Circumcision is a surgical procedure that involves the removal of the foreskin. While commonly performed during infancy for cultural, religious, or medical reasons, adult circumcision is increasingly sought after by men for various reasons including hygiene, medical necessity (such as phimosis or recurrent infections), aesthetics, or personal preference.
If you’re considering adult circumcision, understanding the process from start to finish is essential. Here’s a comprehensive guide outlining what to expect before, during, and after the procedure.
Before the Procedure: Preparation and Planning
Consultation and Evaluation
The first step is scheduling a consultation with a qualified surgeon. During this visit, you’ll discuss your reasons for the procedure, your medical history, and any potential risks. The doctor may perform a physical examination and recommend tests if necessary. It’s also your opportunity to ask questions and address any concerns you may have.
Common topics covered include:
- The type of anaesthesia used
- Surgical technique options
- Recovery time
- Sexual activity post-surgery
- Potential complications
Pre-Surgery Instructions
If you decide to move forward with your adult circumcision, your doctor will give you preoperative instructions. These may include:
- Stopping certain medications that could increase bleeding, like aspirin or blood thinners
- Showering beforehand and cleaning the genital area thoroughly
During the Procedure: What Happens in the Operating Room
Adult circumcision is typically performed as an outpatient procedure, meaning you can go home the same day. The surgery usually takes about 10 minutes.
The Surgery
You will receive local anaesthesia, which numbs the penis but keeps you awake. There are a few different methods that can be used for adult circumcision, such as:
The Shang Ring Method
This method has the lowest risk of complications, produces a good cosmetic outcome and is completed in 10 minutes. In the Shang Ring method, a plastic device called a Shang Ring is placed around the foreskin. The ring is then tightened to cut off blood flow to the foreskin, removing the foreskin. You will have to return to the clinic in 1 week to have the Shang Ring removed.
ZSR Stapler Method
In the ZSR stapler method, a specialised stapler device is used to simultaneously cut and seal the foreskin, minimising trauma to the surrounding tissue. It has the fastest and easiest recovery period and produces good cosmetic outcomes.
Stitches Method
This is the conventional method of circumcision, where incisions are made to remove the foreskin and then the wound is sutured closed. The procedure is completed in 30 minutes.
At Circumcision Vasectomy Australia, we prefer the Shang Ring or ZSR stapler method, due to its shorter operating time, lower intraoperative pain score, less intraoperative blood loss and lower wound bleeding rate, lower adverse event rate and higher satisfaction with penile appearance.
After the Procedure: Recovery and Healing
Recovery is generally straightforward, but you’ll need to take care of the surgical site and follow medical advice closely. After the surgery, you’ll rest in a recovery area and then go home. You can even drive yourself home if we complete your adult circumcision under local anaesthetic.
Swelling, bruising, and mild discomfort are normal. You can take over-the-counter pain relievers to help with the discomfort. The penis may be bandaged and should be kept clean and dry. You can shower after 24 hours but avoid scrubbing the site.
During the first 7 days, it’s important to:
- Avoid strenuous activity
- Keep the penis elevated (especially while resting) to minimise swelling
- Follow hygiene instructions for cleaning and dressing changes
You can typically resume sexual activity and masturbation after 4 to 6 weeks but confirm this with your doctor. Complete healing varies per person, but most men feel fully recovered within 3 to 8 weeks. It depends on the method of circumcision.
Possible Risks and Complications
Like any surgery, circumcision comes with potential risks, though complications are relatively rare when performed by an experienced professional.
These may include infection, bleeding or scarring. Most side effects are minor and temporary. Following your aftercare instructions helps reduce risks significantly.
Long-Term Outcomes and Benefits
Many men report improved hygiene, easier cleaning, and a decrease in issues like balanitis (inflammation of the glans) or UTIs. Some also find enhanced sexual confidence or aesthetic satisfaction. Sensitivity and sexual function are generally preserved or return to baseline after healing.
If the adult circumcision was performed for a medical condition like phimosis or chronic infection, it often provides lasting relief and a better quality of life.
Adult circumcision is a personal decision, and like any medical procedure, it’s important to weigh the benefits and risks. With proper preparation, a skilled surgeon, and attentive aftercare, most men find the experience manageable and worthwhile.
Circumcision Vasectomy Australia offers a 24-hour aftercare hotline for peace of mind after your procedure. Our main operating doctor, Dr. Shehab Abdalla, has years of experience specialising in circumcisions. Book a consultation today to get started.
