the findings and to the agreement with the patient, because circumcision can be done fully or partly.
Sutures that dissolve on their own are most often used, so they do not need to be removed separately. The surgeon takes care of a precise incision and tidy joining of the edges, so the result is functional and aesthetically acceptable.
In conditions such as paraphimosis, where the pulled-back foreskin is trapped behind the glans, urgent care may be needed, and circumcision is considered as a lasting solution. The surgeon explains the choice of technique before the procedure.
During the procedure special care is taken of stopping any bleeding and of tidy joining of the skin, because this directly affects how the wound will heal and how the final result will look. Once everything is complete, appropriate protection is placed on the wound and the patient receives detailed instructions on further care.
Preparation
Preparation begins with an examination, at which the doctor assesses the state of the foreskin and glans and proposes the appropriate technique and type of anesthesia. If there is an active inflammation at the time of the examination, it is calmed first, and the procedure is planned once the condition has settled.
An open conversation helps a safe course. Present to the doctor everything concerning your health, medications and earlier symptoms, so the team can plan the best approach.
- Tell the doctor about all medications you take, especially blood thinners
- Report allergies, chronic illnesses and previous surgeries
- Report if you have an active inflammation or infection in the area
- Follow the instructions on hygiene before the procedure
- Prepare comfortable cotton underwear for the recovery period
- Arrange accompaniment if an anesthesia is planned after which you may not drive
The procedure, anesthesia and duration
In adults circumcision is most often performed under local anesthesia, so the procedure area is numb while the patient is awake and pain-free. Depending on the case and the assessment, another type of anesthesia is also possible, which the anesthesiologist decides in agreement with the patient.
This is a shorter procedure, and the exact duration depends on the technique and the amount of foreskin removed. After the excess foreskin is removed the edges are carefully joined with absorbable sutures.
After the procedure the patient is monitored briefly, and in a great many cases goes home the same day with clear recommendations on wound care, hygiene and pain therapy.
Recovery
Recovery after circumcision is, for most men, tidy. In the first days mild pain, swelling and a feeling of tightness are usual, which is well controlled with prescribed therapy and proper wound care. The sutures most often dissolve on their own, so they do not need to be removed.
Hygiene is important for tidy healing, with gentle washing and drying as instructed. Strenuous physical work, sport and sexual activity should be postponed until the doctor allows it, because the wound needs time to heal fully. Wearing soft cotton underwear contributes to comfort during recovery.
In the first days the glans may be more sensitive to touch, which is expected and settles over time as the area gets used to it. If you follow the advice on care and rest, recovery most often proceeds tidily, and at the follow-up examination the team checks how the wound is healing and answers all your questions.
- Keep the wound clean and dry according to the instructions received
- Wear soft cotton underwear that does not press
- Take the prescribed pain therapy as needed
- Postpone sport, strenuous work and sexual activity until the doctor allows it
- Avoid bathing in a tub, pool and the sea until the doctor allows it
- Contact us if pronounced redness, swelling, discharge or a raised temperature appear
Possible risks
Circumcision is a routine and safe procedure, but like any operation it carries certain risks. With an experienced team and proper wound care, serious complications are rare, and most transient discomforts resolve during recovery.
Before the procedure the surgeon explains the possible risks in relation to the chosen technique and your condition, so you can make an informed decision.
- Bleeding or the formation of a hematoma
- Wound infection
- Swelling and transient discomfort in the procedure area
- Hypersensitivity of the glans in the first period
- Slower healing or separation of the wound edges
- The usual risks related to the applied anesthesia
Why Medical Time
At Medical Time in Belgrade we approach circumcision discreetly and professionally, from the examination and choice of technique to the procedure itself and monitoring of recovery. Our goal is a safe procedure, a tidy aesthetic result and a calm recovery with clear advice.
- An experienced surgical team and careful, precise work
- A choice of technique adapted to your case
- Tidy suturing with absorbable sutures
- A discreet and understanding approach to the patient
- Clear recommendations on wound care and recovery
- Availability of the team for questions and follow-ups
Price — circumcision
The price of circumcision depends on the chosen technique, the extent of the procedure and the type of anesthesia. The estimate is also affected by the state of the foreskin, any previous inflammation and the need for additional treatment before the procedure.
We determine the final price and plan after an examination, because every case is different. At the consultation you receive a clear picture of the proposed procedure and everything it involves.
- Consultation and examination
- Procedure with anesthesia
- Materials and wound care
- Follow-up examination after the procedure
For an individual estimate and an appointment, call 062-399-888.
Frequently asked questions
The procedure itself is performed under anesthesia, so the area is numb and pain-free. After the procedure mild pain and tightness are possible, which is well controlled with prescribed therapy.
Phimosis is a condition in which the foreskin is too tight to be pulled back over the glans. When it causes problems with hygiene, urination or intercourse, circumcision is one of the solutions.
Absorbable sutures that dissolve on their own are most often used, so they do not need to be removed separately. You receive details on wound care from the team after the procedure.
In a great many patients this is a procedure after which you go home the same day. The final assessment is given by the team in relation to the technique, anesthesia and your condition.
You usually return to lighter activities soon, while sport, strenuous work and sexual activity are postponed until the doctor allows it, so the wound can heal fully.
In the first period the glans may be more sensitive, which settles over time. The doctor realistically explains what you can expect in relation to your case.
You book a consultation at Medical Time in Belgrade by calling 062-399-888. At the examination we assess the condition and propose the best approach.